speculum examination

Question 1

vulva

Answer 1

ulceration

scars, atrophy discharge or bleeding, masses varicosities

Question 2

cervix

Answer 2

I am inspecting the cervical external cervical os

there are no signs of an ectopion, masses, ulcerations, or discharge.

Question 3

summarise finding

Answer 3

On examination of Mrs Smith, a 29 year old female, there were no abnormalities of the vulva noted on inspection. Speculum examination revealed a healthy cervix, with the external os closed and no abnormal masses or discharge present.”

Question 4

further tests

Answer 4

Bimanual vaginal examination
Abdominal examination
Swabs – microbiology / virology – (e.g. STI screening)
HPV testing – can be performed on the same sample if using liquid based cytology (no extra swabs required)

Question 5

superficial muscles of the vulva

Answer 5

superficial transverse perineus