Pelvic Examination Process in Health Care

What is the primary purpose of a pelvic examination?

To assess the external genital organs for edema and irritations
To visualize and palpate the internal organs, such as the cervix and ovaries
To collect diagnostic specimens
All of the above (correct)

What instrument is used to enlarge the vaginal opening during a pelvic examination?

Vaginal speculum (correct)
Bimanual palpation
Rectal examination
Colposcope

What is the purpose of a rectovaginal examination during a pelvic exam?

To evaluate abnormalities or problems of the rectal area and posterior internal organs (correct)
To collect diagnostic specimens
To assess the external genital organs
To visualize the cervix and vaginal mucosa

What is the purpose of colposcopy during a pelvic examination?

To provide direct visualization of the cervix and vagina (A) Signup and view all the answers

What should the patient be encouraged to do before the pelvic examination?

Void or have a bowel movement (C) Signup and view all the answers

What is the purpose of using an iodine or vinegar solution to swab the vaginal walls during a pelvic examination?

To improve visualization of the cervix and vaginal mucosa (C) Signup and view all the answers

Which of the following activities should be avoided before a pelvic examination?

Douching or having intercourse within 24 hours (C) Signup and view all the answers

What is the primary purpose of the bimanual pelvic examination?

To palpate the internal organs, such as the ovaries and uterus (A) Signup and view all the answers

What is the primary purpose of obtaining diagnostic specimens during a pelvic examination?

To identify any underlying health conditions or infections (D) Signup and view all the answers

Which of the following is NOT a component of the pelvic examination?

Radiographic imaging of the pelvic region (B) Signup and view all the answers

What is the main purpose of the Bethesda system for cytologic findings?

All of the above (D) Signup and view all the answers

Which of the following is a common indication for a breast biopsy?

Persistent, encrusted, purulent, inflamed, or sanguineous discharge from the nipples (A) Signup and view all the answers

What is the primary cause of nearly all cases of cervical cancer?

High-risk types of human papillomavirus (HPV) (D) Signup and view all the answers

Which of the following is true about the classification system used for Pap smears?

The classification system used is not important, as long as there is proper follow-up of Pap smear results (D) Signup and view all the answers

How are biopsies typically performed for palpable masses?

Tissue is aspirated by special needles or removed by forceps or through an incision (C) Signup and view all the answers

What is the primary purpose of a breast biopsy?

To differentiate between benign or malignant conditions of the breast (C) Signup and view all the answers

Which of the following HPV types are considered high-risk for causing cervical cancer?

Only the 12 types specifically mentioned in the text (A) Signup and view all the answers

What is the primary purpose of Pap tests?

To look for cervical cancer and precancerous cells (D) Signup and view all the answers

Which of the following is not a common indication for a breast biopsy?

Abnormal Pap smear results (C) Signup and view all the answers

What is the typical setting for a biopsy of a palpable mass?

Outpatient surgical center (C) Signup and view all the answers

What is the primary purpose of a colposcope?

To visualize the vaginal walls and cervix (B) Signup and view all the answers

Which procedure provides direct visualization of the uterus and its appendages?

Laparoscopy (A) Signup and view all the answers

What is the purpose of introducing carbon dioxide during a laparoscopy?

To distend the abdomen for easier visualization (C) Signup and view all the answers

Which of the following procedures involves collecting exfoliative cells from the cervix?

Papanicolaou test (C) Signup and view all the answers

What is the recommended frequency for Pap tests according to the American Cancer Society?

Every year for regular Pap smear, every 3 years for ThinPrep Pap test (A) Signup and view all the answers

At what age should women begin annual Pap tests, according to the American Cancer Society?

Within 3 years of becoming sexually active or no later than 21 years of age (C) Signup and view all the answers

Which of the following factors may prompt a healthcare provider to recommend more frequent Pap testing?

All of the above (D) Signup and view all the answers

Which position is the patient assisted into during a culdoscopy procedure?

Knee-chest position (A) Signup and view all the answers

What is the purpose of a Foley catheter during a laparoscopy?

To maintain bladder decompression for an open view (B) Signup and view all the answers

Which of the following is NOT a recommended preparation step for a Papanicolaou test?

Avoid drinking water for at least 12 hours before the examination (C) Signup and view all the answers