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- May be injured during local anaesthetic instillation for episiotomy, during labour or from vaginal prolapse surgery. It can result in presacral and vulval haematomas
2. A 70 year old patient has a grade I PHVP. She is active, generally well and her only regular medication is Ramipril 2.5mgCorrectIncorrect
3. A 68 year old patient is seen in clinic due to overactive bladder symptoms and bothersome nocturia. She is a non‐smoker, BMI 27 kg/m², BP 140/90. She takes the following medicationsàamlodipine 10mg OD, ramipril 5mg OD
Examination reveals only vaginal atrophy but no evidence of prolapse. MSU shows no signs of infection or haematuria.CorrectIncorrect
4. A 66 year old patient with symptomatic PHVP has consented to surgery. She has short vaginal length and is sexually activeCorrectIncorrect
5. A patient is being assessed for vaginal vault prolapse. The distance from the plane of the hymen to point C describes what?CorrectIncorrect
6. A patient is reviewed for vaginal vault prolapse. The leading edge of the prolapse protrudes 0.5cm below the plane of the hymen on straining. On relaxation the leading edge of the prolapse is 1.2cm above the plane of the hymen. According to the POP Q classification what grade of prolapse is this?CorrectIncorrect
7. The nerve that is susceptible to entrapment injuries during sacrospinous ligament ﬁxation as it runs behind the lateral aspect of the sacrospinous ligament is the:CorrectIncorrect
8. The main complication of mesh repair in vaginal prolapse:CorrectIncorrect
9. In the female pelvis, the ureter forms an important relation with the ovaries and lies:CorrectIncorrect
- Vault prolapse can be prevented at the time of vaginal hysterectomy by:
- A 70 years LADY presents to the urogynaecoloY with the complaint of feeling a bulge per vaginam. She has had a TAH + BSO 15 years ago. Which of the following points on the POP-Q system will not be recorded as a part of her assessment?
- All of the following statements regarding anterior wall repair are true except:
- Which of the following is not an example of a problem arising from pelvic ﬂoor dysfunction?
- A 57-year-old, post menopausal woman complains of ‘something coming out of her vagina’ and difﬁculty in opening her bowels. She had four children uneventfully with vaginal births. Her last child birth was 18 years back. The most likely diagnosis is:
- Which of the following statements about urethral diverticulum is true?