P1: Local Gynecologic Examination

Question 1

Items of Local Gynecologic Exam

Question 2

Items of Local Gynecologic Exam

• Vulvar Inspection

Answer 2

Question 3

Items of Local Gynecologic Exam

• PV

Answer 3

Question 4

Items of Local Gynecologic Exam

• Bimanual Ex

Answer 4

Question 5

Items of Local Gynecologic Exam

• Cuscu Speculum

Answer 5

Question 6

Items of Local Gynecologic Exam

• Special Test

Question 7

Length of Clitors & What defines clitoromegaly?

Answer 7

• In uncircumcised female, normal length of clitoris is 1.5 - 2 cm
• In clitoromegaly: if the length > 2 cm

Question 8

Cervix Examination

• External Os
• Level
• Direction
• Size
• Shape
• Mobility
• Consistency

Answer 8

Question 9

Indications of Bimanual Examination

Answer 9

Question 10

Criteria of Normal Uterus

Question 11

Indications of Lithotomy Position

Answer 11

Question 12

Positions in examination

Answer 12

1- Prone
2- Supine
3- Fowler’s
4- Trendelenburg
5- Right & left lateral recumbent

Question 13

Indications of Cusco Speculum Examination

Answer 13

Question 14

Indications of Rectal Examination

Answer 14

Question 15

Indications of Combined Rectal & Vaginal Examination

Answer 15

Question 16

Combined Rectal & Vaginal Examination

• DiagnosIS of Enterocele (Malpas Test)

Answer 16

Question 17

Causes of increased transverse diameter of the uterus rather tham longitudinal Diameter

Answer 17

Question 18

What is the role of vaginal examination in Obstetric cases?

Answer 18

Question 19

How to differentiate between uterine and extra uterine (ovarian) mass?

Answer 19

Question 20

Clinical tests for urinary stress incontinence

Answer 20

Question 21

Clinical tests for urinary stress incontinence

• Marshall Stress Test

Answer 21

Question 22

Clinical tests for urinary stress incontinence

• yousef Test

Answer 22

Question 23

Clinical tests for urinary stress incontinence

• Bonnney Test

Answer 23

Question 24

Clinical tests for urinary stress incontinence

• Matshall-Marschetti Test

Answer 24

It is exactly as Bonney’s test but using Allis forceps to elevate the bladder neck instead of fingers to avoid urethral compression.

Question 25

Clinical tests for urinary stress incontinence - Hodge Smith Pessary Test

Answer 25

It is exactly as Bonney's test but the bladder base is elevated by inverted Hodge-Smith pessary.

Question 26

Clinical tests for urinary stress incontinence - Hodge Linson Test

Answer 26

* It is exactly as Bonney's test, but the bladder base is elevated by the largest contraceptive diaphragm.

Question 27

Clinical tests for urinary stress incontinence - Pad Test

Answer 27

Question 28

Clinical tests for urinary stress incontinence - Q-Tip Test

Answer 28

Question 29

Clinical tests or procedures used in cases of pelvic mass

Answer 29

Question 30

Clinical tests or procedures used in cases of pelvic mass - To differentiate pelvi-abdominal from purely abdominal swelling

Answer 30

* This is done abdominally by trying to get below the lower border of the mass. * If the lower border is reachable, the mass is purely abdominal & vice versa.

Question 31

Clinical tests or procedures used in cases of pelvic mass - To differentiate large ovarian cyst from ascites

Answer 31

Question 32

Clinical tests or procedures used in cases of pelvic mass - To differentiate uterine from adnexal masses during bimanual exam

Answer 32

Question 33

Clinical tests to diagnose recto-vaginal fistula

Answer 33

Question 34

Clinical tests to diagnose recto-vaginal fistula - Probe Test

Answer 34

Small caliber probe is pushed through vaginal orifice of the fistula can be felt on rectal Exam

Question 35

Clinical tests to diagnose recto-vaginal fistula - Methylene Blue Test

Answer 35

* Methylene blue instillation from the vaginal orifice can be seen in the rectum via a proctoscope

Question 36

Clinical tests to diagnose recto-vaginal fistula - Carey's Test

Answer 36

* A Foley catheter (10ml balloon) is inserted into the anal canal while the vagina is painted with concentrated solution of soap & water

Question 37

Clinical tests to diagnose V.V.F

Answer 37

Question 38

Clinical tests to diagnose V.V.F - Intravesical dye Test

Answer 38

Question 39

Clinical tests to diagnose V.V.F - Three Tampoon Test of Moir

Question 40

Clinical tests to diagnose V.V.F - Flat Tire Test