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minor surgical procedures > ch 15 minors > Flashcards

ch 15 minors Flashcards

1
Q

What do the external organs, referred to collectively as the “vulva” refer to?

A

Mons pubis, labia majora, labia minora, opening and urethral opening

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2
Q

a perineal gland, and ducts are located on each side of the lower end of the vagina

A

bartholin’s glands

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3
Q

These narrow ducts open into the vaginal orfice on the inner aspects of the labia inflammed

A

bartholins glands

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4
Q

The greek word —— meaning ‘trumpet” or tube is used to refer to the fallopian tubes

A

Salpinx

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5
Q

Fallopian tubes are how lo — to — cm long, forming the canals through peristaltic action of the muscular layer and the cilary movement propel the ova toward the uterus.

A

10 to 13 cm

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6
Q

a ——- with colpomicroscopy is often performed in the physicians office

A

colposcopy

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7
Q

a colpomicroscopy, examination is indicated for the pt with abnormal papanicolaou (pap smear) suggestive of ——–. it identifies cellular abnormalities that may involve the vulva, vagina or cervic.

A

Dysplasia

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8
Q

—— ——- samples may be obtained during the colposcopic proceudre to rule out invasive carcinoma or to detect early adenocarcinoma

A

endocervical curette

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9
Q

conditions treated by ——- ——- include congenital diaphragmatic hernia, congenital cystic adenomatioid malformation, brochopulmonary sequestration, obstructive uropathy, sacroccygeal teratomas, twin to twin transfusion, thoracic lesions, twin reversed arterial perfusion, monochorionic twins, discordant twins and myelomeningocele.

A

Fetal Surgery

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10
Q

—– —— may be accomplished by way of laparotomy, or in some instances with endoscopic techniques

A

Fetal Surgery

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11
Q

——- are medications that increase motor activity within the uterus by hormonal stimulation or by direct stimulation on the smooth muscles, usually resulting in uterine contractions. They may be used intra op and post op

A

oxytocins

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12
Q

Nursing conciderations after administration of oxytocins

A

monitor blood pressure, asses for continued bleeding, monitor fundal response to the drug

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13
Q

—– —– consists of the iliac crest, ischia, pubic bones, and sacrum

A

pelvic girdle

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14
Q

—– —— are located within the vestibule

A

Bartholins Glands

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15
Q

The ph of vaginal fluid is

A

acidic

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16
Q

Uterine lining is called the

A

endometrium

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17
Q

the ligament that supports the bulk of the ovary is called the

A

suspinsory ligament

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18
Q

the uterine tubes are contained within the —– ——-

A

broad ligament

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19
Q

What are the uterine appendages

A

ovaries and fallopian tubes

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20
Q

—— ——- cause the decent of the fetus through the pelvic canal

A

uterine contractions

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21
Q

——- indicates the number of pregnancies

A

Gravida

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22
Q

—– —— position is the position the pt is normally put into for a D and C

A

frog legged

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23
Q

what 2 things are needed in the OR for a pt put in lithotomy positon

A

stirrups and foot holders

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24
Q

term to describe abnormal labor or child birth

A

dystocia

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25
Q

a lower transverse abdominal incision

A

pfannenstiel

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26
Q

the internal cervical os is the aperture at —— ——– ——

A

corpus uteri cervical junction

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27
Q

what are the three layers of the uterine wall

A

visceral, peritomeum, myometrium, and endometrium

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28
Q

two hormones from the antirior pituitary that stimulate the ovarian cycle are

A

LH and FSH

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29
Q

what is the most common site for etopic pregnancies

A

fallopian tube

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30
Q

the absence or abnormal stoppage of the menses is called

A

amenorrhea

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31
Q

what is the most significant cause of morbidity in a cesarean section is

A

anesthetic problems

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32
Q

a —- suction device is used to clear a neonates airway in the presence of meconium

A

DeLee

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33
Q

——– ——– is performed to repair a rectocele

A

posterior colporraphy

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34
Q

What catheter is used routinely during pelvic procedures to decompress the bladder to prevent injury

A

Foley

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35
Q

what position is used to prevent injury and enhance visualization by displacing the abdominal contents superiorly

A

Trendelenburg

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36
Q

what procedure involves the total removal of the uterus

A

total abdominal hysterectomy

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37
Q

—— is performed to close an incompetent cervix

A

cerclage

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38
Q

The ovaries fuction to produce and expel

A

ova

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39
Q

what is performed to restore tubal patency

A

Tuboplasty

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40
Q

what is the external female genitalia are collectively reffered to as the

A

vulva

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41
Q

the —— is the fingerlike extensions of the fallopian tubes

A

fundus

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42
Q

the ——- is the annular recess created by the cervical-vaginal junction

A

fornix

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43
Q

the fundus, corpus and cervix are all parts of the ——-

A

uterus

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44
Q

what is performed to rule out cervical dysplasia

A

a pap smear

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45
Q

is an abnormal impantation of endometrial tissue

A

Endometriosis

46
Q

position used for a total abdominal hysterectomy

A

supine

47
Q

indicates that a pouch is created

A

marsupialization

48
Q

a —— is a benign tumor found in the uturus

A

fibroid

49
Q

what is used following a tuboplasty to demonstrate tubal patency

A

indigo carmine

50
Q

What does D and C mean

A

dialate and curettage

51
Q

the prolapse of the bladder into the vaginal vault

A

cystocele

52
Q

——– ——– is used to describe the removal of the uterus through a vaginal incision

A

vaginal hysterectomy

53
Q

what stage of labor is the placenta delivered in

A

3rd

54
Q

——– ——- supply to the uterus is provided by the uterine arteries

A

arterial blood supply

55
Q

a surgicla instrument used to remove tissue by scraping

A

currette

56
Q

what is the most common reason for the performance of a cesarean

A

failure to progress

57
Q

the removal of the fallopian tube is a

A

salpingectomy

58
Q

who can aid in the prevention of adhesion formation following pelvic surgery is to ensure a drain is available for placement

