PGIMER Sangrur NO - 2023
Obstetrics and Midwifery Nursing
Easy
During pelvic examination vaginismus is usually seen. It is?
Appeared in: PGIMER Sangrur NO - 2023
Explanation
- Vaginismus is defined as the involuntary spasm or tightening of the muscles at the outer third of the vagina.
- This muscle constriction interferes with any form of vaginal penetration, including sexual intercourse, tampon use, or a gynecological exam with a speculum.
- The reaction is a reflexive response, often triggered by a conscious or unconscious fear of pain, and is not under the person's voluntary control.
- The key feature is the physical muscle spasm, which distinguishes it from other sexual dysfunctions related to arousal or desire.
Why Other Options Were Wrong
- Option B: This describes a condition affecting males, characterized by the inability to achieve or maintain an erection.
- Option C: This describes a lack of psychological or physical response to sexual stimulation, such as lubrication. While anxiety from vaginismus can affect arousal, the core definition of vaginismus is the muscle spasm itself.
- Option D: This is a fungal infection. While it can cause pain and discomfort (dyspareunia), which might trigger a vaginismus response, the infection itself is not the definition of vaginismus.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Definition of Vaginismus as background academic context rather than a clinical decision trigger.
- Recognizing vaginismus is crucial for providing trauma-informed care during gynecological exams. Forcing an examination can cause significant physical and psychological trauma.
- Nurses should prioritize patient comfort, control, and relaxation. Using a smaller speculum, allowing the patient to guide insertion, and ensuring a 'stop' signal can facilitate a successful and less traumatic exam.
- What if? If a patient with known vaginismus also presents with symptoms of a severe yeast infection (Option D), the priority is still to manage the vaginismus-related anxiety first. A gentle external swab might be possible for diagnosis even if a full internal exam is not, and treatment can be initiated based on that.
How to Approach the Question
- This is a definition-based recall question.
- First, identify the key term in the question stem: 'vaginismus'.
- Next, read through each option to find the one that accurately defines this specific medical term.
- Option A directly describes an involuntary muscle spasm related to vaginal penetration, which is the textbook definition of vaginismus.
- Eliminate the other options by identifying the conditions they describe: Option B is erectile dysfunction (male-specific), Option C is a disorder of arousal, and Option D is a fungal infection.
Concept Tested & Keywords
- Concept Tested: Definition of Vaginismus
- Stem keywords: pelvic examination, vaginismus
- Lead-in keywords: It is?
Question ID
QgUNRGMX-Ai40LOx426aib
Reference Book
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) pp. 1665-1667, 1667-1669
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 15645-15647
Practise the full PGIMER Sangrur NO - 2023
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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