ABOG ABOG Urogynecology & Pelvic Floor Disorders 2

Question 1

Sacral neuromodulation (InterStim) is FDA-approved for which condition(s)?

Accepted Answer

Urgency urinary incontinence, urinary retention, and fecal incontinence

Answer

Sacral neuromodulation is FDA-approved for refractory urgency urinary incontinence, urinary frequency/urgency, non-obstructive urinary retention, and fecal incontinence.

Question 2

Which anatomic structure is the primary support for the uterus and upper vagina at the apical compartment?

Accepted Answer

Uterosacral and cardinal ligament complex

Answer

The uterosacral-cardinal ligament complex provides level I (apical) support to the uterus and upper vagina, and its failure leads to uterine or vaginal vault prolapse.

Question 3

Which pharmaceutical class is contraindicated in patients with narrow-angle glaucoma who present with overactive bladder?

Accepted Answer

Anticholinergic/antimuscarinic agents

Answer

Anticholinergic agents (e.g., oxybutynin, tolterodine) are contraindicated in narrow-angle glaucoma because they can precipitate acute angle-closure by blocking the iris sphincter muscle.

Question 4

During sacrocolpopexy, which graft material is associated with the best long-term success and lowest recurrence rates?

Accepted Answer

Synthetic polypropylene mesh

Answer

Permanent synthetic polypropylene mesh used in abdominal/laparoscopic sacrocolpopexy has the highest long-term success rates for apical compartment prolapse repair compared to biologic grafts.

Question 5

A patient with interstitial cystitis/bladder pain syndrome typically presents with which characteristic cystoscopic finding?

Accepted Answer

Glomerulations and Hunner lesions after hydrodistension

Answer

Classic interstitial cystitis is identified on cystoscopy with hydrodistension by the presence of Hunner lesions (ulcers) or petechial hemorrhages (glomerulations) in the bladder wall.

(ABOG) American Board of Obstetrics & Gynecology Practice Test

(ABOG) American Board of Obstetrics & Gynecology Practice Test

ABOG ABOG Urogynecology & Pelvic Floor Disorders 2