Pelvic organ prolapse — DRCOG MCQ

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HardUrogynaecologyPelvic organ prolapseDRCOG

A 37-year-old woman has a visible vaginal bulge and dragging sensation after two vaginal births. What is the most likely diagnosis?

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Correct answer: E — Pelvic organ prolapse

Pelvic organ prolapse is the best answer because the vignette is testing Pelvic organ prolapse and the recommended approach is consistent with NICE NG123. The other diagnoses do not explain the combination of timing, examination findings and investigation results as well as the correct diagnosis. Specifically, Primary dysmenorrhoea; Pelvic inflammatory disease; Pre-eclampsia; Request CA125 would be suboptimal in this scenario. The key discriminator is the pattern across symptoms, examination and timing, not a single isolated symptom.

Reference: NICE NG123