Self-Assessment
1. Which of the following structures are NOT visible on vulval inspection? Select all that apply.
a. The mons pubis
b. The clitoris
c. The cervix
d. The labia majora
e. The perineum
A. Incorrect. The mons pubis is visible on vulval inspection. B. Incorrect. The clitoris is visible on vulval inspection.
C. The cervix is only visible on speculum examination
D. Incorrect. The labia majora are visible on vulval inspection. E. Incorrect. This is visible on vulval inspection.2. The Simms speculum is useful in the examination of:
a. Vesico-vaginal fistula
b. Stress urinary incontinence
c. Uterine fibroids
d. Rectal carcinoma
e. Vulval carcinoma
A. Correct. The Simms speculum is needed for demonstration of a vesic0-vaginal fistula. B. Incorrect. Stress urinary incontinence is noticed on inspection of the vulva. C. Incorrect. Uterine fibroids are diagnosed on bimanual examination.
D. Incorrect. The Simms speculum is not helpful in this case. E. Incorrect. The Simms speculum is not helpful in this case.3. Which structure is shown by the arrow below?
a. Vaginal wall
b. Urethral orifice
c. Clitoris
d. Cervical os
e. Posterior fornix
A. No. The vaginal wall is lateral to the indicated structure. B. No. The urethral orifice is not visible in the picture. C. No. The clitoris is not visible in the picture.
D. Correct. The arrow is pointing to the cervical os. E. No. The posterior fornix is posterior to the structure shown.