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← Obstetrics & Gynaecology / 4th Year / MBBS

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Bivalve vaginal speculum

Recognise a bivalve speculum and discuss consent, privacy and appropriate examination.

REFERENCE GALLERY1 / 1 reference
bivalve speculum — reference view
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Blades

The two opposed blades in this bivalve reference.

Zoom in, then drag to inspect. Keyboard: + / − to zoom, arrows to pan, 0 to reset. Tap the numbered markers to explore parts.

bivalve speculum — reference view

Image: Author credited at source · Source / original · CC BY-SA 2.0 fr

Resized and converted to WebP; original colours retained.

Bivalve vaginal speculum

Identify and explain

Two blades separate the vaginal walls to permit inspection when clinically indicated.

  • Paired opening blades
  • Handle or operating levers
  • Retaining or locking mechanism
1

Consent

Explain the reason, seek informed consent and follow chaperone policy.

2

Identify

Distinguish a self-retaining bivalve design from a Sims retractor.

3

Care

Size, comfort, infection prevention and stopping when requested matter.

At the viva table

Try answering aloud, then open the suggested answer. Examiner questions vary.

01 / Is an intimate examination performed without explanation?

No. Explain the purpose and obtain appropriate consent.

02 / Does every speculum retain itself open?

No. Designs differ; Sims-type instruments commonly require separate support.

03 / What does it expose?

The vaginal walls and cervix when the examination is appropriate and the view permits.

04 / Does this instrument diagnose a condition by itself?

No. Findings require clinical interpretation.

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