Obstetrics & Gynaecology · Pelvic Inflammatory Disease and Genital Tuberculosis

In female genital tuberculosis, the MOST commonly affected site in the genital tract is:

  • A Cervix
  • B Endometrium
  • C Fallopian tubes (bilateral)
  • D Ovaries
Correct answer: C. Fallopian tubes (bilateral)

Explanation

Fallopian tubes are the most commonly and primarily affected site in female genital tuberculosis, occurring in approximately 90–100% of cases, because infection reaches the genital tract most often via haematogenous spread from a primary pulmonary or gastrointestinal focus to the tubes first. From the tubes, the endometrium is secondarily affected in 50–60%, ovaries in 20–30%, and cervix in less than 5%. Bilateral tubal disease leads to tubal factor infertility.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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