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NBSTSA Review > CRQ OBGYN > Flashcards

CRQ OBGYN Flashcards

1
Q

What special technique is employed during a hysterectomy?

A) Discard instruments used on cervix and vagina

B) Use second set for closure

C) Redrape for closure

D) Remove Foley before uterus is removed

A

A) Discard instruments used on cervix and vagina

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2
Q

LAVH is removal of the uterus by combined approach using

A) laparoscopic and vaginal

B) abdominal and vaginal

C) pfannenstial and vaginal

D) lower midline and vaginal

A

A) laparoscopic and vaginal

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3
Q

A condition causing leakage of urine into the vagina is a/an

A) ureterovaginal fistula

B) cystocele

C) vesicavaginal fistula

D) rectovaginal fistula

A

C) vesicavaginal fistula

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4
Q

Needle aspiration of the cul-de-sac is surgically termed

A) colpocleisis

B) culdocentesis

C) culdotomy

D) colpotomy

A

B) culdocentesis

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5
Q

In a cesarean birth, the uterus is opened with a knife and extended with a/an

A) Metzenbaum

B) Heaney

C) iris scissor

D) bandage scissor

A

D) bandage scissor

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6
Q

Pathology of an ectopic pregnancy includes all EXCEPT

A) an STD

B) previous tubal surgery

C) excercising during first trimester

D) smoking

A

C) excercising during first trimester

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7
Q

What procedure cannot be performed through a pelviscope?

A) Ovarian cystectomy

B) Hysterectomy

C) Oophorectomy

D) Adhesiolysis

A

B) Hysterectomy

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8
Q

Sterility can be accomplished by all of the following procedures EXCEPT

A) laparoscopy

B) minilaparotomy

C) posterior colpotomy

D) culdoscopy

A

D) culdoscopy

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9
Q

The procedure that provides visualization of the internal contour of the uterus is a

A) laparoscopy

B) pelviscopy

C) hysteroscopy

D) culposcopy

A

C) hysteroscopy

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10
Q

Intraoperative chromotubation can be effected by all of the following surgical cannulas EXCEPT

A) Humi

B) Rubin

C) Hui

D) Hulka

A

D) Hulka

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11
Q

The curved transverse incision used for pelvic surgery is

A) midabdominal transverse

B) Poupart

C) Pfannenstiel

D) Mcvey

A

C) Pfannenstiel

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12
Q

Hypertension and a seizure during pregnancy is known as

A) preeclampsia

B) placenta abruption

C) malignant hypertension

D) eclampsia

A

D) eclampsia

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13
Q

What gynecologic set up would include various sizes of sterile cannulas?

A) Cesarean

B) Hysterectomy

C) Oophorectomy

D) Suction Curettage

A

D) Suction Curettage

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14
Q

What is the self retaining retractor used in vaginal procedures?

A) O’Sullivan -O’Conner

B) Gelpi

C) Graves

D) Auvard

A

C) Graves

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15
Q

Electrocoagulation, cryoablation, and radio frequency ablation are procedures performed for

A) dysfunctional uterine bleeding

B) malignant fibroids

C) benign fibroids

D) cervical cancer

A

A) dysfunctional uterine bleeding

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16
Q

A procedure done on young women who evidence benign uterine tumors but who wish to preserve fertility is a

A) subtotal hysterectomy

B) Wertheim procedure

C) myomectomy

D) LeFort procedure

A

C) myomectomy

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17
Q

A herniation of the cul-de-sac of at the Pouch of Douglas is a/an

A) cystocele

B) rectocele

C) hydrocele

D) enterocele

A

D) enterocele

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18
Q

Laparoscopic tubal occlusion may utilize all of the following methods of effecting sterilization EXCEPT

A) bipolar coagulation

B) Silastic bands

C) Surgitie ligating loop

D) Spring clip

A

C) Surgitie ligating loop

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19
Q

Papanicolaou indicates

A) removal of small pieces of cervix for examination

B) cytologic study of cervical smear

C) staining of the cervix for study

D) direct visualization of pelvic organs

A

B) cytologic study of cervical smear

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20
Q

What is the preferred procedure for recurrent or persistent carcinoma of the cervix after radiation therapy has been completed?

