Pelvic Exam Flashcards
Instruct the patient to hold breath and strain (valsalva). What would indicate an abnormality?
Involuntary loss of urine and/or descent of vaginal wall or cervix to the introitus indicates
abnormality.
Which glands are normally not palpable?
Bartholins’ glands and Skene’s glands. Swelling and tenderness indicate abnormality (such as abscess).
Which are the greater vestibular glands?
Bartholin’s glands
Which are the paraurethral glands?
Skene’s glands
Which collection tool collects cells from the internal os?
Cytobrush
Which collection tool collects cells from the external cervix (SQ junction)?
Broom
What liquid medium do you use for trichomonas?
Saline
What liquid medium do you use for yeast, bacterial vaginosis?
KOH
What test do you use to test for amine odor characteristic of bacterial vaginosis?
“Whiff” test
When inserting fingers into vagina, do you keep pressure on the perineum or urethra?
Perineum
When can you not palpate uterus abdominally?
If uterus is posterior must do rectal exam.
What’s the normal size of a cervix?
2-3 cm
What are the characteristics of cervical secretions?
Thin, clear fluid
If you’re right-handed, which hand is your clean hand?
Right
What is a bimanual exam?
Palpate the uterus and ovaries between fingers in the vagina and palpating hand flat on the lower abdomen.
Where does all pelvic orientation stem from and why is this useful?
All pelvic orientation stems from the uterus. If you know where the uterus is, location
of masses is relatively easy.
If movement of the cervix causes pain, what does this indicate?
Inflammatory process
What are the important characteristics of the uterus?
Size: large or small
Shape: irregular contour, enlarged, nodular
Position: AV, AF, mid, RV, RF
Hair extending towards umbilicus and onto inner thigh can be associated with _____ and _____.
disorders of androgen excess and clitoromegaly.
_____ can be a site of chronic skin conditions such as eczema, psoriasis, Lichen sclerosis and warts, cysts of the Bartholin’s gland and cancers.
Vulva
_____ may imply herpes, syphilis, trauma or malignancy.
Ulceration
Perineal scars maybe secondary to _____.
childbirth
What is the 2nd most common malignancy worldwide?
Cervical CX
