Female Genitalia Assessment: Must-Know
Exam Clues
Top 20 Exam Questions From This Section
1. Bulging anterior vaginal wall indicates?
o Cystocele
2. Bulging posterior vaginal wall indicates?
o Rectocele
3. Severe pain when moving cervix is called?
o Cervical motion tenderness
4. Another name for CMT?
o Chandelier sign
5. CMT most commonly suggests?
o PID
6. Normal nonpregnant uterus size?
o 6-week gestational size
7. Irregular enlarged uterus suggests?
o Fibroids
8. Normal uterine contour?
o Smooth and round
9. Uterine tenderness suggests?
o Infection
10. Normal adnexal finding?
Nonpalpable and nontender
11. Normal ovary shape?
Almond-shaped
12. Unilateral adnexal tenderness with positive pregnancy test suggests?
Ectopic pregnancy
13. Adnexa include?
Ovaries and fallopian tubes
14. What finger enters the rectum during rectovaginal exam?
, Middle finger
15. Structure between rectum and vagina?
Rectovaginal septum
16. Posterior uterus best palpated during?
Rectovaginal exam
17. Uterus shifted from midline may indicate?
Mass or adhesions
18. What causes a cystocele?
Bladder prolapse
19. What causes a rectocele?
Rectal prolapse into vaginal wall
20. Stool collected after rectal exam is tested for?
Occult blood (Hemoccult)
Absolute "Professor Favorites" From the
Entire Female Genitalia Lecture
Memorize these cold:
1. Candida = thick white cottage-cheese discharge
2. Trichomoniasis = strawberry cervix
3. Gonorrhea/Chlamydia = mucopurulent discharge
4. HSV = painful vesicles/ulcers
5. Bartholin abscess = painful unilateral vulvar mass
6. Nabothian cyst = benign white cervical nodule
7. Fish-mouth os = previous vaginal delivery
8. Cervical Motion Tenderness = PID
9. Cystocele = anterior wall bulge
10. Rectocele = posterior wall bulge
11. Normal ovaries = nonpalpable, nontender
12. Fibroids = enlarged irregular uterus
13. Retroverted uterus = cervix points upward