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Pelvic Organ Prolapse

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

a. 0.1 to 0.15 percent

b. 1 to 5 percent

c. 10 to 15 percent

d. >30 percent

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?

a. 0.1 percent

b. 1 percent

c. 10 percent

d. ≥30 percent

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

a. Periurethral tears

b. Anal sphincter laceration

c. Increased postpartum pain

d. Postpartum anal incontinence

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

a. Black race

b. Elective cesarean delivery

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

d. All of the above

Which statement is correct 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 hymeneal ring to the midanal opening.

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

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

a. Point Ap

b. Point Bp

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