During withdrawal, what should be inspected?

• A. Vaginal Walls For Masses, Lesions, Discharge, Or Bulging
• B. Cervix For Lesions
• C. Uterus For Size
• D. Ovaries For Tenderness

Answer: (A)

During a pelvic exam with a speculum, the withdrawal phase is when you closely inspect the vaginal canal itself. This part of the exam focuses on the vaginal walls for any masses, lesions, unusual discharge, or bulging that could indicate prolapse or other vaginal pathology. The cervix, uterus, and ovaries are not primarily evaluated by this visual check during withdrawal: the cervix is assessed during the initial inspection and with the speculum still in place, while uterus size and ovarian tenderness are determined through bimanual or abdominal examination (and sometimes imaging), not by visual inspection of the vaginal walls alone. So the best focus during withdrawal is checking the vaginal walls for those signs.