Which statement best describes the bimanual examination?

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

Answer: (B)

Bimanual pelvic examination involves using one hand inside the vagina and the other on the abdomen to assess the uterus and surrounding reproductive organs. The structures you evaluate are the cervix, the uterus, and the adnexa (the ovaries and fallopian tubes). This combination allows you to gauge the size, position, mobility, and tenderness of the uterus and to detect any adnexal masses or tenderness.

The other options don’t fit because the important palpated triad in a bimanual exam isn’t the vagina itself, and it isn’t limited to the uterus alone. The placenta is relevant only in pregnancy, and the fundus is part of the uterus rather than a separate target in describing the routine bimanual examination.