Multiple Choice

1. When observing the vestibule, you should be able to see which of the following anatomic structures?

(A) Urethral meatus and paraurethral (Skene's) glands

(B) Vaginal orifice and vestibular (Bartholin's) glands

(C) Urethral meatus and vaginal orifice

(D) Paraurethral (Skene's) and vestibular (Bartholin's) glands

2. To correctly insert the speculum:

(A) Instruct the woman to bear down, open the speculum blades and apply in a swift upward movement

(B) Press the inferior margin of the introitus down to enlarge the vaginal opening, open, insert the speculum with the blades at an oblique downward angle, and apply gentle downward pressure

(C) Insert the blades of the speculum on a horizontal plane, turning them to a 45° angle as you continue to insert them; ask the woman to bear down to ease insertion

(D) Lock the blades open by turning the thumbscrew. Once you have them open, apply pressure to the introitus and insert the blades at a 45° angle downward to bring the cervix into view

3. In performing the bimanual examination, you note that the cervix feels smooth and firm, is round, and is fixed. Your cervical palpation produces some pain. The best interpretation of these results is:

(A) These findings are well within normal limits

(B) It is unusual to have pain when palpating the cervix, but the rest of the findings are within normal limits

(C) The cervix should move when palpated; an immobile cervix may indicate malignancy

(D) The cervical consistency should be soft and velvety and not firm

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Anxiety and Depression 101

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