Which of the following findings on the bimanual exam of a female ...

[CharlieWard]

Which of the following findings on the bimanual exam of a female patient in early pregnancy requires further investigation?
 
  A. Unilateral adnexal tenderness
  B. Bluish colored cervix
  C. Varicose veins of vaginal walls
  D. None of the above

Question 2

Which of the following findings on the bimanual exam of a female patient requires further investigation?
 
  A. Retroverted uterus
  B. Varicose veins in vaginal wall
  C. Cervical motion tenderness
  D. Anteflexed uterus

[qytan]

Answer to Question 1

ANS: A
On bimanual examination, significant unilateral adnexal pain or tenderness in an early pregnant female can indicate ectopic pregnancy.

Answer to Question 2

ANS: C
The uterus should be pear-shaped, smooth, mobile, non-tender, and firm but not hard. Malignancies may occur, causing the uterus to be hard and fixed. Tenderness with movement of the cervix and uterus occurs in PID, termed cervical motion tenderness. Variations in the position of the uterus are not considered abnormal, but significant variations may be related to back pain, especially during menses or childbirth, and occasionally to infertility. Common uterine positions are retroverted, retroflexed, anteverted, and anteflexed.

[CharlieWard]

Excellent

[helenmarkerine]

TYSM