skip to main content

Endometrial polyp — DRCOG MCQ

Instant feedback + full explanation. One question, done properly.

ModerateGynaecologyEndometrial polypDRCOG

A 41-year-old woman has intermenstrual spotting and a normal cervical examination. Pelvic ultrasound shows a focal echogenic lesion within the endometrial cavity. Pregnancy test is negative. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Endometrial polyp

Intermenstrual bleeding with a focal endometrial lesion on ultrasound is suggestive of an endometrial polyp. Ovarian torsion causes acute unilateral pain. Vulval cancer would present with a vulval lesion or ulcer. Polyps often require hysteroscopic assessment, particularly if symptoms persist or risk factors are present.

Reference: NICE NG88; NICE CKS vaginal bleeding