Revision with a Short Quiz of 5 questions based on NEET PG Sample Questions on Bartholin’s cyst from Previous Year NEET PG Online Exams. Also very useful for students preparing for USMLE , PLAB, FMGE /MCI Screening Entrance Exams

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Q:1 Which of the following is the causative organism for formation of Bartholin cyst?
A: Candida
B: Anaerobes
C: Neissea
D: Trichomonas
Correct Ans:C
Explanation
Bartholin's glands (great vestibular glands) are located at the vaginal orifice at the 4 and 8 o'clock positions.
Their ducts are lined with transitional epithelium and their obstruction secondary to inflammation may lead to
the development of a Bartholin's cyst or abscess. Bartholin's cysts range in size from 1 to 3 cm. Infections
are often polymicrobial; however, sexually transmitted Neisseria gonorrhoeae and C. trachomatis
are sometimes implicated.
Treatment consists of incision and drainage and placement of a Word catheter, a small catheter with a balloon
tip, for 2 to 3 weeks to allow for formation and epithelialization of a new duct.
Ref: Cain J., ElMasri W.M., Gregory T., Kohn E.C. (2010). Chapter 41. Gynecology. In F.C. Brunicardi, D.K.
Andersen, T.R. Billiar, D.L. Dunn, J.G. Hunter, J.B. Matthews, R.E. Pollock (Eds), Schwartz's Principles of
Surgery, 9e.
Bartholin’s cyst Sample Question MCQ paper for NEET PG, USMLE, PLAB , MCI Screening
(FMGE) Entrance Exams. For More Such Short Quizes Please Visit www.medicoapps.org
Q:2
A patient presents to you with pain and swelling in the vagina. On examination you find a
bluish bulge on the posterior vaginal wall behind the cervix. The history reveals that the
swelling enlarges and becomes more painful with approaching menses. What is your
diagnosis?
A: Gartner’s duct cyst
B: Inclusion cyst
C: Bartholins cyst
D: Endometriotic cyst
Correct Ans:D
Explanation
Gartner’s duct cyst arises from the remnants of mesonephric duct and lies on the anterolateral aspect of
vaginal wall. It is often asymptomatic. Bartholin’s cyst protrudes into the lower part of vagina and becomes
painful when infected. Endometriotic cyst may be bluish in colour with increase in pain and size near
menses. A biopsy is confirmative and treatment is excision or suppression of menstruation.
Ref: Shaw's Textbook of Gynecology, Page ­ 104
Bartholin’s cyst Sample Question MCQ paper for NEET PG, USMLE, PLAB , MCI Screening
(FMGE) Entrance Exams. For More Such Short Quizes Please Visit www.medicoapps.org
Q:3 What is the treatment of choice for Bartholin's abscess?
A: Incision drainage
B: Marsupialisation
C: Cystectomy
D: Vulvectomy
Correct Ans:B
Explanation
In a case of Bartholin​s abscess, abscess is incised and drained and the cute edges of the abscess cavity

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are marsupalized and packed with gauze which is removed the next day. Alternately, a word catheter
can be used. Bartholin's glands (great vestibular glands) are located at the vaginal orifice at the 4 and
8 o'clock positions. They are lined with cuboidal epithelium and secrete mucoid material to keep the
vulva moist. Their ducts are lined with transitional epithelium and their obstruction secondary to
inflammation may lead to the development of a Bartholin's cyst or abscess. Cyst or abscess which fail
to resolve after drainage or those which occur in patients more than 40 years of age should be biopsied
to exclude malignancy. Ref: Williams Obstetrics, 23e, chapter 40
Bartholin’s cyst Sample Question MCQ paper for NEET PG, USMLE, PLAB , MCI Screening
(FMGE) Entrance Exams. For More Such Short Quizes Please Visit www.medicoapps.org
Q:4 Bartholin's duct opens and drains its secretion to:
A: Labia majora and minora
B: A groove between labia minora and hymen
C: The lower vagina
D: The upper vagina
Correct Ans:B
Explanation
Greater vestibular or Bartholin glands are the homologs of the male bulbourethral or Cowper glands.
They are in contact with and often overlapped by the posterior ends of the vestibular bulbs. Each gland is
connected to the vestibule by an approximately 2­cm long duct. The ducts open in the groove between the
labia minora and the hymen–the vestibule–at approximately 5 and 7 o'clock positions. The glands contain
columnar cells that secrete clear or whitish mucus with lubricant properties.
Ref: Hoffman B.L., Schorge J.O., Schaffer J.I., Halvorson L.M., Bradshaw K.D., Cunningham F.G., Calver L.E.
(2012). Chapter 38. Anatomy. In B.L. Hoffman, J.O. Schorge, J.I. Schaffer, L.M. Halvorson, K.D. Bradshaw,
F.G. Cunningham, L.E. Calver (Eds), Williams Gynecology, 2e.
Bartholin’s cyst Sample Question MCQ paper for NEET PG, USMLE, PLAB , MCI Screening
(FMGE) Entrance Exams. For More Such Short Quizes Please Visit www.medicoapps.org
Q:5 Which of the following is a cystic remnant of Wolffian duct?
A: Bartholin’s cyst
B: Gartner’s cyst
C: Nabothian cyst
D: Parovarian cyst
Correct Ans:B
Explanation
Gartner's cyst: These uncommon vaginal cysts develop from remnants of the mesonephric
(Wolffian) ducts. They are typically asymptomatic and are usually found within the lateral vaginal wall
during routine examination. Symptoms however may include dyspareunia, vaginal pain, and difficulty
inserting tampons or other vaginal devices. Examination reveals a tense cyst that is palpable or seen to bulge
beneath the lateral vaginal wall. Observation is reasonable in most cases, although marsupialization or
excision may be appropriate for symptomatic Gartner duct cysts.
Also know:
A Bartholin's cyst is formed when a Bartholin's gland is blocked, causing a fluid­filled cyst to develop. A
Bartholin's cyst is not an infection, although it can be caused by an infection, inflammation, or physical
blockage (mucus or other impediment) to the Bartholin's ducts (tubes which lead from the glands to the
vulva).
Ref: Hoffman B.L., Schorge J.O., Schaffer J.I., Halvorson L.M., Bradshaw K.D., Cunningham F.G., Calver L.E.
(2012). Chapter 4. Benign Disorders of the Lower Reproductive Tract. In B.L. Hoffman, J.O. Schorge, J.I.

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Shaffer, L.M. Halvorson, K.D. Bradshaw, F.G. Cunningham, L.E. Calver (Eds),Williams Gynecology, 2e.
Bartholin’s cyst Sample Question MCQ paper for NEET PG, USMLE, PLAB , MCI Screening
(FMGE) Entrance Exams. For More Such Short Quizes Please Visit www.medicoapps.org