This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
[{'content': "A young nulliparous woman has 3rd degree uterovaginal prolapse without any cystocele or rectocele. There is no stress incontinence. Uterocervical length is 3 inches. All other symptoms are normal. The best treatment plan for her will be: \nSelect and explain. \nA. Observation and reassurance till child bearing is over, B. Shirodkar's vag'nal repair, C. Shirodkar's abdominal sling, D. Fothergill's operation", 'role': 'user'}, {'content': 'Answer: C \nExplanation: Prolapse in a young nulliparous female is seen in case of congenital prolapse.\nRisk factors for congenital prolapse:\n\n\nSpina bifida\nConnective tissue disorders like Marfans syndrome, Ehler Danlos syndrome\n\n\nCystocele is not seen in congenital prolapse and in congenital prolapse there is infravaginal elongation of cervix (not supravaginal which is usually seen).\n\nManagement of congenital prolapse is:\nAbdominal sling surgeries/ cervicopexy Like\n\nPurandare sling/ cervicopexy\nShirodkar sling Surgeries\nVirkud Sling\nPerformed through abdominal route\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\xa0\nThe sling is generally made of mersilene tape', 'role': 'assistant'}]