Benign gynaecology: 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 · Benign gynaecology: pelvic organ prolapse

Sample item

Which ligaments are the main support of the uterus against descent?

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

The answer and the reasoning

C. Transverse cervical (Mackenrodt) and uterosacral ligaments

The cardinal (transverse cervical) and uterosacral ligaments are the main supports. Round ligaments maintain anteversion, and the broad ligament is a peritoneal fold with little support. Fothergill (Manchester) repair shortens the cardinal ligaments.

Option by option

  • A. Ovarian ligaments

    Ovarian ligaments connect the ovary to the uterus.

  • B. Round ligaments

    Round ligaments keep the uterus anteverted.

  • C. Transverse cervical (Mackenrodt) and uterosacral ligaments (correct)

    Correct. These are the main supports.

  • D. Broad ligaments

    Broad ligaments provide little support.

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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Questions about this OBG question

What is the answer to this OBG question?

The best answer is C, Transverse cervical (Mackenrodt) and uterosacral ligaments. The cardinal (transverse cervical) and uterosacral ligaments are the main supports.

Why is "Ovarian ligaments" not the answer?

Ovarian ligaments connect the ovary to the uterus.

Why is "Round ligaments" not the answer?

Round ligaments keep the uterus anteverted.

Why is "Broad ligaments" not the answer?

Broad ligaments provide little support.

What concept does this question test?

It tests Benign gynaecology: pelvic organ prolapse in OBG. Round ligaments maintain anteversion, and the broad ligament is a peritoneal fold with little support. Fothergill (Manchester) repair shortens the cardinal ligaments.

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 Benign gynaecology: 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.