Obstetrics & Gynaecology · Prolapse, Urinary Incontinence and Fistulas

In the POP-Q (Pelvic Organ Prolapse Quantification) system, point C describes:

  • A The anterior vaginal wall at 3 cm proximal to the hymen
  • B The most distal edge of the cervix or vaginal vault apex
  • C The posterior vaginal wall at 3 cm proximal to the hymen
  • D The total vaginal length
Correct answer: B. The most distal edge of the cervix or vaginal vault apex

Explanation

In the POP-Q system (International Continence Society standardisation), six vaginal reference points are measured relative to the hymen: Aa and Ba on the anterior wall; Ap and Bp on the posterior wall; C (cervix or vaginal vault apex — most distal point); and D (posterior fornix, measured only in women with a cervix). Point C therefore represents the cervical leading edge or post-hysterectomy vaginal cuff apex.

Reference: Shaw's Textbook of Gynaecology, 17th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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