In female genital tuberculosis, which part of the female reproductive tract is MOST commonly affected?

• A Cervix
• B Ovary
• C Vagina
• D Fallopian tubes ✓

Explanation

Fallopian tubes are the most commonly affected site in female genital tuberculosis, involved in 90–100% of cases, with haematogenous spread from a primary focus (usually pulmonary). The endometrium is secondarily involved in 50–80% of cases. Ovarian involvement occurs in 20–30%, cervix in 5–15%, and vaginal tuberculosis is rare (<1%). The tubes show caseous granulomatous salpingitis with the characteristic 'tobacco pouch' appearance and are the primary cause of tubercular infertility.

Reference: Shaw's Textbook of Gynaecology, 17th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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