Certified Medical Assistant (CMA AAMA)Procedures, Examinations and DiagnosticsMedium
A physician orders a pelvic examination with speculum insertion. Which patient position should the medical assistant prepare?
- ALithotomy position
- BTrendelenburg position
- CFowler position
- DSims position
Show answer & explanationAnswer & explanation
Correct answer: A. Lithotomy position
The lithotomy position, with the patient supine, hips and knees flexed, and feet in stirrups, provides optimal access for pelvic and vaginal examinations, including speculum insertion.
Why the other options are wrong
- B. Trendelenburg tilts the body head-down and is used for certain surgical or shock treatments.
- C. Fowler position is a seated/reclining position used for respiratory or upper body exams.
- D. Sims position is used for rectal exams and enemas, not pelvic exams.
Lithotomy Position
A supine position with hips and knees flexed and feet supported in stirrups, used for pelvic, vaginal, and rectal exams.
- Patient lies on back with feet in stirrups
- Provides access for speculum exams and pap smears
- Also used for childbirth and some urologic procedures
Memory trick: 'Lithotomy = Legs in stirrups for Lower exams'