Which of the following regarding uterine
descent is not correct?
a) First degree descent implied the cervix descends
below its normal Ievel on straining but does not
protrude from the vulva
b) First degree descent implied the cervix descends
below its normal Ievel on straining and protrudes
from the vulva
c) Second degree descent implies the cervix reaches
upto the vulva on straining
d) Procidentia means whole of the uterus is
prolapsed outside the vulva
Answer
• b
Which of the following are etiologies of
uterovaginal prolapse :
a) Aging
b) Estrogen deprivation
c) Intrinsic collagen abnormalities
d) Chronic increase in intraabdominal pressure
e) Acute and chronic trauma of vaginal delivery
f) All of above
Answer
• f
All of the following are supports of the
uterus except:
a) Mackenrodt’s ligaments
b) Uterosacral ligaments
c) Broad ligament
d) Pubocervical fascia
e) Rectovaginal fascia
Answer
• c
Following are the first level of support in
DeLancy system
a) Cardinal ligament
b) Pubocervical fascia
c) Rectovaginal fascia
d) Pubo-urethral ligaments
e) Perineal body
Answer
a
Following is not a posterior vaginal wall
defect
a) Enterocele
b) Rectocele
c) Perineal body descent
d) Perineal tear
Answer
• a
Which of the following is false regarding the
examination of a patient with prolapse?
a) The maximal extent of prolapse is demonstrated with a
standing straining examination when the bladder is
empty
b) Resting tone & voluntary contraction of the anal
sphincters should be assessed during rectovaginal
examination
c) Women with prolapse and urinary incontinence should
have stress testing performed with the prolapse
reduction because this will mimic bladder and urethral
function when the prolapse is treated
d) Screening for presence of UTI or CIN is not needed at the
time of examination
Answer
• d
Which of the following is not an indication
for use of pessary
a) When future childbearing is intended in near
future
b) Refusal for operation by patient
c) As a therapeutic test
d) Prolapse with pregnancy
e) Non healing decubitus ulcer
Answer
• e
All of the following are complications
associated with pessary except
a) B.vaginitis, ulceration of vaginal wall
b) Cervicitis
c) Carcinoma of vaginal wall
d) Impaction of pessary
e) Reduction of prolapse
f) Strangulation of prolapsed tissue
Answer
• e
Following are true for management of
prolapse except
a) Any decision for surgical intervention should take
account of how prolapse is affecting lifestyle
b) Vaginal pessary can be used in elderly patients with
prolapse with associated medical complications which
contradict surgery
c) Vaginal hysterectomy is the only treatment of prolapse
in all women
d) Sling surgeries are indicated in women desiring to
retain reproductive function
e) Assessment of SUI is must during examination of
prolapse so that the same can be corrected during
surgery
Answer
• c
Managenent of 3rd degree prolapse
in a 27yrs P1+0 can be all except
a) Vaginal hysterectomy
b) Fothergill’s surgery
c) Sling surgery
d) Ring pessary
Answer
• a