A) Wertheim’s

B) Pelvic exenteration

C) Abdominal perineal resection

D) low-anterior resectin

A

B) Pelvic exenteration

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21
Q

A holding instrument not found in a vaginal procedure is a

A) Jacobs

B) Lahey

C) Staude

D) Skene

A

B) Lahey

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22
Q

Extrauterine pregnancies can occur in the

A) abdominal cavity and tube

B) ovary and pelvic ligaments

C) abdominal cavity and corpus luteum

D) pelvic ligaments and tube

A

A) abdominal cavity and tube

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23
Q

An enterocele differs diagnostically from a rectocele by its contents and its position in the perineum. Its location is in the

A) Pouch of Douglas

B) anterior vaginal wall

C) posterior vaginal wall

D) pelvic floor

A

A) Pouch of Douglas

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24
Q

What would an anterior and posterior repair accomplish?

A) Repair of cystocele and rectocele

B) Repair of vesicovaginal fistula

C) Repair of vesicourethral fistula

D) Repair of labial hernia

A

A) Repair of cystocele and rectocele

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25
Q

A cyst that is formed from the germ layer from the developing embryo is called a

A) teratoma(dermoid)

B) leiomyoma

C) fibroid

D) endometrial cyst

A

A) teratoma(dermoid)

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26
Q

The most commonly identified ovarian cyst is the

A) chocolate

B) follicle

C) serous cystadenoma

D) dermoid

A

B) follicle

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27
Q

All of the following are uterine ligaments EXCEPT

A) broad

B) round

C) cardinal

D) transcervical

A

D) transcervical

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28
Q

A Humi cannula is used in

A) eye surgery

B) vascular surgery

C) urologic surgery

D) gynecologic surgery

A

D) gynecologic surgery

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29
Q

A postoperative complication of the GYN patient in lithotomy position for an extended period of time is

A) emboli

B) hypertension

C) ulnar nerve damage

D) hemorrhage

A

A) emboli

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30
Q

A 29-year-old pregnant presents to the ER complaining of severe abdominal pain, referred pain to the shoulder and bleeding. The transvaginal ultrasound shows an absence of an intrauterine pregnancy.

The tests show that the fertilized egg implanted itself outside the uterus. She is diagnosed with

A) ectopic pregnancy

B) incomplete cervix

C) complete abortion

D) ovarian cyst

A

A) ectopic pregnancy

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31
Q

An alternative to abdominal hysterectomy utilizing an endoscope is surgically termed a/an

A) Laparoscopic-assisted vaginal hysterectomy (LAVH)

B) LEEC

C) Pelviscopic-assisted vaginal hysterectomy

D) Both A and C

A

D) Both A and C

32
Q

Premature seperation of the placenta from the uterine wall is

A) placenta prolapsed

B) placenta previa

C) nuchal cord

D) placentia abruption

A

D) placentia abruption

33
Q

What is the name given to a radical vaginal hysterectomy?

A) Exenteration

B) Schauta

C) Wertheim’s

D) LeFort

A

B) Schauta

34
Q

A procedure to prevent cervical dilatation that results in release of uterine contents is a

A) Shirodkar

B) LeFort

C) Wertheim

D) marsupialization

A

A) Shirodkar

35
Q

When handling uterine curettings,

A) never place them in preservative

B) keep the endometrial and the endocervical curettings separate

C) send the endometrial and the endocervical curettings to the laboratory in one container

D) send them on a 4x4 to the laboratory because it is too difficult to remove them

A

B) keep the endometrial and the endocervical curettings separate

36
Q

Pelviscopy differs from laparoscopy in the

A) utilization of a larger trocar and scope

B) utilization of auxiliary ports for ancillary instrumentation

C) utilization of a 30-degree angled scope

D) both A and C

A

D) both A and C

37
Q

A Hulka forceps is used in

A) gynecologic surgery

B) urologic surgery

C) thoracic surgery

D) neurologic surgery

A

A) gynecologic surgery

38
Q

What suture would be placed into the wall of a large ovarian cyst before aspiration of its contents and final removal?

