Author Question: A 65-year-old female complains of frequency and urgency of urination and episodes of urinary ... (Read 91 times)

waynest

  • Hero Member
  • *****
  • Posts: 553
A 65-year-old female complains of frequency and urgency of urination and episodes of urinary incontinence. On pelvic examination, there is smooth, soft bulge of the anterior vaginal wall that is more pronounced with straining.
 
  These findings are indicative of:
  A. Rectocele
  B. Cystocele
  C. Uterine prolapse
  D. Anteflexed uterus

Question 2

During a pelvic examination, a clinician asks the patient to bear down to inspect the vaginal outlet for:
 
  A. Cystocele
  B. Rectocele
  C. Prolapsed uterus
  D. All of the above



nguyenhoanhat

  • Sr. Member
  • ****
  • Posts: 332
Answer to Question 1

ANS: B
A cystocele can contribute to urinary frequency, urgency, and infection, and stress incontinence. The bimanual examination reveals a smooth, soft bulge of the anterior vaginal wall that is more pronounced with straining. Kegel exercises may be helpful, but surgical repair may be needed.

Answer to Question 2

ANS: D
During a pelvic examination, the clinician can inspect the external genitalia for lesions, ulcerations, inflammation, warts, swelling, discharge, or nodules. Inspect the perineum and anal areas for fissures, hemorrhoids, inflammation, lesions, ulcers, warts, or nodules. Assess the support of the vaginal outlet by asking the patient to bear down while you look for bulging at the introitus, suggesting a cystocele, rectocele, or prolapsed uterus.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

The eye muscles are the most active muscles in the whole body. The external muscles that move the eyes are the strongest muscles in the human body for the job they have to do. They are 100 times more powerful than they need to be.

Did you know?

The first-known contraceptive was crocodile dung, used in Egypt in 2000 BC. Condoms were also reportedly used, made of animal bladders or intestines.

Did you know?

The most destructive flu epidemic of all times in recorded history occurred in 1918, with approximately 20 million deaths worldwide.

Did you know?

A strange skin disease referred to as Morgellons has occurred in the southern United States and in California. Symptoms include slowly healing sores, joint pain, persistent fatigue, and a sensation of things crawling through the skin. Another symptom is strange-looking, threadlike extrusions coming out of the skin.

Did you know?

When Gabriel Fahrenheit invented the first mercury thermometer, he called "zero degrees" the lowest temperature he was able to attain with a mixture of ice and salt. For the upper point of his scale, he used 96°, which he measured as normal human body temperature (we know it to be 98.6° today because of more accurate thermometers).

For a complete list of videos, visit our video library