CRQ OBGYN Flashcards
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) Discard instruments used on cervix and vagina
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) laparoscopic and vaginal
A condition causing leakage of urine into the vagina is a/an
A) ureterovaginal fistula
B) cystocele
C) vesicavaginal fistula
D) rectovaginal fistula
C) vesicavaginal fistula
Needle aspiration of the cul-de-sac is surgically termed
A) colpocleisis
B) culdocentesis
C) culdotomy
D) colpotomy
B) culdocentesis
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
D) bandage scissor
Pathology of an ectopic pregnancy includes all EXCEPT
A) an STD
B) previous tubal surgery
C) excercising during first trimester
D) smoking
C) excercising during first trimester
What procedure cannot be performed through a pelviscope?
A) Ovarian cystectomy
B) Hysterectomy
C) Oophorectomy
D) Adhesiolysis
B) Hysterectomy
Sterility can be accomplished by all of the following procedures EXCEPT
A) laparoscopy
B) minilaparotomy
C) posterior colpotomy
D) culdoscopy
D) culdoscopy
The procedure that provides visualization of the internal contour of the uterus is a
A) laparoscopy
B) pelviscopy
C) hysteroscopy
D) culposcopy
C) hysteroscopy
Intraoperative chromotubation can be effected by all of the following surgical cannulas EXCEPT
A) Humi
B) Rubin
C) Hui
D) Hulka
D) Hulka
The curved transverse incision used for pelvic surgery is
A) midabdominal transverse
B) Poupart
C) Pfannenstiel
D) Mcvey
C) Pfannenstiel
Hypertension and a seizure during pregnancy is known as
A) preeclampsia
B) placenta abruption
C) malignant hypertension
D) eclampsia
D) eclampsia
What gynecologic set up would include various sizes of sterile cannulas?
A) Cesarean
B) Hysterectomy
C) Oophorectomy
D) Suction Curettage
D) Suction Curettage
What is the self retaining retractor used in vaginal procedures?
A) O’Sullivan -O’Conner
B) Gelpi
C) Graves
D) Auvard
C) Graves
Electrocoagulation, cryoablation, and radio frequency ablation are procedures performed for
A) dysfunctional uterine bleeding
B) malignant fibroids
C) benign fibroids
D) cervical cancer
A) dysfunctional uterine bleeding
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
C) myomectomy
A herniation of the cul-de-sac of at the Pouch of Douglas is a/an
A) cystocele
B) rectocele
C) hydrocele
D) enterocele
D) enterocele
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
C) Surgitie ligating loop
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
B) cytologic study of cervical smear
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
B) Pelvic exenteration
A holding instrument not found in a vaginal procedure is a
A) Jacobs
B) Lahey
C) Staude
D) Skene
B) Lahey
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) abdominal cavity and tube
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) Pouch of Douglas
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) Repair of cystocele and rectocele
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) teratoma(dermoid)
The most commonly identified ovarian cyst is the
A) chocolate
B) follicle
C) serous cystadenoma
D) dermoid
B) follicle
All of the following are uterine ligaments EXCEPT
A) broad
B) round
C) cardinal
D) transcervical
D) transcervical
A Humi cannula is used in
A) eye surgery
B) vascular surgery
C) urologic surgery
D) gynecologic surgery
D) gynecologic surgery
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) emboli
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) ectopic pregnancy
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
D) Both A and C
Premature seperation of the placenta from the uterine wall is
A) placenta prolapsed
B) placenta previa
C) nuchal cord
D) placentia abruption
D) placentia abruption
What is the name given to a radical vaginal hysterectomy?
