Which pelvic exam position places the patient with thighs flexed, abducted, and externally rotated?

• A. Lithotomy position
• B. Supine with legs together
• C. Prone position
• D. Trendelenburg

Answer: (A)

The main idea being tested is which position best exposes the genital tract for a pelvic exam. The chosen position—where the hips are flexed, the thighs are abducted, and the legs are externally rotated—provides optimal access to the vagina and cervix. This is the lithotomy position: the patient lies on the back with hips and knees flexed, thighs spread apart (often in stirrups) so the vulva is easily reachable and the provider can perform the exam comfortably and safely.

Other positions don’t offer the same exposure. Lying supine with the legs together keeps the thighs close and the vulvar area less accessible. Prone position places the patient face down, not conducive to vaginal or cervical assessment. Trendelenburg involves tilting the patient with the head lower than the feet, which serves different clinical purposes and isn’t used for routine pelvic exams.