P1: Local Gynecologic Examination Flashcards

1
Q

Items of Local Gynecologic Exam

A
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2
Q

Items of Local Gynecologic Exam

  • Vulvar Inspection
A
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3
Q

Items of Local Gynecologic Exam

  • PV
A
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4
Q

Items of Local Gynecologic Exam

  • Bimanual Ex
A
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5
Q

Items of Local Gynecologic Exam

  • Cuscu Speculum
A
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6
Q

Items of Local Gynecologic Exam

  • Special Test
A
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7
Q

Length of Clitors & What defines clitoromegaly?

A
  • In uncircumcised female, normal length of clitoris is 1.5 - 2 cm
  • In clitoromegaly: if the length > 2 cm
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8
Q

Cervix Examination

  • External Os
  • Level
  • Direction
  • Size
  • Shape
  • Mobility
  • Consistency
A
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9
Q

Indications of Bimanual Examination

A
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10
Q

Criteria of Normal Uterus

A
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11
Q

Indications of Lithotomy Position

A
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12
Q

Positions in examination

A

1- Prone
2- Supine
3- Fowler’s
4- Trendelenburg
5- Right & left lateral recumbent

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13
Q

Indications of Cusco Speculum Examination

A
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14
Q

Indications of Rectal Examination

A
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15
Q

Indications of Combined Rectal & Vaginal Examination

A
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16
Q

Combined Rectal & Vaginal Examination

  • DiagnosIS of Enterocele (Malpas Test)
A
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17
Q

Causes of increased transverse diameter of the uterus rather tham longitudinal Diameter

18
Q

What is the role of vaginal examination in Obstetric cases?

19
Q

How to differentiate between uterine and extra uterine (ovarian) mass?

20
Q

Clinical tests for urinary stress incontinence

21
Q

Clinical tests for urinary stress incontinence

  • Marshall Stress Test
22
Q

Clinical tests for urinary stress incontinence

  • yousef Test
23
Q

Clinical tests for urinary stress incontinence

  • Bonnney Test
24
Q

Clinical tests for urinary stress incontinence

  • Matshall-Marschetti Test
A

It is exactly as Bonney’s test but using Allis forceps to elevate the bladder neck instead of fingers to avoid urethral compression.

25
Q

Clinical tests for urinary stress incontinence

  • Hodge Smith Pessary Test
A

It is exactly as Bonney’s test but the bladder base is elevated by inverted Hodge-Smith pessary.

26
Q

Clinical tests for urinary stress incontinence

  • Hodge Linson Test
A
  • It is exactly as Bonney’s test, but the bladder base is elevated by the largest contraceptive diaphragm.
27
Q

Clinical tests for urinary stress incontinence

  • Pad Test
28
Q

Clinical tests for urinary stress incontinence

  • Q-Tip Test
29
Q

Clinical tests or procedures used in cases of pelvic mass

30
Q

Clinical tests or procedures used in cases of pelvic mass

  • To differentiate pelvi-abdominal from purely abdominal swelling
A
  • This is done abdominally by trying to get below the lower border of the mass.
  • If the lower border is reachable, the mass is purely abdominal & vice versa.
31
Q

Clinical tests or procedures used in cases of pelvic mass

  • To differentiate large ovarian cyst from ascites
32
Q

Clinical tests or procedures used in cases of pelvic mass

  • To differentiate uterine from adnexal masses during bimanual exam
33
Q

Clinical tests to diagnose recto-vaginal fistula

34
Q

Clinical tests to diagnose recto-vaginal fistula

  • Probe Test
A

Small caliber probe is pushed through vaginal orifice of the fistula can be felt on rectal Exam

35
Q

Clinical tests to diagnose recto-vaginal fistula

  • Methylene Blue Test
A
  • Methylene blue instillation from the vaginal orifice can be seen in the rectum via a proctoscope
36
Q

Clinical tests to diagnose recto-vaginal fistula

  • Carey’s Test
A
  • A Foley catheter (10ml balloon) is inserted into the anal canal while the vagina is painted with concentrated solution of soap & water
37
Q

Clinical tests to diagnose V.V.F

38
Q

Clinical tests to diagnose V.V.F

  • Intravesical dye Test
39
Q

Clinical tests to diagnose V.V.F

  • Three Tampoon Test of Moir
40
Q

Clinical tests to diagnose V.V.F

  • Flat Tire Test