Gynaecological imaging: hysterosalpingography: practice question

A Radiology 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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Radiology · Gynaecological imaging: hysterosalpingography

Sample item

In a woman with primary infertility, when is hysterosalpingography ideally performed?

ADuring pregnancyBDuring active menstruationCFollicular phase soon after menstruation stops (days 6 to 12)DAt the time of pelvic infection

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

The answer and the reasoning

C. Follicular phase soon after menstruation stops (days 6 to 12)

HSG is performed after menstruation ends but before ovulation, to avoid flushing menstrual debris, irradiating an early pregnancy or disturbing an implanted embryo. It shows uterine cavity anomalies and tubal patency. Pelvic infection is a contraindication.

Option by option

A. During pregnancy
Pregnancy is a contraindication.
B. During active menstruation
Menstruation is a contraindication to the study.
C. Follicular phase soon after menstruation stops (days 6 to 12) (correct)
Correct. Days 6 to 12 avoids pregnancy and menses.
D. At the time of pelvic infection
Active pelvic infection is a contraindication.

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.

Questions about this Radiology question

What is the answer to this Radiology question?

The best answer is C, Follicular phase soon after menstruation stops (days 6 to 12). HSG is performed after menstruation ends but before ovulation, to avoid flushing menstrual debris, irradiating an early pregnancy or disturbing an implanted embryo.

Why is "During pregnancy" not the answer?

Pregnancy is a contraindication.

Why is "During active menstruation" not the answer?

Menstruation is a contraindication to the study.

Why is "At the time of pelvic infection" not the answer?

Active pelvic infection is a contraindication.

What concept does this question test?

It tests Gynaecological imaging: hysterosalpingography in Radiology. It shows uterine cavity anomalies and tubal patency. Pelvic infection is a contraindication.

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 imaging: hysterosalpingography?

Learn signs with the image, and the disease they point to. Then use the flashcards and the other Radiology 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.