A) Mattress

B) Suture ligature

C) Purse-string

D) Figure- of- eight

A

C) Purse-string

39
Q

The desirable position for better visualization in the lower abdomen or pelvis is

A) Fowler’s

B) reverse Trendelenburg

C) Trendelenburg

D) Kraske

A

C) Trendelenburg

40
Q

When all products of conception are expelled and surgical intervention is NOT necessary, it is a

A) incomplete abortion

B) complete abortion

C) missed abortion

D) D&C

A

B) complete abortion

41
Q

The surgery performed to remove the embryo while preserving the tube is

A) salpingoopherectomy

B) salpingectomy

C) salpingostomy

D) oopherectomy

A

C) salpingostomy

42
Q

What surgical procedure provides obliteration of the vagina by denuding and approximating the anterior and posterior walls of the vagina?

A) Vaginoplasty

B) Colpocleises

C) Colpoperinorrhaphy

D) Colporrhaphy

A

B) Colpocleises

43
Q

Which of the following instruments would be used to grasp the anterior cervix of the uterus just before dissection from the vaginal vault during a total abdominal hysterectomy?

A) Allis

B) Heaney

C) Phaneuff

D) Kelly

A

A) Allis

44
Q

Oxytocics are given in a cesarean after the baby’s shoulders are delivered

A) to contract the uterus

B) to relax the uterus

C) to prolong the contraction

D) to facilitate membrane rupture

A

A) to contract the uterus

45
Q

Marsupialization of a Bartholin cyst involves the

A) suturing the posterior wall of the cyst to the skin edges

B) removal of anterior wall of cyst

C) draining cyst contents

D) both A and B

A

D) both A and B

46
Q

Extrauterine disease of the female reproductive system may utilize any of the following lasers via a colposcope or laparoscope EXCEPT

A) CO2

B) Nd:YAG

C) Candela

D) argon

A

C) Candela

47
Q

The hysteroscope may be used to identify or remove all of the following EXCEPT

A) fallopian adhesions

B) lost intrauterine devices (IUDs)

C) intrauterine adhesions

D) submucosa fibroids

A

A) fallopian adhesions

48
Q

A Foley catheter is placed into the presurgical hysterectomy patient to

A) record accurate intake and output

B) distend the bladder during surgery

C) avoid injury to the bladder

D) maintain a dry perineum postoperatively

A

C) avoid injury to the bladder

49
Q

What incision is commonly used for a C-section?

A) Mcburney

B) Upper Midline

C) Lower paramedian

D) Pfannenstiel

A

D) Pfannenstiel

50
Q

After removal of uterus in a hysterectomy

A) cervical and vaginal instruments are isolated from the instrument set in a discard basin

B) the cervix is cauterized

C) new instruments are used on the cervical closure

D) cervical instruments are returned to the basket

A

A) cervical and vaginal instruments are isolated from the instrument set in a discard basin

51
Q

The effected tube is grasped with

A) Babcock

B) Allis

C) Mixter

D) Kocher

A

A) Babcock

52
Q

A Stamey endoscopic procedure is performed to

A) suspend the vesicle neck

B) correct anterior wall prolapse

C) correct posterior wall prolapse

D) repair a bladder laceration

A

A) suspend the vesicle neck

53
Q

An endoscopic investigation of the uterus and tubes is a

A) Rubin’s test

B) hysterogram

C) hysterosalpingogram

D) hysteroscopy

A

D) hysteroscopy

54
Q

The graft used for a vaginoplasty is

A) full thickness graft

B) biological skin graft

C) split thickness skin graft

D) subcutaneous connective tissue

A

C) split thickness skin graft

55
Q

A 29-year-old pregnant presents to the ER complaining of severe abdominal pain, referred pain to the shoulder and bleeding. The transvaginal ultrasound shows an absence of an intrauterine pregnancy.

The position when the surgeon chooses an open approach for emergent surgery for ectopic pregnancy is

A) lithotomy

B) supine with a wedge under the affected side

C) supine

D) reverse trendelenberg

A

C) supine

56
Q

Conization of the cervix may be accomplished by all of the following EXCEPT

A) scalpel

B) Thomas uterine curette

C) Laser

D) electrosurgery

A

B) Thomas uterine curette

57
Q

Cervical carcinoma in situ can be classified as

A) limited to the epithelial layer, noninvasive

B) microinvasive

C) clinically obvious

D) vaginal extension limitations

A

A) limited to the epithelial layer, noninvasive

58
Q

At which point in a cesarean is a bulb syringe used?

