During a pelvic examination, which technique involves inserting two fingers into the vagina and placing the other hand on the abdomen to palpate the uterus and ovaries, noting cervical motion tenderness and adnexal masses?

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Multiple Choice

During a pelvic examination, which technique involves inserting two fingers into the vagina and placing the other hand on the abdomen to palpate the uterus and ovaries, noting cervical motion tenderness and adnexal masses?

Explanation:
The technique described is a bimanual examination. By inserting two fingers into the vagina and placing the other hand on the abdomen, the clinician can palpate the uterus and ovaries from both sides. This allows assessment of size, position, consistency, and mobility, and it helps detect cervical motion tenderness and adnexal masses. Cervical motion tenderness—pain with moving the cervix—can indicate inflammation such as pelvic inflammatory disease, while adnexal masses point to possible ovarian or tubal pathology. Other pelvic exam techniques have different roles: a speculum exam visualizes the cervix and vaginal walls; a wet prep analyzes vaginal secretions under a microscope; an external exam only inspects the external genitalia.

The technique described is a bimanual examination. By inserting two fingers into the vagina and placing the other hand on the abdomen, the clinician can palpate the uterus and ovaries from both sides. This allows assessment of size, position, consistency, and mobility, and it helps detect cervical motion tenderness and adnexal masses. Cervical motion tenderness—pain with moving the cervix—can indicate inflammation such as pelvic inflammatory disease, while adnexal masses point to possible ovarian or tubal pathology. Other pelvic exam techniques have different roles: a speculum exam visualizes the cervix and vaginal walls; a wet prep analyzes vaginal secretions under a microscope; an external exam only inspects the external genitalia.

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