U3 GYN - Et 37 Pelvic Organ Prolapse & Urinary Incontinence

10 Questions | By Obgynume | Last updated: Mar 21, 2022 | Total Attempts: 281

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1.

These ligaments help uphold the uterus and upper 1/3 of vagina to the sacrum and lateral pelvis
- A.
  
  Uterosacral + cardinal
- B.
  
  Levator ani muscles fascia + arcus tendineus fascia pelvis
- C.
  
  Uterosacral + levator ani muscles fascia
- D.
  
  Perineal body
2.

There are many types of POPs. A cystocele is when the bladder and _____ descends:
- A.
  
  Posterior vaginal wall
- B.
  
  Peritoneum
- C.
  
  Anterior vaginal wall
- D.
  
  Uterus
3.

These are all cause of POP except:
- A.
  
  ↑ abdominal pressure
- B.
  
  Hysterectomy
- C.
  
  African American
- D.
  
  Multiparity
4.

The risk of POP increases ____ times with the 2^nd vaginal deliver
- A.
  
  8x
- B.
  
  6x
- C.
  
  4x
- D.
  
  2x
5.

The pudendal nerve, innervating the pelvic organs, is composed of:
- A.
  
  L5-S3
- B.
  
  S1-S4
- C.
  
  S3-S4
- D.
  
  S2-S4
6.

True or False-POP leads to decreased sexual drive and dyspareunia.
- A.
  
  True
- B.
  
  False
7.

POP staging is based on quantification system using 6 points. Stage 2 is:
- A.
  
  Distal prolapsed > 1 cm
- B.
  
  Eversion of vagina
- C.
  
  No proplapse
- D.
  
  Distal prolapsed between 1 cm above and 1cm below the hymen
8.

Patient presents with chronic constipation, stating she has to use her fingers to push her vagina in before she can have a bowel movement. Which treatment is the most effective for her?
- A.
  
  Anterior colporrhaphy
- B.
  
  Posterior colporrhaphy
- C.
  
  TVH
- D.
  
  Enterocele repair
9.

True or False– Estrogen therapy decreases the incidence of POP
- A.
  
  True
- B.
  
  False
10.

Most common complaint amongst POP patients is:
- A.
  
  Urgency
- B.
  
  Incontinence
- C.
  
  Something falling out of vagina
- D.
  
  Constipation