Pelvic Exam

Question 1

Instruct the patient to hold breath and strain (valsalva). What would indicate an abnormality?

Answer 1

Involuntary loss of urine and/or descent of vaginal wall or cervix to the introitus indicates
abnormality.

Question 2

Which glands are normally not palpable?

Answer 2

Bartholins’ glands and Skene’s glands. Swelling and tenderness indicate abnormality (such as abscess).

Question 3

Which are the greater vestibular glands?

Answer 3

Bartholin’s glands

Question 4

Which are the paraurethral glands?

Answer 4

Skene’s glands

Question 5

Which collection tool collects cells from the internal os?

Answer 5

Cytobrush

Question 6

Which collection tool collects cells from the external cervix (SQ junction)?

Answer 6

Broom

Question 7

What liquid medium do you use for trichomonas?

Answer 7

Saline

Question 8

What liquid medium do you use for yeast, bacterial vaginosis?

Answer 8

KOH

Question 9

What test do you use to test for amine odor characteristic of bacterial vaginosis?

Answer 9

“Whiff” test

Question 10

When inserting fingers into vagina, do you keep pressure on the perineum or urethra?

Answer 10

Perineum

Question 11

When can you not palpate uterus abdominally?

Answer 11

If uterus is posterior must do rectal exam.

Question 12

What’s the normal size of a cervix?

Answer 12

2-3 cm

Question 13

What are the characteristics of cervical secretions?

Answer 13

Thin, clear fluid

Question 14

If you’re right-handed, which hand is your clean hand?

Answer 14

Right

Question 15

What is a bimanual exam?

Answer 15

Palpate the uterus and ovaries between fingers in the vagina and palpating hand flat on the lower abdomen.

Question 16

Where does all pelvic orientation stem from and why is this useful?

Answer 16

All pelvic orientation stems from the uterus. If you know where the uterus is, location
of masses is relatively easy.

Question 17

If movement of the cervix causes pain, what does this indicate?

Answer 17

Inflammatory process

Question 18

What are the important characteristics of the uterus?

Answer 18

Size: large or small
Shape: irregular contour, enlarged, nodular
Position: AV, AF, mid, RV, RF

Question 19

Hair extending towards umbilicus and onto inner thigh can be associated with _____ and _____.

Answer 19

disorders of androgen excess and clitoromegaly.

Question 20

_____ can be a site of chronic skin conditions such as eczema, psoriasis, Lichen sclerosis and warts, cysts of the Bartholin’s gland and cancers.

Answer 20

Vulva

Question 21

_____ may imply herpes, syphilis, trauma or malignancy.

Answer 21

Ulceration

Question 22

Perineal scars maybe secondary to _____.

Answer 22

childbirth

Question 23

What is the 2nd most common malignancy worldwide?

Answer 23

Cervical CX