1. A twenty-year-old female complains of a milky discharge bilaterally fromherbreasts. This suggests:: Answer Pregnancy or elevated prolactin level 2. The vaginal mucosa lies in transverse folds called the:: Answer Rugae 3. In which of the following situations would it be difficult for the examiner topalpate an ovary during the bimanual vaginal exam?: Answer A woman who is anxious 4. When performing a rectal exam on a female, a hard nodular rectal "shelf"is palpable at the tip of the examiner's finger.This finding is suggestive of:: Answer metastatic tissue in the rectouterine pouch 5. Retraction of the nipple and areola suggest:: Answer an underlying breast mass 6. To assess pelvic floor muscle strength during the bimanual vaginal exam,have the patient squeeze around the inserted fingers for long as a possible. Th consider full strength, snug compression should last for:: Answer 3 seconds 7. A female patient presents with a gray, thin, malodorous (fishy) vaginaldischarge these symptoms are most consistent with:: Answer Bacterial vaginosis