Question

Assertion (A): Supravaginal elongation of cervix occurs in uterovaginal prolapse.

Reason (R): There is gaping genital hiatus but the ligamentous support of uterus is strong.

• A. Both A and R are true and R is the correct explanation of A.
• B. Both A and R are true but R is NOT the correct explanation of A.
• C. A is true but R is false.
• D. A is false but R is true.

Hint:

Prolapse happens because uterine ligamentous support is weak, not strong.

Answer 1

The Correct Option is C

Step 1: Understanding the Question:
We need to check whether elongation of the cervix is a real feature of uterovaginal prolapse, and whether the given reason about ligamentous support is correct.

Step 2: Key Concept:
Uterovaginal prolapse happens because the pelvic floor and the supporting ligaments of the uterus, mainly the cardinal and uterosacral ligaments, become weak and lax, most often after childbirth or with age. Once support weakens, the uterus and cervix are pulled downward by gravity and by straining, and this constant downward pull, along with the chronic congestion and edema that follows, causes the supravaginal part of the cervix to stretch and become elongated over time.

Step 3: Detailed Explanation:
Assertion (A) says supravaginal elongation of the cervix occurs in uterovaginal prolapse. This is a well recognized clinical feature seen in long-standing prolapse, so A is true.
Reason (R) says there is a gaping genital hiatus but the ligamentous support of the uterus is strong. The first part, a gaping genital hiatus, is indeed commonly seen in prolapse because the pelvic floor muscles are weakened. However, the second part is wrong: the very reason prolapse occurs at all is that the ligamentous support of the uterus has become weak, not strong. If the ligaments were truly strong, the uterus would not descend in the first place. So R, taken as a whole statement, is false.

Step 4: Final Answer:
A is true but R is false.