Genital Tuberculosis


Incidence of genital tuberculosis is highest in the following population


A. Pulmonary tuberculosis

B. Urinary tuberculosis

C. Infertility

D. HIV



Not true about genital tuberculosis


A. Genital tuberculosis is almost always secondary to primary infection elsewhere

B. Commonest extragenital primary site is lungs

C. Most common pelvic organ involved is endometrium

D. More likely to occur if spread of infection coincides puberty



Genital TB presents with symptoms resembling endometrial malignancy


A. In postmenopausal women

B. HIV patients

C. Superimposed on PID

D. Young prepubertal girls



TB should be strongly suspected in the following case


A. Hydrosalpinx

B. Fimbrial obstruction

C. Presence of synechiae

D. Increased vascularisation



Cotton wool plug appearance in genital tuberculosis refers to


A. Uterine changes

B. Cervical canal

C. Hydrosalpinx

D. Calcified lymph nodes



In-shorts


  • The genital organs affected by Mycobacterium tuberculosis (in descending order of frequency) are as follows: fallopian tubes (95-100%), uterine endometrium (50-60%), ovaries (20-30%), cervix (5-15%), uterine myometrium (2.5%) and vagina/vulva (1%)
  • Chronic infection may lead to extensive destruction of the endometrium and myometrium resulting in complete narrowing of the uterine cavity called Netter syndrome
  • The endometrium is affected in 60-90 percent of cases with genital TB

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