In genital tuberculosis (TB), the MOST common site of involvement in the female genital tract is:

• A Endometrium
• B Ovaries
• C Cervix
• D Fallopian tubes ✓

Explanation

Fallopian tubes are involved in nearly 100% of female genital TB cases, making it the most common and earliest site of involvement. TB spreads hematogenously from a primary focus to the tubes first, then descends to the endometrium (~50% of tubal TB cases), ovaries (~20%), cervix (~5%), and rarely the vagina/vulva. The classical histological finding is epithelioid granulomas with Langhans giant cells and caseation within the fallopian tube wall.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.