Benign gynaecology: subtotal hysterectomy: 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: subtotal hysterectomy

Sample item

A woman undergoes a supracervical (subtotal) hysterectomy for benign disease. Which statement is correct regarding follow-up?

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

The answer and the reasoning

D. She still needs cervical screening and may have cyclical bleeding from residual endocervical mucosa

Supracervical hysterectomy leaves the cervix in place, so cervical cancer remains possible and screening must continue. Some women notice light cyclical bleeding from retained endocervical glands. The operation is faster with fewer urinary complications but offers no proven advantage in sexual or pelvic floor outcomes.

Option by option

  • A. Cervical cancer cannot occur in a cervical stump

    Stump carcinoma is a recognised entity.

  • B. She no longer needs cervical screening

    Screening continues with a retained cervix.

  • C. She will not need any gynaecological review

    Follow-up and screening are needed.

  • D. She still needs cervical screening and may have cyclical bleeding from residual endocervical mucosa (correct)

    Correct. The retained cervix needs continued screening and may cause cyclical spotting.

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, She still needs cervical screening and may have cyclical bleeding from residual endocervical mucosa. Supracervical hysterectomy leaves the cervix in place, so cervical cancer remains possible and screening must continue.

Why is "Cervical cancer cannot occur in a cervical stump" not the answer?

Stump carcinoma is a recognised entity.

Why is "She no longer needs cervical screening" not the answer?

Screening continues with a retained cervix.

Why is "She will not need any gynaecological review" not the answer?

Follow-up and screening are needed.

What concept does this question test?

It tests Benign gynaecology: subtotal hysterectomy in OBG. Some women notice light cyclical bleeding from retained endocervical glands. The operation is faster with fewer urinary complications but offers no proven advantage in sexual or pelvic floor outcomes.

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 Benign gynaecology: subtotal hysterectomy?

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.