Chapter 15 OBGYN Exam Flashcards
Instruments used for closure of the vaginal cuff in total abdominal hysterectomy are:
A) discarded in the trash
B) isolated as contaminated
C) flash sterilized by the circulator
D) used to elevate the fascia during closure
B) isolated as contaminated
Which gynecologic procedure is performed for treatment of urinary incontinence or cystocele?
A) anterior colporrhaphy
B) posterior colporrhaphy
C) Shirodkar procedure
D) Wertheim’s procedure
A) anterior colporrhaphy
Term that means the number of times a woman has given birth is
A) Gravida
B) Parity
C) Obstetric history
D) multiple presentation
B) Parity
Which of the following is a self retaining retractor?
A) Graves
B) Auvard
C) O’Sullivan - O’Connor
D) Heaney
C) O’Sullivan - O’Connor
Which paired ligaments are encountered and ligated last in an abdominal hysterectomy and first in a vaginal hysterectomy?
A) cardinal
B) infundibulopelvic
C) round
D) uterosacral
D) uterosacral
For a dilation and curettage (D&C), which of the following orders of instrument use is CORRECT for endometrial biopsy?
A) cervical dilators, uterine sound, weighted vaginal speculum, tenaculum, endometrial curettes
B) tenaculum, uterine sound, weighted vaginal speculum, cervical dilators, endometrial curettes
C) weighted vaginal speculum, tenaculum, uterine sound, cervical dilators, endometrial curettes
D) uterine sound, weighted vaginal speculum, tenaculum, cervical dilators, endometrial curettes
C) weighted vaginal speculum, tenaculum, uterine sound, cervical dilators, endometrial curettes
In which of the following procedures would the patient be left without a vagina or any of the female reproductive organs and have a permanent colostomy and ileostomy?
A) cerclage
B) colporrhaphy
C) exenteration
D) marsupialization
C) exenteration
What is the general term for the treatment method that destroys genital condylomata with a carbon dioxide laser?
A) ablation
B) curettage
C) exenteration
D) suspension
A) ablation
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) cervical conization
B) pelvic ultrasonography
C) insertion of uterine manipulator
D) injection of methylene blue into IV
C) insertion of uterine manipulator
Which instrument should the surgical technologist have ready to provide exposure during cesarean section procedures when the uterine incision is made?
A) Auvard
B) bladder blade
C) Gelpi
D) Graves
B) bladder blade
What is the name of the fingerlike projections at the terminal end of the fallopian tube that guides oocytes into the lumen?
A) ampulla
B) external os
C) fimbria
D) isthmus
C) fimbria
Which of the following statements is CORRECT regarding anatomical changes following pelvic exenteration?
A) Colostomy and ileostomy will both exit on the right side of the abdomen.
B) Colostomy and ileostomy will both exit on the left side of the abdomen.
C) Colostomy will exit on the right and ileostomy on the left side of the abdomen.
D) Colostomy will exit on the left and ileostomy on the right side of the abdomen.
D) Colostomy will exit on the left and ileostomy on the right side of the abdomen.
Which of the following procedures would likely be assigned a Class III or Class IV wound and may require aerobic and anaerobic culture tubes?
A) dilation and curettage
B) radical hysterectomy
C) cesarean section delivery
D) marsupialization of Bartholin’s cyst
D) marsupialization of Bartholin’s cyst
How many stages of labor and delivery does the patient go through?
A) two
B) three
C) four
D) five
C) four
Which self-retaining retractor has the shape of a figure-of-eight (8) when in the closed position?
A) Balfour
B) Franz
C) Gelpi
D) O’Sullivan-O’Connor
D) O’Sullivan-O’Connor
Which radiological study might be ordered preoperatively for a patient scheduled for tuboplasty?
A) angiography
B) cholangiogram
C) hysterosalpingogram
D) retrograde urography
C) hysterosalpingogram
What is the name of a bivalve speculum frequently found in a vaginal procedure tray?
A) Goelet
B) Graves
C) Heaney
D) Hegar
B) Graves
The indication that the DeLee suction may be needed on a C Section is….
A) the presence of muconium
B) anesthesia uses the suction on c sections
C) baby is breech
D) baby has a lot of mucous blocking the airway
A) the presence of muconium
The term adnexa refers to which gynecologic anatomical structures?
