skip to main content

Ovarian mass risk assessment — DRCOG MCQ

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

HardGynaecological OncologyOvarian mass risk assessmentDRCOG

A 61-year-old has CA125 92 IU/mL and ultrasound shows a multilocular solid adnexal mass with ascites. Which tool should be calculated before referral to help stratify ovarian malignancy risk?

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

Reveal the answer and explanation

Correct answer: E — Calculate RMI from ultrasound features, menopausal status and CA125

The best answer is “Calculate RMI from ultrasound features, menopausal status and CA125”. The Risk of Malignancy Index combines ultrasound features, menopausal status and CA125. Her solid multilocular morphology and ascites therefore matter alongside the marker and postmenopausal status. NICE uses RMI to guide onward specialist pathways; CA125 trend alone and unrelated scores do not integrate the relevant risk information.

Reference: NICE CG122: Ovarian cancer recognition and initial management: https://www.nice.org.uk/guidance/cg122/chapter/recommendations