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Pelvic Organ Prolapse

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What is the cumulative lifetime risk of a woman undergoing surgery for pelvic organ prolapse?

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a. 0.1 to 0.15 percent

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b. 1 to 5 percent

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c. 10 to 15 percent

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d. >30 percent

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Based on physical examination, what percentage of adult women presenting for routine gynecologic care demonstrate prolapse coming to within 1 cm of the plane of the hymen?

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a. 0.1 percent

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b. 1 percent

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c. 10 percent

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d. ≥30 percent

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Compared with selective use, elective episiotomy at the second stage of labor has been associated with all of the following EXCEPT:

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a. Periurethral tears

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b. Anal sphincter laceration

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c. Increased postpartum pain

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d. Postpartum anal incontinence

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Risk factors for the development of pelvic organ prolapse include which of the following?

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a. Black race

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b. Elective cesarean delivery

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c. Increased ratio of collagen types III and IV to type I

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d. All of the above

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

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

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

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c. GH is measured from the midline of the posterior hymeneal ring to the midanal opening.

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

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Which POP-Q point represents the level of uterosacral ligament attachment to the proximal posterior cervix?

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a. Point Ap

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b. Point Bp

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