Chapter 15 Flashcards

1
Q

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

A

vaginal opening and anus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

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

A

pudendal artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

the fundus is the ___.

A

domelike portion of the uterus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

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

A

Fimbria, isthmus, ampulla, and intramural region

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Another name given to the fallopian tubes is the __.

A

oviducts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

The uterine appendages are the __.

A

Ovaries and fallopian tubes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The ovaries function to

A

Produce and expel ova

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

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

A

vulva

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

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

A

Uterine, Ovarian

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

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

A

progesterone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The pH of vaginal fluid is ___.

A

Acidic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which two hormones do the ovaries release?

A

estrogen and progesterone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which hormone does the corpus luteum secrete?

A

progesterone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

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

A

Internal iliac

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Bartholin’s glands are located where?

A

within the vestibule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

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

A

Cornu

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

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

A

LH & FSH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

The three layers of the uterine wall are the ___.

A

visceral peritoneum, myometrium, and endometrium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Which female gland secretes a lubricating mucoid substance?

A

Bartholin’s Glad

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Uterine tubes are contained within the ___ ligament?

A

broad

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

The fornix is the ___.

A

annular recess created by the cervical-vaginal junction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

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

A

Clitoris

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

The internal cervical os is the ___.

A

aperture at corpus uteri cervical junction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

The uterine lining is called the ___

A

endometrium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

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

A

Fimbriae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

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

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

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

A

Tuboplasty

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

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

A

Marsupialization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

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

A

No color change
Normal tissue turns brown

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

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

A

White

31
Q

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

A

Myomectomy

32
Q

Which incision is MOST frequently used for cesarean sections?

A

Pfannenstiel

33
Q

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

A

Episiotomy

34
Q

Cervical cerclage is performed to

A

Prevent spontaneous Abortion

35
Q

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

A

Oxytocin

36
Q

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

A

Fimbria

37
Q

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

A

Gravida

38
Q

Hemostasis drugs are
Monsel’s solution

A

Topical hemostasis following cervical biopsy

39
Q

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

A

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

40
Q

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?

A

Application of the external pressure over the fundus of the uterus

41
Q

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

A

Dystocia

42
Q

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?

A

Colpotomy

43
Q

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

A

Epidural
general - for emergency

44
Q

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

A

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

45
Q

How many counts during a c-section

A

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

46
Q

During a tuboplasty what will be useful to retract tube

A

Babcock clamp

47
Q

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

A

Lacrimal duct probe & injection of dye

48
Q

During marsupialization what will you want?

A

aerobic and anaerobic cultures for culture and sensitivity

49
Q

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

A

Ablation

50
Q

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

A

hysterosalpingogram

51
Q

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

A

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

52
Q

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

A

A&P repair

53
Q

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

A

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

54
Q

Bulb syringes are used in obstetrical delivery procedures to

A

Suction the mouth and nares of the neonate

55
Q

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

A

Anterior Colporrhapy

56
Q

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?

A

Total Pelvic Exenteration

57
Q

Tubal Ligation is preformed for

A

Elective Sterilization

58
Q

Cherney, Maylard, and Pfannenstiel are examples of gynecologic

A

Transverse abd Incisions

59
Q

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/

A

Insertion of uterine manipulator

60
Q

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

A

Laparoscopy

61
Q

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?

A

Marsupialization of Bartholin’s Cyst

62
Q

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

A

Tischler

63
Q

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

A

Broad

64
Q

Total abdominal hysterectomy is assigned which wound classification

A

Class 2

65
Q

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

A

Uterosacral

66
Q

The term adenexa refers to which gynecologic anatomical structures?

A

Fallopian tubes, ovaries and infundibulum

67
Q

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

A

Colposcopy

68
Q

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

A

Allen low lithotomy

69
Q

Radionuclide seeds are used to treat?

A

Uterine/Cervical Carcinoma

70
Q

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

A

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

71
Q

For which producer would the gynecologist likely wear surgical loupes?

A

Tubal Reanastomosis

72
Q

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

A

CA125

73
Q

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

A

anterior rectus

74
Q

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

A

Pouch of Douglas