which of the following regarding uterine descent is not correct n.
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Which of the following regarding uterine descent is not correct? PowerPoint Presentation
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Which of the following regarding uterine descent is not correct?

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Which of the following regarding uterine descent is not correct?
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  1. Which of the following regarding uterine descent is not correct? • First degree descent implied the cervix descends below its normal Ievel on straining but does not protrude from the vulva • First degree descent implied the cervix descends below its normal Ievel on straining and protrudes from the vulva • Second degree descent implies the cervix reaches upto the vulva on straining • Procidentia means whole of the uterus is prolapsed outside the vulva

  2. Answer • b

  3. Which of the following are etiologies of uterovaginalprolapse : • Aging • Estrogen deprivation • Intrinsic collagen abnormalities • Chronic increase in intraabdominal pressure • Acute and chronic trauma of vaginal delivery • All of above

  4. Answer • f

  5. All of the following are supports of the uterus except: • Mackenrodt’s ligaments • Uterosacral ligaments • Broad ligament • Pubocervical fascia • Rectovaginal fascia

  6. Answer • c

  7. Following are the first level of support in DeLancy system • Cardinal ligament • Pubocervical fascia • Rectovaginal fascia • Pubo-urethral ligaments • Perineal body

  8. Answer a

  9. Following is not a posterior vaginal wall defect • Enterocele • Rectocele • Perineal body descent • Perineal tear

  10. Answer • a

  11. Which of the following is false regarding the examination of a patient with prolapse? • The maximal extent of prolapse is demonstrated with a standing straining examination when the bladder is empty • Resting tone & voluntary contraction of the anal sphincters should be assessed during rectovaginal examination • 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 • Screening for presence of UTI or CIN is not needed at the time of examination

  12. Answer • d

  13. Which of the following is not an indication for use of pessary • When future childbearing is intended in near future • Refusal for operation by patient • As a therapeutic test • Prolapse with pregnancy • Non healing decubitus ulcer

  14. Answer • e

  15. All of the following are complications associated with pessary except • B.vaginitis, ulceration of vaginal wall • Cervicitis • Carcinoma of vaginal wall • Impaction of pessary • Reduction of prolapse • Strangulation of prolapsed tissue

  16. Answer • e

  17. Following are true for management of prolapse except • Any decision for surgical intervention should take account of how prolapse is affecting lifestyle • Vaginal pessary can be used in elderly patients with prolapse with associated medical complications which contradict surgery • Vaginal hysterectomy is the only treatment of prolapse in all women • Sling surgeries are indicated in women desiring to retain reproductive function • Assessment of SUI is must during examination of prolapse so that the same can be corrected during surgery

  18. Answer • c

  19. Managenent of 3rd degree prolapse in a 27yrs P1+0 can be all except • Vaginal hysterectomy • Fothergill’s surgery • Sling surgery • Ring pessary

  20. Answer • a