A twenty-year-old female complains of a milky discharge bilaterally from
her breasts. This suggests: Correct Ans - Pregnancy or elevated
prolactin level
The vaginal mucosa lies in transverse folds called the: Correct Ans -
rugae
In which of the following situations would it be difficult for the examiner to
palpate an ovary during the bimanual vaginal exam? Correct Ans -
A woman who is anxious
When performing a rectal exam on a female, a hard nodular rectal "shelf " is
palpable at the tip of the examiner's finger. This finding is suggestive of:
Correct Ans - metastatic tissue in the rectouterine pouch
Retraction of the nipple and areola suggest: Correct Ans - an
underlying breast mass
To assess pelvic floor muscle strength during the bimanual vaginal exam,
have the patient squeeze around the inserted fingers for long as a possible.
Th consider full strength, snug compression should last for: Correct
Ans - 3 seconds
A female patient presents with a gray, thin, malodorous (fishy) vaginal
discharge these symptoms are most consistent with: Correct Ans -
Bacterial vaginosis
A female patient presents with a white and curd-like thin vaginal discharge.
This discharge is most consistent with: Correct Ans - candidal
vaginitis
When examining the cervix, a bright, red, soft, and fragile lesion is noted on
the cervical surface. This finding is consistent with: Correct Ans - a
cervical poylp
An ulcerated vulvar lesion in an elderly woman may indicate: Correct
Ans - Vluvar cancer
, When examining the cervix, a translucent nodule is noted on the cervical
surface. This finding is consistent with: Correct Ans - a retention
cyst
A female patient has a history of a retroverted uterus. This condition refers
to: Correct Ans - a tilting backward of the uterus and cervix
Examination of a female patient's right breast reveals a retraction of the
nipple and areola. This finding is consistent with: Correct Ans -
Breast cancer
Primary dysmenorrhea results from: Correct Ans - increased
prostaglandin production during the luteal phase of the menstrual cycle
In a female diagnosed with a first-degree uterine prolapse, the cervix:
Correct Ans - Has slipped but is well within the vagina
A female patient presents with a profuse, yellowish, green vaginal
discharge that is malodorous. This vaginal discharge is most consistent
with: Correct Ans - Trichomonal vaginitis
When performing a vaginal exam with a speculum, the use of the upper
blade as a retractor could expose a: Correct Ans - rectocele
Upon examination of the vagina, a tense, hot very tender abscess with
labial swelling is noted. This finding is most consistent with a: Correct
Ans - Bartholin gland infection
Upon examination of the cervix, a yellow drainage is visible around the
cervical os. This finding is most likely suggestive of: Correct Ans -
mucopurulent cervicits
When performing a breast exam, a mobile mass becomes fixed when the
arm relaxes. This suggests that the mass is: Correct Ans - attached
to the rib or intercostal muscle
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