Infertility: genital tuberculosis: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

Try it

OBG · Infertility: genital tuberculosis

Sample item

In a woman with infertility, HSG showing beaded tubes, a rigid tube and intrauterine adhesions suggests:

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Genital tuberculosis

Genital TB affects the tubes (beaded, pipe-stem or lead-pipe appearance), endometrium (adhesions and obliteration) and usually causes infertility. Diagnosis is by endometrial biopsy, AFB culture or PCR. Treatment is antitubercular therapy, but fertility outcome is poor.

Option by option

  • A. Genital tuberculosis (correct)

    Correct. These HSG features are typical of TB.

  • B. Chlamydial infection

    Chlamydia gives hydrosalpinx.

  • C. Endometriosis

    Endometriosis gives adhesions without beading.

  • D. PCOS

    PCOS does not affect tubal anatomy.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is A, Genital tuberculosis. Genital TB affects the tubes (beaded, pipe-stem or lead-pipe appearance), endometrium (adhesions and obliteration) and usually causes infertility.

Why is "Chlamydial infection" not the answer?

Chlamydia gives hydrosalpinx.

Why is "Endometriosis" not the answer?

Endometriosis gives adhesions without beading.

Why is "PCOS" not the answer?

PCOS does not affect tubal anatomy.

What concept does this question test?

It tests Infertility: genital tuberculosis in OBG. Diagnosis is by endometrial biopsy, AFB culture or PCR. Treatment is antitubercular therapy, but fertility outcome is poor.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Infertility: genital tuberculosis?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.