This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Genital Prolapse - various presentation of prolapse and management of urinary stress incontinence (I am hanging by my nails !), Subject name: Gynaecology & Obstetrics
Most impoant suppo of uterus for preventing prolapse is: 
Select and explain. 
A. Pelvic floor, B. Round ligament of ovary, C. Round ligament of uterus, D. Transverse cervical ligament
A: Pelvic floor
Answer: A: Pelvic floor 
Explanation: Pelvic diaphragm is the most impoant suppo for the uterus. It comprises of levator ani muscle: ischio-coccygeus, ilio-coccygeus and pubo-coccygeus (most impoant) coccygeus superior and inferior fascia Prolapse of uterus occurs usually in old age in a multiparous woman. A neglected or imperfectly repaired perineal tear is an impoant cause of such a prolapse. It is also ored by hard manual or domestic labor, subinvolution of uterus, injury or idiopathic weakness of transverse cervical and uterosacral ligaments and a persistent rise in intra-abdominal pressure.