Benign gynaecology: prolapse surgery: 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: prolapse surgery

Sample item

A 35-year-old woman with second-degree uterine prolapse wants to preserve her uterus. A procedure with cervical amputation and shortening of cardinal ligaments is called:

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

The answer and the reasoning

C. Manchester (Fothergill) operation

The Manchester operation consists of anterior colporrhaphy, cervical amputation, plication of cardinal ligaments and posterior colpoperineorrhaphy. Le Fort partial colpocleisis is for elderly women who are sexually inactive. Burch colposuspension treats stress incontinence.

Option by option

  • A. Wertheim hysterectomy

    Wertheim treats cervical cancer.

  • B. Le Fort colpocleisis

    Le Fort closes the vagina.

  • C. Manchester (Fothergill) operation (correct)

    Correct. This is the Manchester operation.

  • D. Burch colposuspension

    Burch lifts the bladder neck.

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, Manchester (Fothergill) operation. The Manchester operation consists of anterior colporrhaphy, cervical amputation, plication of cardinal ligaments and posterior colpoperineorrhaphy.

Why is "Wertheim hysterectomy" not the answer?

Wertheim treats cervical cancer.

Why is "Le Fort colpocleisis" not the answer?

Le Fort closes the vagina.

Why is "Burch colposuspension" not the answer?

Burch lifts the bladder neck.

What concept does this question test?

It tests Benign gynaecology: prolapse surgery in OBG. Le Fort partial colpocleisis is for elderly women who are sexually inactive. Burch colposuspension treats stress incontinence.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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: prolapse surgery?

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.