Author Question: A 65-year-old female complains of frequency and urgency of urination and episodes of urinary ... (Read 92 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?

Studies show that systolic blood pressure can be significantly lowered by taking statins. In fact, the higher the patient's baseline blood pressure, the greater the effect of statins on his or her blood pressure.

Did you know?

After 5 years of being diagnosed with rheumatoid arthritis, one every three patients will no longer be able to work.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates’s recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

Aspirin is the most widely used drug in the world. It has even been recognized as such by the Guinness Book of World Records.

Did you know?

Today, nearly 8 out of 10 pregnant women living with HIV (about 1.1 million), receive antiretrovirals.

For a complete list of videos, visit our video library