Female Genitalia Assessment

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Questions and Answers

What is the common passageway shared by the reproductive and urinary systems?

Penis

Anus

Vagina

Urethra (correct)

During a male genital examination, what is the normal finding of the penile skin?

Thin and transparent

Smooth and uniform in color

Intact and slightly wrinkled with varying color (correct)

Thick and scaly

What is a deviation from normal in pubic hair assessment?

Triangular distribution of pubic hair

Excessive amount of pubic hair

Pubic hair only on the abdomen

Scant amount or absence of hair (correct)

What is the normal finding of the foreskin during a penis assessment?

Easily retractable from the glans penis Signup and view all the answers

What is the purpose of assessing the presence of hernias during a male genital examination?

To identify any potential hernias Signup and view all the answers

Why may a female practitioner require another individual to be present during a male genital examination?

For professionalism and to prevent any potential misinterpretation Signup and view all the answers

What is the characteristic of a painless mass in vulvitis diagnosis?

Indicates malignancy Signup and view all the answers

What is the technique used to assess the labia minora?

Using the dominant hand and index finger Signup and view all the answers

During vaginal orifice assessment, what is the normal finding of the clitoris?

Is not more than 1 cm in width and 2 cm in length Signup and view all the answers

What is clitoromegaly?

A deviation from the normal size of the clitoris Signup and view all the answers

During urethral orifice examination, what should the examiner avoid?

Touching the urethral meatus Signup and view all the answers

What is the difference between urethral caruncle and urethral prolapse?

Urethral caruncle only protrudes out on one edge, while urethral prolapse protrudes out on all edges Signup and view all the answers

What is the normal finding of the introitus mucosa during vaginal orifice assessment?

Pink and moist Signup and view all the answers

What would you do to assess the vaginal muscle tone?

Insert your dominant finger Signup and view all the answers

What is a deviation from normal finding in the inguinal lymph nodes assessment?

Enlargement and tenderness Signup and view all the answers

Why would you palpate the inguinal lymph nodes?

To check for enlargement or tenderness Signup and view all the answers

What is the position of an infant during an examination?

Supine position on a parent’s lap Signup and view all the answers

What is NOT a part of the examination of the internal genitals?

Examining the tongue Signup and view all the answers

Study Notes

Genital Assessment

Painless mass may indicate malignancy
Painful mass may indicate hernia

Clitoris, Urethral Orifice, and Vaginal Orifice Assessment

Normal clitoris: no larger than 1 cm in width and 2 cm in length
Normal urethral orifice: small slit, same color as surrounding tissues, and midline
Normal vaginal orifice: pink and moist, patent, and without bulging
Normal vaginal discharge: white and free of foul odor

Deviations from Normal

Clitoris: lesions, inflammation, swelling, or discharge
Urethral orifice: discharge, swelling, urethral caruncle, or urethral carcinoma
Vaginal orifice: pale color, dryness, tear, fissure, bulging, or foul odor

Inguinal Lymph Nodes Assessment

Normal: no enlargement or tenderness
Deviations from normal: enlargement and tenderness

Examination of Internal Genitals

Involves assessing Skene's and Bartholin's glands, pelvic musculature, and inspecting the cervix and vagina using a vaginal speculum
May include obtaining a Papanicolaou smear

Lifespan Considerations

Infants: can be held in a supine position on the parent's lap for examination

Key Components of Genital Examination

Complete examination: includes assessment of external genitals, prostate gland, and presence of hernias
Practice settings: may focus on external genitals only
Integration of systems: reproductive and urinary systems share the urethra

Female Practitioner Involvement

Female practitioners are increasingly involved in male genital examinations
Not all agencies permit female practitioners for male genital exams
Presence of another individual may be required for professionalism

Hernia Screening, Prostate Cancer Awareness, and Testicular Cancer Examination Techniques

Inspection and palpation are used for examination

Pubic Hair Assessment

Normal: triangular distribution, often spreading up the abdomen
Deviations from normal: scant amount or absence of hair, presence of nits and lice, or herpes simplex

Penis Assessment

Normal: penile skin intact, appears slightly wrinkled, and varies in color
Normal foreskin: easily retractable from the glans penis
Normal smegma: small amount of thick white smegma between the glans and foreskin
Deviations from normal: presence of lesions, nodules, swellings, or inflammation

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Description

This quiz assesses knowledge of normal findings and deviations in female genitalia, including the clitoris, urethral orifice, and vaginal orifice. Questions cover inspection of these areas and identify abnormal signs such as lesions, inflammation, swelling, or discharge.