Chapter 15

Question 1

The perineum in the female is the area between which two structures?

Answer 1

vaginal opening and anus

Question 2

the external female genitalia is vascularized by branches of the _____.

Answer 2

pudendal artery

Question 3

the fundus is the ___.

Answer 3

domelike portion of the uterus

Question 4

The fallopian tubes are divided into four regions. Which are the four regions?

Answer 4

Fimbria, isthmus, ampulla, and intramural region

Question 5

Another name given to the fallopian tubes is the __.

Answer 5

oviducts

Question 6

The uterine appendages are the __.

Answer 6

Ovaries and fallopian tubes

Question 7

The ovaries function to

Answer 7

Produce and expel ova

Question 8

the external female genitalia are collectively referred to as the ___.

Answer 8

vulva

Question 9

Arterial blood supply to the fallopian tubes is derived from which arteries?

Answer 9

Uterine, Ovarian

Question 10

Which hormone is responsible for maintaining the growth of the uterine lining in preparation for the fertilized egg?

Answer 10

progesterone

Question 11

The pH of vaginal fluid is ___.

Answer 11

Acidic

Question 12

Which two hormones do the ovaries release?

Answer 12

estrogen and progesterone

Question 13

Which hormone does the corpus luteum secrete?

Answer 13

progesterone

Question 14

arterial blood supply to the uterus is derived from the uterine branch of which artery?

Answer 14

Internal iliac

Question 15

Bartholin’s glands are located where?

Answer 15

within the vestibule

Question 16

The name given to where the fallopian tubes enter into the uterus is called the _____?

Answer 16

Cornu

Question 17

The two hormones from the anterior pituitary that stimulate the ovarian cycle are___?

Answer 17

LH & FSH

Question 18

The three layers of the uterine wall are the ___.

Answer 18

visceral peritoneum, myometrium, and endometrium

Question 19

Which female gland secretes a lubricating mucoid substance?

Answer 19

Bartholin’s Glad

Question 20

Uterine tubes are contained within the ___ ligament?

Answer 20

broad

Question 21

The fornix is the ___.

Answer 21

annular recess created by the cervical-vaginal junction

Question 22

The name of the female erectile tissue located directly above the urethral orifice is known as the___?

Answer 22

Clitoris

Question 23

The internal cervical os is the ___.

Answer 23

aperture at corpus uteri cervical junction

Question 24

The uterine lining is called the ___

Answer 24

endometrium

Question 25

All of the following are parts of the uterus EXCEPT the ____.

Answer 25

Fimbriae

Question 26

How many stages of Labor and Delivery does the pt go through? And what are they?

Answer 26

4 stages 1) complete dilation 2) birth of fetus 3) placenta delivered 4) Recovery

Question 27

In which procedure would the surgeon likely request 8-0 or 9-0 suture?

Answer 27

Tuboplasty

Question 28

What is the name of the routine surgical treatment of infected Bartholin's Gland Cysts?

Answer 28

Marsupialization

Question 29

What color is the abnormal tissue after staining with Lugol's solution in a cervical biopsy?

Answer 29

No color change Normal tissue turns brown

Question 30

What color is the abnormal tissues after staining with acetic acid in a cervical biopsy?

Answer 30

White

Question 31

What is the procedure name for the removal of fibroid tumors of the uterus with the preservation of fertility?

Answer 31

Myomectomy

Question 32

Which incision is MOST frequently used for cesarean sections?

Answer 32

Pfannenstiel

Question 33

What is the MOST common surgical intervention for a vaginal delivery?

Answer 33

Episiotomy

Question 34

Cervical cerclage is performed to

Answer 34

Prevent spontaneous Abortion

Question 35

Which medication may be injected into the uterus for hemostasis, before closure of the uterus in a cesarean section?

Answer 35

Oxytocin

Question 36

What is the name of the fingerlike projections at the terminal end of the fallopian tube that guides ooctyes into the lumen?

Answer 36

Fimbria

Question 37

Which term means the number of times a women has been pregnant?

Answer 37

Gravida

Question 38

Hemostasis drugs are Monsel's solution

Answer 38

Topical hemostasis following cervical biopsy

Question 39

What is the main purpose of putting a bolster sheet or roll under the right hip of a patient just prior to C-Section?

Answer 39

It reduces the pressure of the gravid uterus on the vena cava

Question 40

Which maneuver might be preformed by the surgical technologist during a cesarean section to aid in the delivery as the surgeon gently manipulates the head of the fetus out of the uterus?

Answer 40

Application of the external pressure over the fundus of the uterus

Question 41

Cephalopelvic disproportion is a component of which of the following indications for a cesarean section delivery?

