Pelvic Bimanual Examination

Question 1

How should you position the patient?

Answer 1

Gynae position

Make sure lighting is decent

Question 2

Inspection

Answer 2

Hair distribution

Skin abnormalities

Discharge

Swelling

Prolapse

Ask patient to cough - note incontinence or prolapse

Question 3

Palpation

Answer 3

Cervix

Posterior fornix

Lift uterus anteriorly

Place other hand on lower abdomen

Press gently as if finger tips from both hands could meet

Note size and mobility of uterus

Assess adnexae by moving fingers into R and L lateral fornices in turn

Note any masses

Question 4

Marking Scheme

Answer 4