A) labia minora, labia majora, urinary orifice, and clitoris
B) isthmus, internal os, cervix, and external os
C) fallopian tubes, ovaries, and infundibulum
D) endometrium, myometrium, and peritoneum
C) fallopian tubes, ovaries, and infundibulum
Which method of tubal ligation is less frequently performed and requires use of long instruments, but may pose a higher risk of postoperative surgical site infection due to the approach?
A) colpotomy
B) laparoscopic
C) minilaparotomy
D) open, combined with cesarean section
A) colpotomy
Which instrument is used to grasp the cervix and provide traction during cervical dilation?
A) Allis-Adair tissue forceps
B) Babcock tissue forceps
C) perforating Backhaus clip
D) single-tooth tenaculum
D) single-tooth tenaculum
Adhesion formation is a normal physiologic inflammatory response to abdominal surgery that cannot be prevented or minimized.
A) False
B) True
B) True
In which procedure would the surgeon likely request 8-0 or 9-0 suture?
A) cervical cerclage
B) cesarean section
C) tubal ligation
D) tuboplasty
D) tuboplasty
Delivery of the placenta is the conclusion of which stage of labor?
A) first
B) second
C) third
D) fourth
C) third
What is the name of the routine surgical treatment of infected Bartholin’s gland cysts?
A) cerclage
B) episiotomy
C) labioplasty
D) marsupialization
D) marsupialization
What is the procedure name for the removal of fibroid tumors of the uterus with the preservation of fertility?
A) endometrial ablation
B) myomectomy
C) oophorectomy
D) pelvic exenteration
B) myomectomy
In a robotically assisted hysterectomy, the surgical technologist may be responsible for removing the specimen from the vagina after the vaginal cuff closure has been completed.
A) True
B) False
A) True
Which of the following is a serum analysis done to detect ovarian carcinoma?
A) CA-125
B) CBC
C) FSH
D) KUB
A) CA-125
Which medication may be injected into the uterus for hemostasis, before closure of the uterus in a cesarean section?
A) dextran
B) Hyskon
C) Lugol’s
D) oxytocin
D) oxytocin
What is the preferred method of anesthesia for a cesarean section delivery?
A) Bier block
B) epidural
C) general
D) spinal
B) epidural
What color is the abnormal tissue after staining with Lugol’s solution in a cervical biopsy?
A) blue
B) white
C) brown
D) no color change
D) no color change
Which anatomical area is located between the posterior vaginal opening and the anus?
A) labia majora
B) mons pubis
C) perineum
D) urethral orifice
C) perineum
Which procedure involves an en bloc removal of the uterus, bilateral ovaries and fallopian tubes, supporting ligaments, upper third of the vagina, and pelvic lymph nodes?
A) anterior and posterior colporrhaphy
B) bilateral laparoscopic tubal ligation
C) radical hysterectomy
D) suprapubic hysterectomy
C) radical hysterectomy
Which of the following is used for creating pneumoperitoneum in laparoscopy?
A) carbon dioxide
B) helium
C) nitrogen
D) oxygen
A) carbon dioxide
Tubal ligation is performed for:
A) blood gas collection
B) elective sterilization
C) unruptured tubal pregnancy
D) urinary incontinence treatment
B) elective sterilization
Which pistol-grip type of instrument might be found in a D&C tray for cervical biopsy?
A) Kerrison
B) pituitary
C) Takahashi
D) Tischler
D) Tischler
For which procedure would the surgical technologist want to be sure to have adequate numbers of Allis or Allis-Adair tissue forceps?
A) A&P repair
B) D&C
C) LAVH
D) TAH-BSO
A) A&P repair
Which of the following is the largest supporting ligament in the female pelvis that has anterior and posterior leaves?
A) broad
B) cardinal
C) round
D) suspensory
A) broad
Cervical effacement means
A) muscular action of the uterus to expel the fetus
B) measurementy of the uterus
C) cervical softening and thinning
D) movement of the fetus through the pelvic canal
C) cervical softening and thinning
What is the MOST common surgical intervention for a vaginal delivery?
A) cerclage
B) episiotomy
C) labioplasty
D) marsupialization
B) episiotomy
Braxton Hicks is a term that means..
