1) What is the defining characteristic of Uterine Prolapse? a) The uterus becomes enlarged due to fibroids. b) The pelvic muscles weaken, causing the uterus to droop down and bulge into the vagina. c) The cervix is surgically removed. d) A foreign object, such as a pessary, is permanently inserted into the vagina. 2) Which of the following is NOT listed as an etiology (cause) that contributes to Uterine Prolapse? a) Advancing age b) Chronic cough c) Cesarean section delivery d) Repeated heavy lifting 3) In the pathophysiology of Uterine Prolapse, which stage is characterized by the entire uterus being outside the vagina, which is also referred to as Procidentia? a) Stage I: Cervix above hymen b) Stage II: Cervix at hymen c) Stage III: Cervix protrudes beyond hymen d) Stage IV (Procidentia): Whole uterus outside vagina 4) A patient reporting a "dragging or pressure feeling in the lower abdomen" and a "lump seen or felt at the vaginal opening" is most likely experiencing which symptoms of Uterine Prolapse? a) Painful intercourse and bowel problems b) Urinary problems and chronic cough c) Pelvic pressure or heaviness and visible bulge d) Chronic constipation and advancing age 5) Which non-medical management strategy for Uterine Prolapse is specifically aimed at preventing urinary complication and reducing bladder pressure? a) Lower impact activities b) Postural training c) Bowel & Bladder Care d) Weight monitoring 6) Which surgical treatment involves the surgical removal of the uterus? a) Colporrhaphy (vaginal closure surgery) b) Colpocleisis (surgical repair of the vaginal wall) c) Hysterectomy (surgical removal of the uterus) d) Vaginal Pessary insertion 7) How does Advancing Age contribute to Uterine Prolapse? a) It causes an increase in intra-abdominal pressure. b) Pelvic muscles naturally lose strength with age, making them less capable of supporting pelvic organs. c) It always leads to chronic constipation, putting sustained pressure on the pelvic floor. d) It primarily causes chronic cough, which weakens the pelvic floor over time. 8) The non-surgical medical treatment involving the insertion of a device into the vagina to mechanically support the uterus, bladder, and other pelvic organs is called a/an: a) Vaginal Lubricant b) Topical Estrogen Cream c) Vaginal Pessary d) Hormone Replacement Therapy (HRT) 9) In the context of the medical management of Uterine Prolapse, which medication type is listed to relieve chronic cough, a condition that increases intra-abdominal pressure? a) Laxatives (to soften stools) b) Vaginal Estrogen Therapy c) Bronchodilators (e.g., Salbutamol/Ventolin) d) Vaginal Lubricants 10) A primary exercise and muscle support strategy recommended for the prevention of Uterine Prolapse is to perform exercises to strengthen the pelvic muscles and support the uterus. a) High-impact aerobic b) Kegel (pelvic floor) c) Deep abdominal crunch d) Upper body weightlifting

PROLAPSE UTERUS

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