This page is dedicated to organizing various examples of standardized exam questions whose answer is cervical incompetence. While this may seem a odd practice, it is useful to see multiple examples of how cervical incompetence will be characterized on standardized exams (namely the boards and the shelf exams). This page is not meant to be used as a tradition question bank (as all of the answers will be the same), however seeing the classic “test” characterization for a disease is quite valuable.
Question # 1
A 30-year-old primigravid woman at 15 weeks gestation comes to the clinic complaining of a fever. lower pelvic pressure. and vaginal spotting for 6 days. Three years ago, she underwent two loop electrosurgioal excisions of the cervical transformation zone for carcinoma in situ. Pelvic examination shows a closed cervix that is flush against the upper vagina and measures 2 cm in diameter. The uterus is consistent in size with a 15‐week gestation. Petvic ultrasonography shows a uterus consistent in size with the gestational age. It also shows a funneled lower uterine segment with the internal cervical os measures 2 cm. Which of the following is the most likely muse of this patient’s vaginal bleeding?
Explanation: funneled lower uterine segment with dilated internal cervical os = cervical incompetence
Page Updated: 10.19.2016