Which position is commonly used for pelvic examinations and Pap smears?

• A. Supine position.
• B. Lithotomy position.
• C. Prone position.
• D. Left lateral recumbent.

Answer: (B)

Access to the vaginal canal and cervix for a pelvic exam and Pap smear is best obtained in the lithotomy position. In this position the patient lies on the back with hips flexed, thighs abducted and supported (often in stirrups). This arrangement provides full exposure of the genital area, creates a straight path for inserting the speculum, and allows easy access to the cervix for sampling, while also helping the clinician maintain proper posture and control during the procedure. Other positions don’t offer the same combination of visibility and instrument access: a plain supine position offers less exposure, prone places the patient face down and makes the cervix inaccessible, and left lateral recumbent is used for different exams and would not provide optimal access for a Pap smear.