Answer 41

Dystocia

Question 42

Which method of tubal ligation is a less frequently preformed and requires use of long instruments, but may pose a higher risk of postoperative surgical site infection due to the approach?

Answer 42

Colpotomy

Question 43

What is the preferred method of anesthesia for a cesarean section delivery?

Answer 43

Epidural general - for emergency

Question 44

During a C-section what should the stsr be prepared with

Answer 44

prepared to assist with exposure using bladder retractor retractor moved once infants head visible

Question 45

How many counts during a c-section

Answer 45

4 counts - prior skin incision - prior uterus closure - prior closure to abd cavity - prior to skin closure

Question 46

During a tuboplasty what will be useful to retract tube

Answer 46

Babcock clamp

Question 47

Which instrument is used to test the patency of the fallopian tube during tuboplasty?

Answer 47

Lacrimal duct probe & injection of dye

Question 48

During marsupialization what will you want?

Answer 48

aerobic and anaerobic cultures for culture and sensitivity

Question 49

What is the general term for the treatment method that destroys genital condylomata with a carbon dioxide laser?

Answer 49

Ablation

Question 50

Which radiological study might be ordered preoperatively for a patient scheduled for tuboplasty?

Answer 50

hysterosalpingogram

Question 51

Radical Hysterectomy (Wertheim Procedure) takes out what in en-bloc

Answer 51

removal of uterus, bilateral ovaries, fallopian tubes , supporting ligaments , upper 1/3 of vagina, and pelvic lymph nodes.

Question 52

For which procedure would the ST want to be sure to have adequate numbers of Allis and Allis-Adair tissues forceps?

Answer 52

A&P repair

Question 53

When is the first closing count preformed in a cesarean section?

Answer 53

When the 1st suture is given for closure of the uterus

Question 54

Bulb syringes are used in obstetrical delivery procedures to

Answer 54

Suction the mouth and nares of the neonate

Question 55

Which gynecologic procedure is preformed for treatment of urinary incontinence or cystocele?

Answer 55

Anterior Colporrhapy

Question 56

In which of the following procedures would the patient be left without a vagina or any if the female reproductive organs and have a permanent colostomy and ileostomy?

Answer 56

Total Pelvic Exenteration

Question 57

Tubal Ligation is preformed for

Answer 57

Elective Sterilization

Question 58

Cherney, Maylard, and Pfannenstiel are examples of gynecologic

Answer 58

Transverse abd Incisions

Question 59

Which of the following is routinely done first in a basic gynecologic laparoscopy that may require a small separate setup and glove change before proceeding/

Answer 59

Insertion of uterine manipulator

Question 60

Which gynecologic procedure is used for visualization of the endometrium and may be used to treat polyps or myomas?

Answer 60

Laparoscopy

Question 61

Which of the following procedures would likely be assigned to a Class 3 and Class 4 wound and may require aerobic and anaerobic culture tubes?

Answer 61

Marsupialization of Bartholin's Cyst

Question 62

Which pistol-grip type of instrument might be found in a D&C tray for cervical biopsy?

Answer 62

Tischler

Question 63

Which of the following is the largest supporting ligament in the female pelvis that has anterior and posterior leaves?

Answer 63

Broad

Question 64

Total abdominal hysterectomy is assigned which wound classification

Answer 64

Class 2

Question 65

Which paired ligaments are encountered and ligated last in an abdominal hysterectomy and first in a vaginal hysterectomy?

Answer 65

Uterosacral

Question 66

The term adenexa refers to which gynecologic anatomical structures?

Answer 66

Fallopian tubes, ovaries and infundibulum

Question 67

Which of the following procedures does NOT require a incision, use if trocars, or distention with gas or fluid?

Answer 67

Colposcopy

Question 68

Which of the following types of stirrups would likely be used for a laparoscopically assisted vaginal hysterectomy (LAVH)?

Answer 68

Allen low lithotomy

Question 69

Radionuclide seeds are used to treat?

Answer 69

Uterine/Cervical Carcinoma

Question 70

Which of the following statements in CORRECT regarding anatomical changes following pelvic exenteration?

Answer 70

Colostomy will exit on the left and ileostomy on the right side of the abdomen

Question 71

For which producer would the gynecologist likely wear surgical loupes?

Answer 71

Tubal Reanastomosis

Question 72

Which of the following is a serum analysis done to detect ovarian carcinoma

Answer 72

CA125

Question 73

Which muscle is incised in transverse abdominal approaches for gynecological procedures?

Answer 73

anterior rectus

Question 74

Extension of peritoneal cavity between the back wall of the uterus and the rectum also called a cul-de-sac

Answer 74

Pouch of Douglas