Benign gynaecology: Mullerian anomalies: 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 · Benign gynaecology: Mullerian anomalies

Sample item

A woman with a unicornuate uterus and a non-communicating rudimentary horn is at risk of which complication?

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

The answer and the reasoning

D. Ectopic pregnancy in the rudimentary horn with rupture

A pregnancy in a non-communicating rudimentary horn behaves like an ectopic gestation and ruptures in the second trimester with catastrophic haemorrhage. Excision of the horn is advised once diagnosed. Renal agenesis often accompanies the anomaly.

Option by option

  • A. Gestational trophoblastic disease

    GTD is not associated.

  • B. Ovarian cancer

    Ovarian cancer risk is not increased.

  • C. Placenta praevia only

    Praevia is not specific.

  • D. Ectopic pregnancy in the rudimentary horn with rupture (correct)

    Correct. Rudimentary horn pregnancy ruptures late and dangerously.

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.

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Questions about this OBG question

What is the answer to this OBG question?

The best answer is D, Ectopic pregnancy in the rudimentary horn with rupture. A pregnancy in a non-communicating rudimentary horn behaves like an ectopic gestation and ruptures in the second trimester with catastrophic haemorrhage.

Why is "Gestational trophoblastic disease" not the answer?

GTD is not associated.

Why is "Ovarian cancer" not the answer?

Ovarian cancer risk is not increased.

Why is "Placenta praevia only" not the answer?

Praevia is not specific.

What concept does this question test?

It tests Benign gynaecology: Mullerian anomalies in OBG. Excision of the horn is advised once diagnosed. Renal agenesis often accompanies the anomaly.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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 Benign gynaecology: Mullerian anomalies?

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.