A) Exenteration
B) Schauta
C) Wertheim’s
D) LeFort
B) Schauta
A procedure to prevent cervical dilatation that results in release of uterine contents is a
A) Shirodkar
B) LeFort
C) Wertheim
D) marsupialization
A) Shirodkar
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
B) keep the endometrial and the endocervical curettings separate
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
D) both A and C
A Hulka forceps is used in
A) gynecologic surgery
B) urologic surgery
C) thoracic surgery
D) neurologic surgery
A) gynecologic surgery
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
C) Purse-string
The desirable position for better visualization in the lower abdomen or pelvis is
A) Fowler’s
B) reverse Trendelenburg
C) Trendelenburg
D) Kraske
C) Trendelenburg
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
B) complete abortion
The surgery performed to remove the embryo while preserving the tube is
A) salpingoopherectomy
B) salpingectomy
C) salpingostomy
D) oopherectomy
C) salpingostomy
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
B) Colpocleises
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) Allis
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) to contract the uterus
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
D) both A and B
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
C) Candela
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) fallopian adhesions
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
C) avoid injury to the bladder
What incision is commonly used for a C-section?
A) Mcburney
B) Upper Midline
C) Lower paramedian
D) Pfannenstiel
D) Pfannenstiel
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) cervical and vaginal instruments are isolated from the instrument set in a discard basin
The effected tube is grasped with
A) Babcock
B) Allis
C) Mixter
D) Kocher
A) Babcock
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) suspend the vesicle neck
An endoscopic investigation of the uterus and tubes is a
A) Rubin’s test
B) hysterogram
C) hysterosalpingogram
D) hysteroscopy
D) hysteroscopy
The graft used for a vaginoplasty is
A) full thickness graft
B) biological skin graft
C) split thickness skin graft
D) subcutaneous connective tissue
C) split thickness skin graft
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
C) supine
Conization of the cervix may be accomplished by all of the following EXCEPT
A) scalpel
B) Thomas uterine curette
C) Laser
D) electrosurgery
B) Thomas uterine curette
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) limited to the epithelial layer, noninvasive
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
B) When the fetal head is delivered
Labor can be induced using
A) ergotrate
B) diazoxide
C) Pitocin
D) magnesium sulfate
C) Pitocin
Which drug is given to aid in placental expulsion?
A) Oxytocic
B) Anticholinergic
C) Antihistamine
D) Hypoxic
A) Oxytocic
An endoscopic approach to pelvic and intra-abdominal examination is
A) culdocentesis
B) hysteroscopy
C) pelviscopy
D) salpingogram
C) pelviscopy
The term describing the specimen removal in one peice is
A) in situ
B) en bloc
C) colon resection
D) none of the above
B) en bloc
Cervical conization is accomplished using all of the following EXCEPT
A) scalpel
B) cautery
C) laser
D) sclerosing solution
D) sclerosing solution
Reconstruction of the fallopian tube setup would include
A) Bowman lacrimal probes
B) Bakes dilators
C) Hegar dilators
D) VanBuren sounds
A) Bowman lacrimal probes
A vesicourethral abdominal suspension is known as a
A) LeFort
B) Wertheim
C) Marshall-Marchetti
D) Shirodkar
C) Marshall-Marchetti
The umbilical cord proceeding the fetal head is
A) placenta abruption
B) placenta previa
C) cord prolapsed
D) nuchal cord
D) nuchal cord
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
C) leiomyoma
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
C) episiotomy
Endoscopic visualization of the uterine cavity is called
A) pelviscopy
B) laparoscopy
C) hysteroscopy
D) colposcopy
C) hysteroscopy
Endometrial ablation is performed to correct
A) amenorrhea
B) metrorrhagia
C) menorrhagia
D) endometriosis
C) menorrhagia
The fallopian tube is grasped with a
A) Kocher
B) Babcock
C) Kelly
D) Lahey
B) Babcock
To confirm the diagnosis of ectopic pregnancy, it is sometimes necessary to perform a
A) Rubin’s test
B) culdocentesis
C) paracentesis
D) laparotomy
B) culdocentesis
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
B) multiple punches at 3,6,9, and 12 o’clock
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
C) Pennington
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
C) injecting methylene blue into the cervical canal
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) Laparoscopic removal of ectopic
