AIIMS Delhi NO - 2018: The following instrument is used for the collection of?& x20;

AIIMS Delhi NO - 2018

Obstetrics & Gynaecology

Easy

Appeared in: AIIMS Delhi NO - 2018

Explanation

The instrument shown is an Ayre's spatula, a tool specifically designed for gynecological procedures.
Its unique shape is contoured to fit the cervix, allowing for effective scraping of cells from the ectocervix and transformation zone.
This procedure is known as a Pap smear, which is a screening test for cervical cancer.
The spatula collects exfoliated cells for cytological examination to detect any abnormalities.

Option B: Sputum is phlegm from the respiratory tract, not the cervix. Its collection does not involve a spatula of this type.
Option C: A stool specimen is collected to test for gastrointestinal issues, such as infections, bleeding, or parasites. An Ayre's spatula is not used for this purpose.
Option D: Wound specimens are collected to identify infectious organisms in a wound. The Ayre's spatula is not sterile and its shape is unsuitable for this task.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification and use of gynecological instruments for specimen collection as background academic context rather than a clinical decision trigger.
The Pap smear, using instruments like the Ayre's spatula, is a cornerstone of women's preventive health, leading to a significant reduction in mortality from cervical cancer through early detection.
Nurses play a crucial role in educating patients about the importance of regular Pap tests, preparing them for the procedure, and ensuring the specimen is collected and handled correctly to avoid false-negative results.
What if? If the patient were postmenopausal with a stenotic (narrowed) cervical os, an Ayre's spatula alone might be insufficient. A cytobrush (endocervical brush) would be more critical to obtain an adequate sample from the endocervical canal, where the transformation zone may have receded.

How to Approach the Question

First, carefully examine the image to identify the instrument. Note its distinct shape: flat with a bifurcated, contoured end.
Recall or deduce the function of medical instruments with this specific design. This shape is purpose-built for scraping a curved surface.
Connect the instrument to a specific medical procedure. The Ayre's spatula is classically associated with the Pap smear.
Evaluate the options provided. The purpose of a Pap smear is to collect a cervical specimen.
Select the option that matches the instrument's function. 'Cervical specimen' is the correct choice.
Eliminate the other options by considering the standard collection methods for each: sputum (coughing into a cup), stool (collection pan), and wound (sterile swab).

Concept Tested & Keywords

Concept Tested: Identification and use of gynecological instruments for specimen collection.
Stem keywords: instrument, collection
Lead-in keywords: used for
Clinical cues: The unique, bifurcated shape of the instrument is a key identifier for an Ayre's spatula.

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