Gynaecology Flashcards
The uterus is ______ shaped.
A) circular
B) triangular
C) pear
D) cylindrical
C) pear
True or False. The vagina is an elastic fibromuscular tube?
True
The cervix is _____ cm long.
A) 3 cm
B) 3.5 cm
C) 1.5 cm
D) 2.5 cm
D) 2.5 cm
The fallopian tubes arise from the upper lateral ______ of the uterus and course posterolaterally within the upper boarder of the ______ ligament.
A) Upper uterine segment, broad
B) Cornua, broad
C) Cornua, uterosacral
D) Corner, broad
B) Cornua, broad
True or False. The fallopian tubes are made up of 4 parts.
True
The ovaries are attached to the uterine cornua by the _____ ovarian ligaments or the ________ ligaments.
A) Proper, uterosacral
B) Broad, proper
C) Broad, uterovarian
D) Proper, uterovarian
D) Proper, uterovarian
True or False. The central uterus and uterine cervix are supported by the pelvic floor muscles.
True
True or False. The ovaries are suspended from the lateral pelvis by their vascular pedicles, the infundibulopelvic ligaments or ovarian arteries.
True
True or False. The uterine artery is the main blood supply to the uterus.
True
Select all that apply. In the myometrium, the uterine artery further branches into the:
A) Basal artery
B) Arcuate artery
C) Obturator artery
D) Radial artery
E) Spiral artery
A, B, D, E
The _______ arteries supply blood to the endometrium, specifically the basal zone.
A) Basal
B) Spiral
C) Uterine
D) Digital
A) Basal
The ________ arteries supply blood to the endometrium of the uterus, more specifically the functional zone, which sheds off during menstruation.
A) Spiral
B) Basal
C) Carotid
D) Uterine
A) Spiral
True or False. The uterine artery is a branch of the interna lilac artery, also called the hypogastric artery.
True
The ascending branch of the uterine artery anastomoses to the _______ artery.
A) Uterine
B) Ovarian
C) Spiral
D) Basal
B) Ovarian
A female patient, age 42, discusses abdominal discomfort with her doctor. She is concerned about extreme bleeding and long periods. She often feels lethargic and has pelvic pain. She has missed several days of work during these times, which affects her income. Her doctor performs an ultrasound and finds several large fibroids and an enlarged uterus.
What would her doctor most likely recommend as method of treatment?
A) Vaginal hysterectomy
B) Abdominal hysterectomy
C) Laparoscopic hysterectomy
C) Laparoscopic hysterectomy
A female patient with a history of cardiopulmonary disease, an enlarged uterus and ovarian cancer discusses hysterectomy procedures with her doctor.
Which type of surgery would her doctor most likely recommend?
A) Vaginal hysterectomy
B) Laparoscopic hysterectomy
C) Abdominal hysterectomy
C) Abdominal hysterectomy
A single mom with three children and a history of extreme endometriosis requires a hysterectomy. She has very little time off from work to get this procedure done. Which procedure do you think her doctor will not perform?
A) Vaginal hysterectomy
B) Abdominal hysterectomy
C) Laparoscopic hysterectomy
B) Abdominal hysterectomy
This method is used with an enlarged uterus, adhesions, or when a surgeon is unable to reach areas in the abdominal cavity with less invasive methods.
A) Total vaginal hysterectomy
B) Laparoscopic assisted hysterectomy
C) Total abdominal hysterectomy
C) Total abdominal hysterectomy
(Select all that apply) A total vaginal hysterectomy is preferred for:
A) least invasiveness
B) decreased blood loss
C) faster recovery
D) easier to claim on insurance
E) shorter hospital stay
A, B, C, E
A salpingo-oophorectomy is:
A) When the fundus of the uterus is partially exposed
B) When the surgeon removes the fallopian tubes and ovaries during a vaginal hysterectomy
C) Another name for a total abdominal vaginal procedure
B) When the surgeon removes the fallopian tubes and ovaries during a vaginal hysterectomy
A _________ is a surgical procedure using a laparoscope to guide the removal of the uterus and/or fallopian tubes and ovaries through the vagina.
A) total vaginal hysterectomy
B) total abdominal hysterectomy
C) laparoscopic assisted hysterectomy
C) laparoscopic assisted hysterectomy
Select all that apply. A female patient with a history of anemia and bleeding requires a hysterectomy. Which procedure do you think her doctor will perform?
A) Laparoscopic hysterectomy
B) Vaginal hysterectomy
C) Abdominal hysterectomy
A, B
The types of gynecologic cancer include:
A) ovarian cancer
B) cervical cancer
C) vaginal cancer
D) vulvar cancer
E) uterine cancer
A, B, C, D, E
Which of the statements below are true?
A) Fibroids are non-cancerous tumors on the uterus
B) Endometriosis in a disorder in which tissue that normally grows on the inside of the uterus, grows on the outside
C) None of the above
D) Uterine prolapse occurs when muscles or ligaments stretch or become weak and are no longer able to support the uterus. As a result, the uterus slips from normal position into the vaginal canal.
A, B, D
True or False. A hysterectomy is the surgical removal of the uterus.
True
True or False. Uterine fibroids are also called leiomyomas or myomas.
True
Which MIS procedure is not used to treat fibroids if medication does not manage the condition?
A) Endometrial ablation
B) Hysteroscopic polypectomy
C) Laparoscopic or robotic myomectomy
D) Uterine artery embolization
B) Hysteroscopic polypectomy
True or False. Uterine prolapse is often associated with prolapse of other pelvic organs.
True
Weakness of the connective tissue separating the rectum and vagina may cause the rectum to bulge into the vagina. Patients might have difficulty having bowel movements. What type of uterine prolapse best matches this description?
A) Severe uterine prolapse
B) None of the above
C) Anterior prolapse or cystocele
D) Posterior vaginal prolapse or rectocele
D) Posterior vaginal prolapse or rectocele
True or False. Uterine fibroids are cancerous growths of the uterus that often appear during childbearing years.
False
True or False. Endometriosis is an often painful disorder in which tissue that normally lines the inside of the uterus - the myometrium - grows outside the uterus.
False
True or False. Two complications of endometriosis are infertility and ovarian cancer.
True
True or False. Adenomyosis occurs when the tissue that normally lines the uterus (endometrial tissue) grows into the muscular wall of the uterus.
True
