Gynaecological oncology: Meigs 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 oncology: Meigs syndrome

Sample item

Which triad defines Meigs syndrome?

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

The answer and the reasoning

A. Benign ovarian fibroma, ascites and right-sided pleural effusion

Meigs syndrome is a benign ovarian fibroma (or thecoma) with ascites and pleural effusion, which resolve after tumour removal. Pseudo-Meigs syndrome describes the same picture with other pelvic tumours. CA-125 may be raised, mimicking malignancy.

Option by option

  • A. Benign ovarian fibroma, ascites and right-sided pleural effusion (correct)

    Correct. This is the definition.

  • B. Ovarian cystadenoma, ascites and anaemia

    This is not a named syndrome.

  • C. Ovarian teratoma, ascites and hypothyroidism

    Struma ovarii may cause hyperthyroidism, not this triad.

  • D. Granulosa cell tumour, hyperplasia and bleeding

    This describes the oestrogenic effect of granulosa tumours.

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 A, Benign ovarian fibroma, ascites and right-sided pleural effusion. Meigs syndrome is a benign ovarian fibroma (or thecoma) with ascites and pleural effusion, which resolve after tumour removal.

Why is "Ovarian cystadenoma, ascites and anaemia" not the answer?

This is not a named syndrome.

Why is "Ovarian teratoma, ascites and hypothyroidism" not the answer?

Struma ovarii may cause hyperthyroidism, not this triad.

Why is "Granulosa cell tumour, hyperplasia and bleeding" not the answer?

This describes the oestrogenic effect of granulosa tumours.

What concept does this question test?

It tests Gynaecological oncology: Meigs syndrome in OBG. Pseudo-Meigs syndrome describes the same picture with other pelvic tumours. CA-125 may be raised, mimicking malignancy.

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 oncology: Meigs 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.