When performing a bimanual exam of the vagina, the examiner should
lubricate the index finger and middle fingers of a gloved hand. From a
standing position, the fingers should be inserted into the vagina while
exerting pressure primarily: Correct Ans - Posteriorly
Causes of post menopausal bleeding typical include all of the following
except: Correct Ans - atrophic vaginitis
When performing a rectal exam on a female, a hard nodular rectal "shelf " is
palpable at the tip of the examiner's finger. This finding is suggestive of:
Correct Ans - metastatic tissue in the rectouterine pouch
When discussing the female anatomy, the introitus is also known as the:
Correct Ans - vaginal opening
Indications for performing a rectovaginal exam include all of the following
except to: Correct Ans - assess an inguinal hernia
The deep red area located around the cervical os is known as: Correct
Ans - the columnar epithelium
If urethritis or inflammation of the paraurethreal glands is suscpected in a
femal patient, the index finger should be inserted into the vagina and:
Correct Ans - milk the urethra gently from the inside outward
A 45-year old femal presents with complaints of postcoital bleeding
(greater than spotting) unreleated to menstrual cycle. What is the most
likely cause: Correct Ans - cervical cancer
To palpate the uterus during a bimanual exam, the examiner would
lubricate the index and middle fingers of one hand and insert them into the
vagina. The other hand would be placed on the abdomen: Correct Ans
- About midway between the umbilicus and symphysis pubis while
elevating the cervix and uterus with the other hand.
, Upon examination fo the vagina, a tense, hot, very tender abcess with labial
swelling is noted. This finding is most consistent with a: Correct Ans -
bartholin gland infection
A woman complains of infrequent menses with intervals greater than 35
days. This condition is termed: Correct Ans - oligomenorrhea
An ulcerated vulvar lesion in an elderly woman may indicate: Correct
Ans - Vulvar cancer
During examination of the vagina, a bulge in the upper two-thirds of the
anterior vaginal wall is noted. This symptom is most consistent with a:
Correct Ans - cystocele
A femal patient presents with a profuse, yellowish, green vaginal discharge
that is malodorous. This vaginal discharge is most consisten with:
Correct Ans - Trichomonal vaginitis
Upon exam of the vagina, a swollen red ring is noted around the urethral
opening. This finding is most consistent with a: Correct Ans -
prolapse of the urethral mucosa
When preparing to perform a pelvic exam in an older female, vaginal
atrophy is noted. Due to this finding, the speculum: Correct Ans -
should be smaller size
The most common cause of acute pelvic pain in women is: Correct Ans
- pelvic inflammatory disease
In a female diagnosed with a third-degree uterine prolaps, the cervix:
Correct Ans - and vagina are outside the introits
To palpate an indirect hernia in women, have her stand and palpate in the
labia majora and: Correct Ans - palpate upward to just lateral to the
pubic tubercles
Upon exam of the cervix, an irregular cauliflower-like growth was noted
around the cervical os. This finding is most suggestive of: Correct Ans -
carcinoma of the cervix
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