A) false labor
B) true labor
C) prenatal heartburn
D) strength of contractions
A) false labor
Which instrument is used to test the patency of the fallopian tube during tuboplasty?
A) Hegar dilator
B) lacrimal probe
C) uterine sound
D) Veress needle
B) lacrimal probe
The fourth stage of labor is considered complete when?
A) the cervix is fully dilated
B) at the birth of the infant
C) placenta is delivered
D) the mother’s condition is stable
D) the mother’s condition is stable
What is the name of the anatomical area where the fallopian tubes are attached and enter the uterus?
A) cervix
B) cornu
C) infundibulum
D) isthmus
B) cornu
Cephalopelvic disproportion is a component of which of the following indications for a cesarean section delivery?
A) dystocia
B) placenta previa
C) preeclampsia
D) uterine rupture
A) dystocia
Which type of needle holder is curved and frequently used for hysterectomy procedures?
A) Castroviejo
B) Heaney
C) Mayo-Hegar
D) Webster
B) Heaney
Parineal lacerations and incisions are labeled by degree. A third degree laceration or incision involves?
A) vaginal mucosa or perineal skin
B) extends into the vaginal submucosa
C) involves the anal sphincter
D) involves the rectal mucosa
C) involves the anal sphincter
Which of the following types of stirrups would likely be used for a laparoscopically assisted vaginal hysterectomy (LAVH)?
A) Allen low lithotomy
B) candy cane hanging
C) fiberglass hanging
D) posterior knee support
A) Allen low lithotomy
Type of hormone given for a 3 month period to reduce the size of tumors such as myomas.
A) GnRH Gonadotropin-releasing hormone
B) Corticotropin
C) progesterone
D) calcitonin
A) GnRH Gonadotropin-releasing hormone
For which procedure would the gynecologist likely wear surgical loupes?
A) cesarean section
B) endometrial ablation
C) robotically assisted hysterectomy
D) tubal reanastomosis
D) tubal reanastomosis
Which maneuver might be performed 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 external pressure over the bladder
B) application of external pressure over the fundus of the uterus
C) insertion of the surgical technologist’s hand into the uterus to pull the legs of the fetus out
D) use of two Balfour bladder blades to widen the uterine opening
B) application of external pressure over the fundus of the uterus
What is used to achieve tissue destruction in an endometrial balloon ablation?
A) electrical energy
B) hot dextrose water
C) laser light energy
D) ultrasonic friction
B) hot dextrose water
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 keeps the epidural catheter from being kinked.
B) It prevents sacral decubitus ulcer formation.
C) It reduces low back strain while in the supine position.
D) It reduces the pressure of the gravid uterus on the vena cava.
D) It reduces the pressure of the gravid uterus on the vena cava.
which tubal sterilization technique involves removal of the fimbria
A) Irving
B) Kroener
C) Madlener
D) Pomeroy
B) Kroener
What is the name of the heavy, right-angle scissors frequently used to dissect around the cervix during hysterectomy?
A) Braun
B) Jorgenson
C) Metzenbaum
D) tenotomy
B) Jorgenson
What is another name for the ovarian suspensory ligament?
A) cardinal
B) infundibulopelvic
C) round
D) uterosacral
B) infundibulopelvic
Which incision is MOST frequently used for cesarean sections?
A) epigastric
B) paramedian
C) Pfannenstiel
D) vertical midline
C) Pfannenstiel
Which term means the number of times a woman has been pregnant?
A) gravida
B) menarche
C) parity
D) rotation
A) gravida
Which of the following structures is NOT part of the anatomy of the vulva?
A) cervix
B) clitoris
C) labia
D) mons pubis
A) cervix
Which anatomical structure is located anterior to the symphysis pubis and superior to the vaginal opening?
A) labia majora
B) mons pubis
C) perineum
D) urethral orifice
B) mons pubis
Which of the following is not a part of the fallopian tube?
A) fimbria
B) ampula
C) isthmus
D) cornu
D) cornu
Laparoscopic linear stapling devices are often used to ligate and cut the uterine ligaments and vessels during LAVH.
A) True
B) False
A) True
Which instrument is used to manipulate the fallopian tubes without compression or damage?
