Which set of structures is typically assessed in a bimanual exam?

• A. Cervix, Uterus, And Adnexa
• B. Vagina Only
• C. Uterus And Ovaries
• D. Cervix And Uterus

Answer: (A)

In a bimanual pelvic exam, you use two hands to palpate pelvic organs through a vaginal approach with one hand and pressing from the abdomen with the other. This allows you to evaluate three primary structures: the cervix, the uterus, and the adnexa (ovaries and surrounding structures). Assessing the cervix helps detect tenderness, mobility, and any cervical changes; evaluating the uterus lets you judge size, contour, and mobility; and examining the adnexa reveals masses or tenderness that could indicate ovarian or tubal pathology. Together, these three areas provide a comprehensive view of pelvic anatomy and potential gynecologic issues.

Other options fall short because they omit one or more of these essential structures: focusing on the vagina alone misses the uterus and adnexa; considering the uterus and ovaries excludes the cervix; and looking at cervix and uterus omits the adnexa.