Which one of the following statements is true regarding genital tuberculosis?
The most common mode of spread from primary to genital organs is haematogenous.
The correct answer is that spread from the primary focus is haematogenous. Female genital tuberculosis is almost always secondary to a primary focus, most often pulmonary, with bacilli reaching the genital tract via the bloodstream usually within a year of primary infection but staying latent for 10–20 years. The rich submucosal vascular plexus of the tube explains why the fallopian tube is involved in 90–100% of cases, seeding the endometrium (50–60%), ovary (20–30%) and cervix thereafter. Lymphatic and direct contiguous spread are far less common.
The ovary option is wrong — the tube, not the ovary, is the commonest site. The tobacco-pouch option is wrong because that sign describes a thickened tube with an everted fimbrial end and a patulous, open abdominal ostium; a closed, clubbed ostium is the pattern of pyogenic salpingitis. The last option misquotes figures: genital involvement follows pulmonary tuberculosis in about 5–10% of cases, not 1–2%.
Key point: Genital TB equals haematogenous spread with the tube affected first and most often, presenting as infertility with hypomenorrhoea; HSG may show a beaded or rigid pipe-stem tube.
Similar Questions
Kit 6 used in syndromic management of STI/RTI includes which one of the following drug combinations?
Consider the following diagnostic criteria for acute pelvic inflammatory disease (PID):
1. Lower abdominal tenderness
2. Oral temperature >38 °C
3. Adnexal tenderness
4. Cervical motion tenderness
Which of the above are included in the minimum criteria for diagnosis of PID?
The drug of choice for treatment of chlamydial cervicitis is
Important Questions from Infections in Genital Tract
Which of the following are characteristics of Trichomonas vaginitis?
1. Presence of greenish frothy discharge
2. Vaginal pH > 4.5
3. Presence of clue cells in microscopic examination
4. Strawberry spots on the vaginal mucosa
Select the correct answer using the code given below:- Monilial vaginitis is commonly associated with all EXCEPT:
- A 30 year old lady, P2L2 presents with painful unilateral swelling in vulva for 3 days. Which
of the following statements are true regarding the above case?
1. Bartholin's abscess may be the likely diagnosis
2. It is to be managed by marsupialisation
3. Gonococcus is the most common pathogenic organism
Select the correct answer using the code given below: - Which of the following is NOT a characteristic clinical feature of Bacterial Vaginosis?
A 22 year old woman comes with complaints of pain and discomfort in vaginal region. On examination there is unilateral tender swelling in the posterior half of labium minus, overlying skin is red and edematous. What is the most probable diagnosis?
