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
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.
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