Gynecology: pelvic organ prolapse: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Gynecology: pelvic organ prolapse

Sample item

A patient with posterior vaginal-wall bulge must press on the vagina to complete defecation. Which prolapse is most likely?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Rectocele

A rectocele is protrusion of the rectum into the posterior vaginal wall and may cause obstructed defecation and the need for vaginal splinting. Examination defines the compartment involved.

Option by option

  • A. Enterocele only

    Enterocele is small-bowel herniation into the vaginal apex.

  • B. Rectocele (correct)

    Correct. Posterior-wall prolapse from rectal bulging causes defecatory symptoms.

  • C. Urethrocele

    Urethrocele involves the urethra anteriorly.

  • D. Cystocele

    Cystocele is anterior-wall bladder prolapse.

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.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is B, Rectocele. A rectocele is protrusion of the rectum into the posterior vaginal wall and may cause obstructed defecation and the need for vaginal splinting.

Why is "Enterocele only" not the answer?

Enterocele is small-bowel herniation into the vaginal apex.

Why is "Urethrocele" not the answer?

Urethrocele involves the urethra anteriorly.

Why is "Cystocele" not the answer?

Cystocele is anterior-wall bladder prolapse.

What concept does this question test?

It tests Gynecology: pelvic organ prolapse in OBG. Examination defines the compartment involved.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Gynecology: pelvic organ prolapse?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.