text_1: Obese (360 pound) virginal female in for Papanicolaou smear.  Can't get good look at cervix because speculum can't be inserted properly.  What is the truly doing the right thing for her?  (1) using anesthesia to insert speculum and visualize properly or (2) hope that manual exam where not feeling any abnormalities is adequate.
text_2: 360-pound virginal female in for Papanicolaou smear. Can't see cervix.  What is the right thing for her?