ABOG ABOG Urogynecology & Pelvic Floor Disorders 1

Question 1

Which test is the gold standard for diagnosing urodynamic stress urinary incontinence?

Accepted Answer

Multichannel urodynamic study

Answer

Multichannel urodynamic testing, including cystometry and urethral pressure profilometry, is the gold standard for objectively diagnosing stress urinary incontinence and ruling out detrusor overactivity.

Question 2

A 62-year-old woman with symptomatic pelvic organ prolapse has the cervix 3 cm below the hymen. What is her POP-Q stage?

Accepted Answer

Stage III

Answer

In the POP-Q system, Stage III prolapse is defined when the leading edge of prolapse extends more than 1 cm beyond the hymen but less than total vaginal length minus 2 cm.

Question 3

First-line therapy for overactive bladder (OAB) without incontinence should begin with which intervention?

Accepted Answer

Behavioral therapy and bladder training

Answer

Behavioral therapy, including bladder training, pelvic floor muscle exercises (Kegel), fluid management, and urgency suppression techniques, is the first-line treatment for overactive bladder.

Question 4

Which surgical procedure for stress urinary incontinence has the highest long-term cure rate in the current evidence base?

Accepted Answer

Mid-urethral sling (retropubic TVT)

Answer

The retropubic mid-urethral tension-free vaginal tape (TVT) sling has the highest long-term cure rates for stress urinary incontinence, with ~80–90% objective cure at 5–10 years in randomized trials.

Question 5

Which compartment is primarily affected in a patient with cystocele (anterior vaginal wall prolapse)?

Accepted Answer

Anterior compartment

Answer

A cystocele represents anterior compartment prolapse caused by weakening of the pubocervical fascia, allowing the bladder to herniate into the anterior vaginal wall.

(ABOG) American Board of Obstetrics & Gynecology Practice Test

(ABOG) American Board of Obstetrics & Gynecology Practice Test

ABOG ABOG Urogynecology & Pelvic Floor Disorders 1