A) When the membranes are incised

B) When the fetal head is delivered

C) When the entire infant is delivered

D) After placental delivery

A

B) When the fetal head is delivered

59
Q

Labor can be induced using

A) ergotrate

B) diazoxide

C) Pitocin

D) magnesium sulfate

A

C) Pitocin

60
Q

Which drug is given to aid in placental expulsion?

A) Oxytocic

B) Anticholinergic

C) Antihistamine

D) Hypoxic

A

A) Oxytocic

61
Q

An endoscopic approach to pelvic and intra-abdominal examination is

A) culdocentesis

B) hysteroscopy

C) pelviscopy

D) salpingogram

A

C) pelviscopy

62
Q

The term describing the specimen removal in one peice is

A) in situ

B) en bloc

C) colon resection

D) none of the above

A

B) en bloc

63
Q

Cervical conization is accomplished using all of the following EXCEPT

A) scalpel

B) cautery

C) laser

D) sclerosing solution

A

D) sclerosing solution

64
Q

Reconstruction of the fallopian tube setup would include

A) Bowman lacrimal probes

B) Bakes dilators

C) Hegar dilators

D) VanBuren sounds

A

A) Bowman lacrimal probes

65
Q

A vesicourethral abdominal suspension is known as a

A) LeFort

B) Wertheim

C) Marshall-Marchetti

D) Shirodkar

A

C) Marshall-Marchetti

66
Q

The umbilical cord proceeding the fetal head is

A) placenta abruption

B) placenta previa

C) cord prolapsed

D) nuchal cord

A

D) nuchal cord

67
Q

A benign smooth muscle tumor of the uterus which causes abnormal uterine bleeding lead to anemia is

A) dermoid

B) endometriosis

C) leiomyoma

D) cystocele

A

C) leiomyoma

68
Q

An incision made during normal labor to facilitate delivery with less trauma to the mother is a/an

A) colpotomy

B) colporrhaphy

C) episiotomy

D) celiotomy

A

C) episiotomy

69
Q

Endoscopic visualization of the uterine cavity is called

A) pelviscopy

B) laparoscopy

C) hysteroscopy

D) colposcopy

A

C) hysteroscopy

70
Q

Endometrial ablation is performed to correct

A) amenorrhea

B) metrorrhagia

C) menorrhagia

D) endometriosis

A

C) menorrhagia

71
Q

The fallopian tube is grasped with a

A) Kocher

B) Babcock

C) Kelly

D) Lahey

A

B) Babcock

72
Q

To confirm the diagnosis of ectopic pregnancy, it is sometimes necessary to perform a

A) Rubin’s test

B) culdocentesis

C) paracentesis

D) laparotomy

A

B) culdocentesis

73
Q

A technique employed for cervical biopsy is

A) random punches

B) multiple punches at 3,6,9, and 12 o’clock

C) one central punch at os

D) one inferior and one superior punch

A

B) multiple punches at 3,6,9, and 12 o’clock

74
Q

When closing a uterus in a cesarean, the edges of the uterine incision are clamped with which of the following?

A) Allis

B) Kocher

C) Pennington

D) Babcock

A

C) Pennington

75
Q

In laparoscopy, tubal patency is checked by

A) irrigating with normal saline

B) injecting renografin into the tube

C) injecting methylene blue into the cervical canal

D) irrigating tube with Lugal’s solution

A

C) injecting methylene blue into the cervical canal

76
Q

A 29-year-old pregnant presents to the ER complaining of severe abdominal pain, referred pain to the shoulder and bleeding. The transvaginal ultrasound shows an absence of an intrauterine pregnancy.

She is scheduled for

A) Laparoscopic removal of ectopic

B) Exploratory laparotomy for ectopic

C) Ovarian cystectomy

D) Both A and B

A

A) Laparoscopic removal of ectopic

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