Gynaecological endocrinology: Asherman syndrome: 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 endocrinology: Asherman syndrome

Sample item

A woman who had vigorous curettage after a miscarriage now has hypomenorrhoea with normal hormone levels and no withdrawal bleed after oestrogen and progestogen. What is the diagnosis?

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

The answer and the reasoning

D. Intrauterine adhesions

Intrauterine adhesions after curettage block menstrual flow because the endometrium is destroyed, so there is no withdrawal bleed. Hysteroscopy confirms and treats them by adhesiolysis.

Option by option

  • A. Hyperprolactinaemia

    Prolactin excess causes galactorrhoea and a hormonal pattern.

  • B. Premature ovarian insufficiency

    Ovarian insufficiency would show raised FSH and low oestrogen.

  • C. Polycystic ovary syndrome

    PCOS causes oligomenorrhoea with a response to progestogen.

  • D. Intrauterine adhesions (correct)

    Correct. Scarred endometrium fails to bleed despite hormones.

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, Intrauterine adhesions. Intrauterine adhesions after curettage block menstrual flow because the endometrium is destroyed, so there is no withdrawal bleed.

Why is "Hyperprolactinaemia" not the answer?

Prolactin excess causes galactorrhoea and a hormonal pattern.

Why is "Premature ovarian insufficiency" not the answer?

Ovarian insufficiency would show raised FSH and low oestrogen.

Why is "Polycystic ovary syndrome" not the answer?

PCOS causes oligomenorrhoea with a response to progestogen.

What concept does this question test?

It tests Gynaecological endocrinology: Asherman syndrome in OBG. Hysteroscopy confirms and treats them by adhesiolysis.

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 Gynaecological endocrinology: Asherman syndrome?

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.