A) Babcock tissue forceps
B) Ferris-Smith tissue forceps
C) Heaney clamp
D) Kocher clamp
A) Babcock tissue forceps
Clamp, clamp, cut, tie (CCCT) is a way to anticipate routine dissection steps during hysterectomy procedures.
A) True
B) False
A) True
Total abdominal hysterectomy is assigned which wound classification?
A) Class I
B) Class II
C) Class III
D) Class IV
B) Class II
The third count on a c-section occurs prior to the
A) skin incision
B) closure of the uterus
C) closure of the abdominal cavity
D) skin closure
C) closure of the abdominal cavity
All of the following are paired ligaments that support the uterus in the lower abdomen and attach it to the pelvis, EXCEPT:
A) broad
B) round
C) cardinal
D) Cooper’s
D) Cooper’s
Which of the following is a weighted vaginal speculum?
A) Auvard
B) Graves
C) Heaney
D) Sims
A) Auvard
Which of the following procedures does NOT require an incision, use of trocars, or distention with gas or fluid?
A) colposcopy
B) hysteroscopy
C) laparoscopy
D) pelviscopy
A) colposcopy
Bulb syringes are used in obstetrical delivery procedures to:
A) collect cord blood gas specimens
B) collect pelvic washings for cytology
C) suction amniotic fluid from the field
D) suction the mouth and nares of the neonate
D) suction the mouth and nares of the neonate
Hollow, thick walled, pear shaped organ situated between the bladder and rectum.
A) uterus
B) ovary
C) gallbladder
D) appendix
A) uterus
The uterine arterial supply is the
A) ovarian artery
B) visceral artery
C) internal iliac artery
D) external iliac artery
C) internal iliac artery
The lining of the uterus is the..
A) mucosa
B) endometrium
C) myometrium
D) visceral peritoneum
B) endometrium
Which muscle is incised in transverse abdominal approaches for gynecologic procedures?
A) anterior rectus
B) external oblique
C) internal oblique
D) serratus anterior
D) serratus anterior
What is a Veress needle used for?
A) amniocentesis
B) epidural anesthesia
C) laparoscopic insufflation
D) suprapubic catheter placement
C) laparoscopic insufflation
What color is the abnormal tissue after staining with acetic acid in a cervical biopsy?
A) blue
B) white
C) brown
D) no color change
B) white
Which gynecologic procedure is used for visualization of the endometrium and may be used to treat polyps or myomas?
A) laparoscopy
B) hysteroscopy
C) cervical cerclage
D) dilation and curettage
B) hysteroscopy
Which piece of operating room furniture would likely be unnecessary for many vaginal surgical procedures?
A) back table
B) ESU
C) kick bucket
D) Mayo stand
D) Mayo stand
Cherney, Maylard, and Pfannenstiel are examples of gynecologic:
A) fenestrated drape sheets
B) self-retaining retractors
C) transverse abdominal incisions
D) urinary drainage catheters
C) transverse abdominal incisions
Which of the following is not a risk factor for ectopic pregnancy?
A) Perineal Trauma
B) IUD usage
C) Prolonged Infertility
D) Pelvic Inflammatory disease
A) Perineal Trauma
Cervical cerclage is performed to:
A) biopsy the areas of dysplasia
B) repair a cystocele
C) prevent spontaneous abortion
D) vaporize vaginal condylomata
C) prevent spontaneous abortion
When is the first closing count performed in a cesarean section?
A) when the umbilical cord is clamped and cord blood is collected
B) immediately prior to delivery of the placenta
C) when the first suture is given for closure of the uterus
D) as the fascial or muscle layer is being sutured
C) when the first suture is given for closure of the uterus
The fallopian tubes are located bilaterally in the mesosalpinx of which uterine-pelvic ligaments?
A) broad
B) cardinal
C) round
D) uterosacral
A) broad
Radionuclide seeds are used to treat:
A) dysmenorrhea/menorrhalgia
B) endometriosis
C) uterine/cervical carcinoma
D) vulvar condylomata
C) uterine/cervical carcinoma
Radionuclide seeds are placed in infected Bartholin’s gland cysts to treat the infected contents.
A) False
B) True
A) False
Intentional midline surgical incision in the perineum to ease the birth process is called
A) supraperineal excision
B) episiotomy
C) perineal release
D) perineal laceration
B) episiotomy
