Skip to Main Content

++

Pelvic Organ Prolapse

++
++
++

Which of the following are risk factors for the development of pelvic organ prolapse?

++
++
++

a. Spina bifida

++
++

b. Hypoestrogenism

++
++

c. Prior hysterectomy

++
++

d. All of the above

++
++ ++
++
++

Compared with selective use, elective episiotomy during the second stage of labor has been associated with all EXCEPT which of the following?

++
++
++

a. Periurethral tears

++
++

b. Anal sphincter laceration

++
++

c. Increased postpartum pain

++
++

d. Postpartum anal incontinence

++
++ ++
++
++

Which statement is true regarding measurements taken for the Pelvic Organ Prolapse Quantification (POP-Q) examination?

++
++
++

a. All are taken at rest, except for total vaginal length, which is obtained during Valsalva.

++
++

b. Point D is omitted in the absence of a cervix.

++
++

c. GH is measured from the midline of the posterior hymenal ring to the mid-anal opening.

++
++

d. Point Aa corresponds to the most distal portion of any part of the upper/proximal anterior vaginal wall.

++
++ ++
++
++

As shown in this image of vaginal prolapse, when the leading edge of bulge is approximately even with the plane of the hymen or within 1 cm distal to the hymen, a patient is said to have which stage of prolapse?

++

Reproduced, with permission, from Buckley RG, Knoop KJ: Gynecologic and obstetric conditions. In Knoop KJ, Stack LB, Storrow AB, et al (eds): The Atlas of Emergency Medicine, 3rd ed. New York, McGraw-Hill, 2010, Figure 10-17.

Graphic Jump Location
++
++
++

a. Stage I

++
++

b. Stage II

++
++

c. Stage III

++
++

d. Stage IV

++
++ ++
++
++

Pelvic organ support is maintained in part by the levator ani muscle, which is composed of all EXCEPT which of the following?

++
++
++

a. Puborectalis

++
++

b. Iliococcygeus

++
++

c. Pubococcygeus

++
++

d....

Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.

Ok

About MyAccess

If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.