Basic Obs and Gynae - exams

Question 1

positioning of bimanual?

Answer 1

waist down, knees bent and apart
empty bladder

Question 2

what should you look for?
abdomen

Answer 2

scars, ascites
masses / tenderness
groin for inguinal lymphadenopathy

Question 3

External Vaginal exam
what are you looking for?
secondary sexual characteristics

Answer 3

hair distribution, cliteromegaly associated with hyperandrogenism

Question 4

Skin abnormalities

Answer 4

lesion
warts
erythema

Question 5

discharge

Answer 5

colour
consistency

Question 6

external exam?

Answer 6

rips, tears, scars

hair distribution,
cliteromegaly (associated with hyperandrogenism)

lesions,

warts,

erythema

Discharge – colour, consistency

Bleeding

Swellings of the vulva – tumours, cysts (sebaceous, Bartholin’s)

Question 7

external exam - Swelling of vulva could be?

Answer 7

tumours,
cysts (sebaceous, Bartholin’s)

Question 8

how to check for incontinence or prolapse?

Answer 8

cough

Question 9

when feeling cervix what are you feeling for?

Answer 9

smoothness
clots
mobility
firmness

Question 10

how to lift uterus in bimanual?

Answer 10

place fingers in posterior fornix to lift ; palpate uterus by pushing fundus down

Question 11

uterus palpation

Answer 11

size
anteverted or retroverted
tenderness, mobility and shape

Question 12

lateral fornix palpate to check for?

Answer 12

adnexal tenderness or masses

Question 13

cervical tenderness is a sign of?

Answer 13

ectopic pregnancy / PID

Question 14

usual further investigations?

Answer 14

pelvic ultrasound +/- bloods