Patient Care Technician Certification (PCTC) AMCA Practice Exam

Which position is used for peritoneal and vaginal examinations?

1. Fowler's

2. Sims

3. Lithotomy

4. Trendelenburg

The correct answer is: Lithotomy

The lithotomy position is specifically designed for procedures that require access to the pelvic area, making it the standard position for both peritoneal and vaginal examinations. In this position, the patient lies on their back with the legs elevated and spread apart, typically secured in stirrups. This arrangement allows healthcare providers to have optimal visibility and access to the reproductive organs and peritoneal cavity during examinations and surgical procedures. Other positions, while useful in various contexts, do not provide the same level of access or comfort for pelvic examinations. For instance, Fowler's position is ideal for patients who need to increase lung capacity or have respiratory issues; Sims position is often used for rectal examinations or procedures; and the Trendelenburg position is used primarily for patients experiencing shock or for certain surgical situations to increase blood flow to the brain. These positions do not facilitate the necessary exposure or access needed for vaginal or peritoneal examinations.