Gynaecological oncology: ovarian torsion: 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.

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OBG · Gynaecological oncology: ovarian torsion

Sample item

A young woman has sudden onset severe unilateral pelvic pain with vomiting and a 7 cm adnexal mass. What is the management?

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

The answer and the reasoning

D. Emergency laparoscopy with detorsion and ovarian conservation where possible

Ovarian torsion is a surgical emergency. Doppler flow may be preserved, so a normal Doppler does not exclude torsion. Detorsion is done even if the ovary looks dusky because function often recovers, and cystectomy may follow.

Option by option

  • A. Oophorectomy always

    Routine oophorectomy is not required.

  • B. Chemotherapy

    Chemotherapy is not indicated.

  • C. Observation with analgesics

    Delay leads to infarction.

  • D. Emergency laparoscopy with detorsion and ovarian conservation where possible (correct)

    Correct. Detorsion preserves the ovary.

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 D, Emergency laparoscopy with detorsion and ovarian conservation where possible. Ovarian torsion is a surgical emergency.

Why is "Oophorectomy always" not the answer?

Routine oophorectomy is not required.

Why is "Chemotherapy" not the answer?

Chemotherapy is not indicated.

Why is "Observation with analgesics" not the answer?

Delay leads to infarction.

What concept does this question test?

It tests Gynaecological oncology: ovarian torsion in OBG. Doppler flow may be preserved, so a normal Doppler does not exclude torsion. Detorsion is done even if the ovary looks dusky because function often recovers, and cystectomy may follow.

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 Gynaecological oncology: ovarian torsion?

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.