Benign gynaecology: Gartner duct cyst: 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: Gartner duct cyst

Sample item

A cyst in the anterolateral wall of the vagina is most likely derived from which embryological remnant?

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

The answer and the reasoning

A. Mesonephric (Wolffian) duct

Gartner duct cysts arise from remnants of the mesonephric duct and lie in the anterolateral vaginal wall. Bartholin cysts arise from the vestibular gland, and inclusion cysts arise at the posterior vaginal wall after trauma.

Option by option

  • A. Mesonephric (Wolffian) duct (correct)

    Correct. Wolffian remnants form Gartner cysts.

  • B. Paramesonephric duct

    Paramesonephric remnants form the uterus, tubes and upper vagina.

  • C. Allantois

    The allantois is not related.

  • D. Urogenital sinus

    The urogenital sinus forms the lower vagina and vestibule.

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 A, Mesonephric (Wolffian) duct. Gartner duct cysts arise from remnants of the mesonephric duct and lie in the anterolateral vaginal wall.

Why is "Paramesonephric duct" not the answer?

Paramesonephric remnants form the uterus, tubes and upper vagina.

Why is "Allantois" not the answer?

The allantois is not related.

Why is "Urogenital sinus" not the answer?

The urogenital sinus forms the lower vagina and vestibule.

What concept does this question test?

It tests Benign gynaecology: Gartner duct cyst in OBG. Bartholin cysts arise from the vestibular gland, and inclusion cysts arise at the posterior vaginal wall after trauma.

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: Gartner duct cyst?

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.