In which position is a gynecological exam performed?

The lithotomy position is the correct choice for a gynecological exam because it allows for optimal access to the pelvic area. In this position, the patient lies on her back with her legs elevated and supported in stirrups. This positioning facilitates the gynecologist's examination of the reproductive organs, making it easier to visualize and access the vulva, vagina, and cervix. Additionally, it provides stability and comfort for both the patient and the clinician during the examination process.

The other positions, although they may be used in general clinical practice, do not provide the same level of access or visibility necessary for a thorough gynecological examination. For instance, the supine position is lying flat on the back, which does not allow for proper positioning of the legs or access to the pelvic area. The sitting position can be useful in many examinations but does not provide the necessary access for a gynecological assessment. The prone position, which involves lying face down, is not suitable for this type of exam as it restricts access to the necessary anatomy. Thus, the lithotomy position is specifically designed to facilitate a comprehensive gynecological examination.