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OBG · Gynecology: prolapse
Sample itemA multiparous patient reports a vaginal bulge and urinary pressure; examination shows the anterior vaginal wall descending. What is the likely prolapse type?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Cystocele
A cystocele is anterior vaginal wall prolapse involving the bladder. Symptoms may include pressure, voiding difficulty, or stress incontinence.
Option by option
A. Cystocele (correct)
Correct. Bladder descent produces anterior-wall prolapse.
B. Rectocele
Rectocele is posterior-wall bulging from rectal prolapse.
C. Enterocele
Enterocele is herniation of small bowel into the vaginal apex.
D. Uterine inversion
Uterine inversion is an acute obstetric emergency.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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