Identify
Observe the blade shape and double-ended construction.
LOOK CLOSELY / UNDERSTAND CLEARLY
Identify a Sims-type retractor and distinguish it from a bivalve speculum.

One end of the double-ended retractor in this historical illustration.
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sims speculum — reference view
Image: Unknown authorUnknown author · Source / original · Public domainResized and converted to WebP; original colours retained.
A shaped blade retracts a vaginal wall to provide exposure; it does not open with a paired-blade screw mechanism.
Observe the blade shape and double-ended construction.
Explain manual retraction versus self-retaining bivalve opening.
Maintain consent, privacy, comfort and the appropriate examination setting.
Try answering aloud, then open the suggested answer. Examiner questions vary.
No. It is a retraction design rather than a paired opening mechanism.
They provide alternative sizes or depths.
Its main role is vaginal-wall retraction for exposure.
No. Stop and follow appropriate clinical care and communication.