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Anatomy Pelvis and Perineum 2 afe0ebc5

A 29-year-old woman with a ruptured ectopic pregnancy is admitted to a hospital for culdocentesis. A long needle on the syringe is most efficiently inseed through which of the following structures?

A
Anterior fornix of the vagina
B
Posterior fornix of the vagina
C
Anterior wall of the rectum
D
Posterior wall of the uterine body
High-Yield Explanation
A needle should be inseed through the posterior fornix, just below the posterior lip of cervix while the patient is in supine position, to aspirate abnormal fluid in the cul-de-sac of Douglas (rectouterine pouch). Rectouterine excavation is not most efficiently aspirated by puncture of other structures.

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