妇科检查 The Pelvic Exam and Pap Test

By the end of this module you can…

• Explain the exam and the chaperone routine before anything happens.
• Ask for consent plainly, and give her a stop signal she can use at any time.
• Talk her through changing, covering and each step of the exam, just before it happens.
• Explain the Pap and HPV tests, and who needs them when, in plain words.
• Slow down, pause or stop when the exam is hard for her, without asking why.

Key vocabulary

Sixteen words from this module. Tap the speaker to hear each one.

The exam

• 妇科检查fù kē jiǎn cháPelvic exam
• 病号服bìng hào fúPatient gown
• 单子dān ziSheet; drape
• 窥器kuī qìSpeculum
• 手套shǒu tàoGloves
• 润滑剂rùn huá jìLubricant
• 宫颈gōng jǐngCervix
• 乳房检查rǔ fáng jiǎn cháBreast exam

Tests and feelings

• 宫颈涂片gōng jǐng tú piànPap test
• HPV检测HPV jiǎn cèHPV test
• 筛查shāi cháScreening
• 结果jié guǒResults
• 叫停jiào tíngTo call a stop
• 深呼吸shēn hū xīTo take a deep breath
• 有点凉yǒu diǎn liángA bit cool
• 有点胀yǒu diǎn zhàngA full, pressing feeling

Ten core phrases

The lines from this module’s take-home phrase sheet. In the course you can print them on one page for your pocket.

1. 检查之前，我先说一下要做什么。Jiǎn chá zhī qián, wǒ xiān shuō yí xià yào zuò shén me.Before the exam, let me explain what I’ll do.
2. 检查的时候会有一位护士在旁边，这是我们的常规。Jiǎn chá de shí hou huì yǒu yí wèi hù shi zài páng biān, zhè shì wǒ men de cháng guī.A nurse will be in the room. That’s our routine.
3. 以前做检查的时候，有没有什么不好的经历？Yǐ qián zuò jiǎn chá de shí hou, yǒu méi yǒu shén me bù hǎo de jīng lì?Has anything about past exams been hard for you?
4. 您同意做这个检查吗？Nín tóng yì zuò zhè ge jiǎn chá ma?Do you agree to have this exam?
5. 您随时可以叫停，我马上停下来。Nín suí shí kě yǐ jiào tíng, wǒ mǎ shàng tíng xià lai.You can say stop at any time, and I’ll stop.
6. 我先出去，您换好了叫我。Wǒ xiān chū qu, nín huàn hǎo le jiào wǒ.I’ll step out. Call me when you’re ready.
7. 脚放在脚蹬上，膝盖慢慢往两边分开。Jiǎo fàng zài jiǎo dēng shang, xī gài màn man wǎng liǎng biān fēn kāi.Feet in the footrests; let your knees fall open.
8. 现在要放窥器了，会有点凉，有点胀。Xiàn zài yào fàng kuī qì le, huì yǒu diǎn liáng, yǒu diǎn zhàng.The speculum now: a bit cool, a bit full.
9. 检查做完了，您可以慢慢坐起来，穿好衣服。Jiǎn chá zuò wán le, nín kě yǐ màn man zuò qǐ lai, chuān hǎo yī fu.All done. Sit up slowly and get dressed.
10. 结果出来以后，医生会跟您联系。Jié guǒ chū lai yǐ hòu, yī shēng huì gēn nín lián xì.The doctor will contact you with the results.

What’s in Module 3

1. Part 1 · Warm-UpWarm-Up: Before the Exam
2. Part 2 · The Words for the ExamReading the Pinyin · Saying 下面 vs. Charting 外阴 · Vocabulary · Flash Cards · The Visit at a Glance
3. Part 3 · Consent and the ExamThe Pap Test Script · Consent, Asked Well · Key Patterns · Changing and Covering · The Exam, Step by Step · The Pap and HPV Tests
4. Part 4 · Care and RespectThe Chaperone · When the Exam Is Hard · The Breast Exam
5. Part 5 · Concerns & ScreeningWhat Patients Say · Who Needs a Pap Test, and When · Putting It Together
6. Part 6 · Role-PlayRound 1 · Guided Conversation · Round 2 · Controlled Practice · Rounds 3, 4 & 5 · Independent
7. Part 7 · Knowledge CheckModule 3 Knowledge Check
8. Part 8 · Wrap-UpModule 3 Homework · Take-Home Phrase Sheet · Module 3 Wrap-Up · 下次见