Uterine prolapse
Obstetrics & Gynaecology · Topic 31
Source: NMC CBME Curriculum 2024 · Volume III · Obstetrics & Gynaecology · Topic 31 · combined PDF page 438
Practice questions
- In the 2021 meta-analysis restricted to randomized trials comparing uterine preservation with hysterectomy for uterine prolapse, what was the pooled conclusion regarding prolapse recurrence and reoperation?
- Compared with hysterectomy, uterine-preserving surgery was associated with which perioperative pattern in the 2021 randomized-trial meta-analysis?
- Which statement best reflects the 2021 randomized-trial meta-analysis regarding selected postoperative complications after uterine preservation versus hysterectomy?
- How many randomized controlled trials and participants were included in the 2021 meta-analysis of uterine preservation versus hysterectomy for uterine prolapse?
- An earlier comparative review included randomized and prospective nonrandomized studies and reported a higher pooled reoperation rate for any prolapse compartment after uterine preservation than after hysterectomy. Which interpretation is most appropriate?
- In the 2017 systematic review, which statement describes the pooled finding for recurrence of uterine prolapse across all included surgical techniques?
- A 2017 review found an apparent recurrence difference in a subgroup treated by vaginal hysterectomy with native-tissue repair. How should that subgroup result be understood relative to the review's overall analysis?
- According to the 2024 meta-analysis comparing hysterectomy and uterine fixation procedures, what was the pooled conclusion regarding surgical success and postoperative adverse reactions?
- In the 2024 meta-analysis, hysterectomy compared with uterine fixation was associated with which reported intraoperative pattern?
- A patient has stage 1 uterine prolapse and bothersome symptoms. Which statement is best supported by the 2025 systematic review?
- A patient is undergoing repair of stage 2 anterior and posterior prolapse and also has stage 1 uterine prolapse. What does the 2025 review establish about adding concomitant hysteropexy for the stage 1 component?
- The 2025 systematic review reported recurrence rates of 18% in groups receiving concomitant hysteropexy and 20% and 60% in groups without it. What is the most defensible interpretation?
- What did the Dutch nationwide survey accompanying the 2025 review indicate about clinical practice for stage 1 uterine prolapse?
- A pregnant patient with uterine prolapse asks whether the condition is commonly encountered. Which statement best reflects the pregnancy literature review?
- In the pregnancy review, how was uterine prolapse most commonly diagnosed?
- A pregnant patient has symptomatic uterine prolapse without a stated complication. Which approach is among the reasonable conservative strategies described in the review?
- A pregnant patient with prolapse remains symptomatic despite conservative measures. Which statement about escalation of treatment is supported by the review?
- Which group of complications is specifically reported in the literature on uterine prolapse during pregnancy?
- A patient with uterine prolapse in pregnancy asks whether vaginal birth is impossible. Which response is most consistent with the reviewed cases?
- A woman with prolapse in pregnancy develops postpartum fever and rapidly progressive systemic illness. Which rare complication should be considered in light of the supplied case literature?
- A patient with uterine prolapse has a pessary placed postpartum after delivery. Which broader management principle is best supported by the pregnancy case literature?
- In the systematic review of cervical cancer associated with complete uterine prolapse, which histologic type was most commonly reported?
- Which description best characterizes the evidence on treatment and survival for cervical cancer complicated by complete uterine prolapse?
- In the review of cervical cancer with complete uterine prolapse, what proportion of patients experienced persistent or recurrent prolapse after cancer treatment?
- The cervical cancer review reported a mean patient age of 63.7 years and a median prolapse duration of 147.9 months. Which conclusion is best supported?
- A systematic review of uterine prolapse in pregnancy included 62 individual cases. Which statement about its evidence base is most appropriate?
- A patient with uterine prolapse in pregnancy presents with urinary retention. Which interpretation is most appropriate based on the pregnancy review?
- A patient with complete uterine prolapse is diagnosed with cervical cancer. Which statement about stage distribution in the systematic review of reported cases is correct?
- In the 2021 randomized-trial meta-analysis, the relative risk for recurrence with uterine preservation versus hysterectomy was 0.55 with a 95% confidence interval of 0.26–1.19. Which interpretation is correct?
- A patient asks whether the evidence proves that uterine preservation or hysterectomy is universally the superior prolapse operation. Which response best reflects the supplied comparative reviews?