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

This question checks a classic anatomical feature of uterovaginal prolapse against a claim about how strong the uterine ligaments are.

1. Assertion: As the uterus and cervix are pulled downward over time in prolapse, chronic congestion and traction stretch the supravaginal part of the cervix, causing it to elongate. This is a genuine and well documented finding in long-standing prolapse, so the assertion is true.
2. Reason: A gaping genital hiatus is indeed common in prolapse because the pelvic floor muscles weaken, but claiming the ligamentous support of the uterus stays strong is incorrect. Prolapse happens specifically because the cardinal and uterosacral ligaments lose their supporting strength.

Since weak ligamentous support is the actual cause of prolapse, calling it strong makes the reason statement false, even though the assertion about cervical elongation is true.

Let's summarize:

• Cervical elongation is a real, recognized feature of chronic uterovaginal prolapse.
• Prolapse results from weakened, not strong, uterine ligament support.
• A gaping genital hiatus fits the picture, but strong ligaments do not.

So the final answer is: A is true but R is false.