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MBBS QUESTION #10207
Question 1
A young woman is found to have a uterus divided internally by a fibrous/muscular septum, due to incomplete fusion of the paramesonephric (Müllerian) ducts. This congenital anomaly is best termed a:
  • Septate or bicornuate uterus✔️
  • Complete uterine agenesis (Mayer-Rokitansky-Küster-Hauser syndrome)
  • Uterine didelphys with two entirely separate cervices only
  • A normal anatomical variant requiring no further classification
Correct Answer Explanation
Incomplete fusion of the paired paramesonephric (Müllerian) ducts, which normally unite to form the uterus, cervix, and upper vagina, produces a spectrum of anomalies including septate and bicornuate uterus, which may present with recurrent pregnancy loss or abnormal fetal lie.