PANCE Exam Practice Questions: Quiz 265 December 31, 2015 By Aamir Khan Leave a Comment A 72-year-old G5P4104 has been experiencing a sensation of vaginal fullness and pressure which worsens with straining and coughing. She also has been experiencing urinary incontinence. Physical exam reveals no ulcerations or erosions of the vaginal or vulvar mucosa. With bearing down, a thin-walled, smooth, bulging mass projects from the anterior portion of the vagina. Rectovaginal palpation reveals no septal defect or sacculation. What is the most likely diagnosis? A. cystocele B. rectocele C. uterine prolapse D. urethrocel Δ
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