Gynaecological oncology: pseudomyxoma peritonei: 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 oncology: pseudomyxoma peritonei

Sample item

A woman has gelatinous mucinous ascites and peritoneal deposits with a mucinous ovarian mass. Which organ should be examined as a possible primary source?

ASpleenBAppendixCGallbladderDPancreatic tail

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

The answer and the reasoning

B. Appendix

Pseudomyxoma peritonei is most often caused by a low-grade mucinous tumour of the appendix, with secondary ovarian involvement. Careful appendiceal evaluation changes the surgery and prognosis.

Option by option

A. Spleen
The spleen is not a source of mucinous tumours.
B. Appendix (correct)
Correct. A mucinous appendiceal tumour is the usual source.
C. Gallbladder
Gallbladder tumours do not typically cause gelatinous peritoneal disease.
D. Pancreatic tail
Pancreatic mucinous tumours are rarer causes.

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 OBG question

What is the answer to this OBG question?

The best answer is B, Appendix. Pseudomyxoma peritonei is most often caused by a low-grade mucinous tumour of the appendix, with secondary ovarian involvement.

Why is "Spleen" not the answer?

The spleen is not a source of mucinous tumours.

Why is "Gallbladder" not the answer?

Gallbladder tumours do not typically cause gelatinous peritoneal disease.

Why is "Pancreatic tail" not the answer?

Pancreatic mucinous tumours are rarer causes.

What concept does this question test?

It tests Gynaecological oncology: pseudomyxoma peritonei in OBG. Careful appendiceal evaluation changes the surgery and prognosis.

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 oncology: pseudomyxoma peritonei?

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.