Identify the article in the following image.

Appeared in: DSSSB October 2024

Explanation

The image displays a Hodge-Smith pessary, identified by its unique rigid, rectangular shape with one end more curved than the other.
This device is a type of support pessary inserted into the vagina to correct a retroverted (tilted) uterus or manage mild pelvic organ prolapse.
It functions by resting between the posterior vaginal fornix and the pubic bone, effectively repositioning and supporting the uterus.
The shape is specifically designed to fit the vaginal anatomy for effective support and patient comfort.

Option A: A Laminaria tent is a thin, hygroscopic rod used for gradual cervical dilation, not a ring-shaped support device.
Option B: A pelvimeter is a caliper-like instrument for measuring pelvic dimensions (pelvimetry), which looks entirely different.
Option D: A cranioclast and cephalotribe are large, heavy, destructive forceps used in embryotomy procedures, which bear no resemblance to the pessary.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of gynecological instruments as background academic context rather than a clinical decision trigger.
Nurses play a key role in patient education regarding pessary care, including insertion, removal, and cleaning schedules to prevent complications like vaginal discharge, odor, or ulceration.
It is a crucial non-surgical option for managing pelvic organ prolapse, and nurses must be able to identify different types and understand their indications.
A nurse assessing a patient with a pessary must inspect the vaginal walls for any signs of pressure sores, erosion, or granulation tissue, which requires prompt reporting and management.

How to Approach the Question

First, carefully examine the image provided. Note the object's shape, material, and any distinct features. The object is a rigid, dark, ring-like structure with a specific asymmetrical curve.
Next, read the question and all the options provided. The question asks for the identification of the object.
Evaluate each option against your visual analysis. A 'Laminaria tent' is a rod. A 'Pelvimeter' is a caliper. A 'Cranioclast' is a large forceps. None of these match the image.
Consider the 'Hodge-Smith pessary'. A pessary is a support device. The specific shape in the image is characteristic of a Hodge-type pessary.
Conclude that the object is a Hodge-Smith pessary based on the visual match and knowledge of gynecological instruments.

Concept Tested & Keywords

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E6 Gynecology Williams p. 132-159

Practise the full DSSSB October 2024

Attempt every question from this paper in a timed mock, then review the full solution for each one.