A 55-year-old multiparous woman has uterovaginal prolapse with the cervix 3 cm below the hymen at maximum Valsalva. According to POP-Q staging, this is classified as:
- A Stage III ✓
- B Stage II
- C Stage IV
- D Stage I
Correct answer: A. Stage III
Explanation
POP-Q Stage III is defined as prolapse of the leading edge >1 cm below the hymenal plane (Tvl-2) but not complete eversion. If the cervix is 3 cm below the hymen, the leading point is at +3 cm, which exceeds +1 cm. Stage IV requires complete vault eversion with the leading edge at or beyond total vaginal length minus 2 cm. This patient's +3 cm position without complete eversion satisfies Stage III criteria.
Reference: Shaw's Textbook of Gynaecology, 17th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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