A

ST

59
Q

the external genitalia is vascularized by branches of the —— ———-

A

pudental artery

60
Q

name of the female erectile tissue

A

clitoris

61
Q

the —— ——- secretes a luricating mucoid substance for the vaiginal vault

A

bartholins gland

62
Q

—— in the female is the area between the vaginal opening and the anus

A

perineum

63
Q

what is the uterus lined with

A

endometrium

64
Q

the —— ——- suspends the uterus laterally

A

broad ligament

65
Q

——- ——- suspends the uterus anteriorly

A

cardinal ligament

66
Q

arterial blood supply to the uterus is derived from the uterine branch of the —– —— ——-

A

internal iliac artery

67
Q

another name given to the fallopian tubes is the:

A

oviducts

68
Q

what FOUR regions are the fallopian tubes divided into

A

fimbria, isthmus, ampulla and instramural region

69
Q

name given to where the fallopian tubes enter the uterus is the

A

cornu

70
Q

arterial blood supply to the fallopian tubes is derived from the

A

uterine and ovarian arteries

71
Q

what are the two hormones the ovaries release

A

estrogen and progesterone

72
Q

what does the corpus luteum secrete

A

progesterone

73
Q

——— is responsible for maintaining the growth of the uterine lining in preparation for the fertilized egg

A

progesterone

74
Q

what is a common drug given to induce labor

A

oxytocin

75
Q

what is the best suture choice for closing an episiotomy

A

chromic

76
Q

how many stages in the labor process

A

4

77
Q

what is stage 2 of the labor process

A

complete dialation of the cervix

78
Q

——– are typically placed onto the fascia during a cesarean section

A

kochers

79
Q

how many counts are done on a cesarian section

A

four

80
Q

a ——- procedure is one done that involves the placement of a large diameter Dacron or Mersilene tape around the cervix at the internal os

A

Shirodkar

81
Q

——— is the term used to describe the conversion of a closed cavity into an open pouch

A

marsupialization

82
Q

another name given to an anterior and posterior repair is

A

colphorraphy

83
Q

what is the name given to a fistula that forms between the bladder and vagina

A

vasicovaginal fistula

84
Q

—— is the absorption of the fluid into the vascular system, leading to increased blood pressure and possible death related to fluid overload

A

extravasation

85
Q

——— is a fibrous, benign tumor of the uterus that usually arises from the myometrium

A

leiomyoma

86
Q

what is the area between the posterior vestibule and the anus is the

A

perineum

87
Q

excess bleeding during menses is

A

menorrhagia

88
Q

——- focuses on the treatment and prevention of diseases affecting the female reproductive system

A

Gynecology

89
Q

—— relates to the process of pregnancy and birth parturition

A

Obstetrics

90
Q

——- are small projections that extend from the end of the tube

A

Fimbriae

91
Q

what is a complete cycle called

A

ovarian cycle

92
Q

———- —— procedures require vaginal speculums and long instruments, including uterine clamps and heavy dissecting scissors

A

Transvaginal pelvic procedures

93
Q

———– blue dye is used to identify and trace anatomical structures during assessment

A

Methylene

94
Q

During laparoscopic pelvic surgery, the uterus is retracted with a

A

uterine manipulator

95
Q

a —– is removed intact by sharp dissection and extracted through a specimen retrieval bag using the technique described previously

A

teratoma

96
Q

——- ——- is performed to restore continuity to the fallopian tube, whether to reverse tubal ligation or to treat another condition

A

Tubal anastomostis

97
Q

—- is the removal of the uterus by a combined laparoscopic and vaginal approach

A

LAVH

98
Q

—– includes removal of the uterus and cervix

A

TAH

99
Q

Metzenbaum scissors and long tissue forceps are used by a surgeon to separate the bladder and uterus by dissecting the ——- —— away from the bladder

A

peritoneal covering

100
Q

what is always applied before OBGYN surgery

A

Compression stockings or sequential compression device

101
Q

pelvic exenteration is performed to treat

A

metastatic cancer

102
Q

during hysteroscopy, a —– —— is inserted through the cervix and into the uterus

A

fiberoptic hysteroscope

103
Q

——– is the absorption of the fluid into the vascular system, leading to increased blood pressure and possible death related to fluid overload

A

extravasation

104
Q

——- ——- is performed with a ball tip electrode and resectoscope

A

rollerball ablation

105
Q

a —– is a benign, smooth muscle tumor of the uterus

A

leiomyoma

106
Q

—– is a nearly sterile fecal waste that accumulates while the fetus is in the uterus

A

meconium

107
Q

——– may be performed as a simple or radical procedure

A

vulvectomy

108
Q

is a thick organ that adheres to the uterus on the maternal side

A

placenta

109
Q

2 procedural locations that require separate skin preps due to them being considered contaminated

A

abdominal-perineal and abdominal vaginal

110
Q

the —– or —— prep should be performed first in order to avoid splashing and contaminating the abdomen if it were to be prepped first.

A

Perineal or vaginal

111
Q

Once the perineum or vagina is prepped, the area should be covered with —- —— during the abdominal prep

A

Sterile towels

minor surgical procedures (3 decks)

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