Chapter 15 Flashcards
The perineum in the female is the area between which two structures?
vaginal opening and anus
the external female genitalia is vascularized by branches of the _____.
pudendal artery
the fundus is the ___.
domelike portion of the uterus
The fallopian tubes are divided into four regions. Which are the four regions?
Fimbria, isthmus, ampulla, and intramural region
Another name given to the fallopian tubes is the __.
oviducts
The uterine appendages are the __.
Ovaries and fallopian tubes
The ovaries function to
Produce and expel ova
the external female genitalia are collectively referred to as the ___.
vulva
Arterial blood supply to the fallopian tubes is derived from which arteries?
Uterine, Ovarian
Which hormone is responsible for maintaining the growth of the uterine lining in preparation for the fertilized egg?
progesterone
The pH of vaginal fluid is ___.
Acidic
Which two hormones do the ovaries release?
estrogen and progesterone
Which hormone does the corpus luteum secrete?
progesterone
arterial blood supply to the uterus is derived from the uterine branch of which artery?
Internal iliac
Bartholin’s glands are located where?
within the vestibule
The name given to where the fallopian tubes enter into the uterus is called the _____?
Cornu
The two hormones from the anterior pituitary that stimulate the ovarian cycle are___?
LH & FSH
The three layers of the uterine wall are the ___.
visceral peritoneum, myometrium, and endometrium
Which female gland secretes a lubricating mucoid substance?
Bartholin’s Glad
Uterine tubes are contained within the ___ ligament?
broad
The fornix is the ___.
annular recess created by the cervical-vaginal junction
The name of the female erectile tissue located directly above the urethral orifice is known as the___?
Clitoris
The internal cervical os is the ___.
aperture at corpus uteri cervical junction
The uterine lining is called the ___
endometrium
All of the following are parts of the uterus EXCEPT the ____.
Fimbriae
How many stages of Labor and Delivery does the pt go through?
And what are they?
4 stages
1) complete dilation
2) birth of fetus
3) placenta delivered
4) Recovery
In which procedure would the surgeon likely request 8-0 or 9-0 suture?
Tuboplasty
What is the name of the routine surgical treatment of infected Bartholin’s Gland Cysts?
Marsupialization
What color is the abnormal tissue after staining with Lugol’s solution in a cervical biopsy?
No color change
Normal tissue turns brown
What color is the abnormal tissues after staining with acetic acid in a cervical biopsy?
White
What is the procedure name for the removal of fibroid tumors of the uterus with the preservation of fertility?
Myomectomy
Which incision is MOST frequently used for cesarean sections?
Pfannenstiel
What is the MOST common surgical intervention for a vaginal delivery?
Episiotomy
Cervical cerclage is performed to
Prevent spontaneous Abortion
Which medication may be injected into the uterus for hemostasis, before closure of the uterus in a cesarean section?
Oxytocin
What is the name of the fingerlike projections at the terminal end of the fallopian tube that guides ooctyes into the lumen?
Fimbria
Which term means the number of times a women has been pregnant?
Gravida
Hemostasis drugs are
Monsel’s solution
Topical hemostasis following cervical biopsy
What is the main purpose of putting a bolster sheet or roll under the right hip of a patient just prior to C-Section?
It reduces the pressure of the gravid uterus on the vena cava
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?
Application of the external pressure over the fundus of the uterus
Cephalopelvic disproportion is a component of which of the following indications for a cesarean section delivery?
Dystocia
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?
Colpotomy
What is the preferred method of anesthesia for a cesarean section delivery?
Epidural
general - for emergency
During a C-section what should the stsr be prepared with
prepared to assist with exposure using bladder retractor
retractor moved once infants head visible
How many counts during a c-section
4 counts
- prior skin incision
- prior uterus closure
- prior closure to abd cavity
- prior to skin closure
During a tuboplasty what will be useful to retract tube
Babcock clamp
Which instrument is used to test the patency of the fallopian tube during tuboplasty?
Lacrimal duct probe & injection of dye
During marsupialization what will you want?
aerobic and anaerobic cultures for culture and sensitivity
What is the general term for the treatment method that destroys genital condylomata with a carbon dioxide laser?
Ablation
Which radiological study might be ordered preoperatively for a patient scheduled for tuboplasty?
hysterosalpingogram
Radical Hysterectomy (Wertheim Procedure) takes out what in en-bloc
removal of uterus, bilateral ovaries,
fallopian tubes , supporting ligaments , upper 1/3 of vagina,
and pelvic lymph nodes.
For which procedure would the ST want to be sure to have adequate numbers of Allis and Allis-Adair tissues forceps?
A&P repair
When is the first closing count preformed in a cesarean section?
When the 1st suture is given for closure of the uterus
Bulb syringes are used in obstetrical delivery procedures to
Suction the mouth and nares of the neonate
Which gynecologic procedure is preformed for treatment of urinary incontinence or cystocele?
Anterior Colporrhapy
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?
Total Pelvic Exenteration
Tubal Ligation is preformed for
Elective Sterilization
Cherney, Maylard, and Pfannenstiel are examples of gynecologic
Transverse abd Incisions
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/
Insertion of uterine manipulator
Which gynecologic procedure is used for visualization of the endometrium and may be used to treat polyps or myomas?
Laparoscopy
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?
Marsupialization of Bartholin’s Cyst
Which pistol-grip type of instrument might be found in a D&C tray for cervical biopsy?
Tischler
Which of the following is the largest supporting ligament in the female pelvis that has anterior and posterior leaves?
Broad
Total abdominal hysterectomy is assigned which wound classification
Class 2
Which paired ligaments are encountered and ligated last in an abdominal hysterectomy and first in a vaginal hysterectomy?
Uterosacral
The term adenexa refers to which gynecologic anatomical structures?
Fallopian tubes, ovaries and infundibulum
Which of the following procedures does NOT require a incision, use if trocars, or distention with gas or fluid?
Colposcopy
Which of the following types of stirrups would likely be used for a laparoscopically assisted vaginal hysterectomy (LAVH)?
Allen low lithotomy
Radionuclide seeds are used to treat?
Uterine/Cervical Carcinoma
Which of the following statements in CORRECT regarding anatomical changes following pelvic exenteration?
Colostomy will exit on the left and ileostomy on the right side of the abdomen
For which producer would the gynecologist likely wear surgical loupes?
Tubal Reanastomosis
Which of the following is a serum analysis done to detect ovarian carcinoma
CA125
Which muscle is incised in transverse abdominal approaches for gynecological procedures?
anterior rectus
Extension of peritoneal cavity between the back wall of the uterus and the rectum also called a cul-de-sac
Pouch of Douglas
