Pelvic examination

Question 1

Positions

Affords a good view of vulva

Does not permit easy introduction of a speculum

Convenient for bimanual palpation

Answer 1

Dorsal position

Question 2

Positions

Examination with uterovaginal prolapse

inspect the vaginal walls with sims’ speculum for fistula and other vaginal mass

Answer 2

Semi prone or Sims’ position

Question 3

Positions

Non-anaesthised patient do not like this

Answer 3

Lithotomy

Question 4

When to use cusco’s speculum

Answer 4

if the patient’s complaint is pregnancy related, or has

postcoital bleeding and also if the primary aim is to examine the cervix.

Question 5

Position of laceration scars during childbirth

Answer 5

3 and 9 oclock

Question 6

Knowing the position of the uterus

Answer 6

A cervix
pointing posteriorly indicates an anteverted uterus while anteriorly pointing cervix suggests retroverted
uterus