Embryology: Mullerian duct anomalies: practice question

A Anatomy 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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Anatomy · Embryology: Mullerian duct anomalies

Sample item

A 24-year-old woman has a double uterus with two separate cervices and a longitudinal vaginal septum. Which developmental event failed?

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

The answer and the reasoning

B. Fusion of the paramesonephric ducts

The paramesonephric (Mullerian) ducts fuse caudally to form the uterovaginal canal and uterus. Total non-fusion gives uterus didelphys with two cervices and often a vaginal septum, whereas partial fusion failure gives bicornuate or septate uteri. Vaginal plate canalisation failure gives vaginal atresia.

Option by option

  • A. Descent of the gubernaculum

    The gubernaculum is involved in gonadal descent and does not form the uterus.

  • B. Fusion of the paramesonephric ducts (correct)

    Correct. Non-fusion of the Mullerian ducts gives uterus didelphys.

  • C. Canalisation of the vaginal plate

    Failure of canalisation of the vaginal plate causes an imperforate hymen or vaginal atresia.

  • D. Regression of the mesonephric ducts

    Persistence of the mesonephric ducts would give Gartner duct remnants.

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 Anatomy questions

Questions about this Anatomy question

What is the answer to this Anatomy question?

The best answer is B, Fusion of the paramesonephric ducts. The paramesonephric (Mullerian) ducts fuse caudally to form the uterovaginal canal and uterus.

Why is "Descent of the gubernaculum" not the answer?

The gubernaculum is involved in gonadal descent and does not form the uterus.

Why is "Canalisation of the vaginal plate" not the answer?

Failure of canalisation of the vaginal plate causes an imperforate hymen or vaginal atresia.

Why is "Regression of the mesonephric ducts" not the answer?

Persistence of the mesonephric ducts would give Gartner duct remnants.

What concept does this question test?

It tests Embryology: Mullerian duct anomalies in Anatomy. Total non-fusion gives uterus didelphys with two cervices and often a vaginal septum, whereas partial fusion failure gives bicornuate or septate uteri. Vaginal plate canalisation failure gives vaginal atresia.

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 Embryology: Mullerian duct anomalies?

Learn every nerve by its route, its muscles and what a lesion looks like at the bedside. That one habit answers a large share of questions. Then use the flashcards and the other Anatomy 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.