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Exam 3 > Gyne > Flashcards

Gyne Flashcards

1
Q

How is excision of condylomata preformed?

A

With electrocautery
Sharp excision
Laser

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2
Q

What is a vulvectomy?

A

Removal of Lanka minora and majora

Possibly clitoris and tissue from perianal area

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3
Q

Why is a vulvectomy preformed?

A

Carcinoma in situ of vulva
Leukoplakia
Intractable puritis

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4
Q

What is a radical vulvectomy?

A 
Complete dissection of
Skin from abd and groin
Lab min and maj
Clitoris
Mons veneris
Terminal urethra, vagina, and other vulvar organs
Superficial and deep inguinal nodes
Portion of round ligament
Portion of saphenous vein
Lesion itself

Reconstruction of vaginal walls and pelvic floor
Closure of abdominal wound
Full thickness skin grafts or flap rotations
Abdominoperineal and groin dissection

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5
Q

How is a bartholins cyst taken care of?

A

Incised, sutured open to allow drainage.

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6
Q

What are the three parts of the uterus?

A

Fundus (top)
Corpus ( middle inner part)
Isthmus (section connecting into Fallopian tube)

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7
Q

What are the three layers of the uterus?

A

Serous
Myometrium (middle)
Endometrium (inner lining)

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8
Q

Blood supply of ovaries?

A

Direct from aorta via ovarian artery

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9
Q

Uterus blood supply?

A

Internal iliac via uterine

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10
Q

Blood supply for vagina?

A

Vaginal arteries

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11
Q

Blood supply for Fallopian tubes?

A

Uterine artery

Ovarian artery

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12
Q

When is examination under anesthetic done?

A

Nervous pt
Pain dx
Obese

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13
Q

What is an incisional biopsy of the cervix?

A

Punch biopsy

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14
Q

What is a cone biopsy?

A

Biopsy in cone shape to level of internal OS

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15
Q

What is fractional dilation and curettage?

A

Pt is dilated and all sections of endometrium curetted for specimens, incomplete abortions, etc.

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16
Q

What are laminate tents?

A

Inserted 4-24 hours before procedure to help dilate cervix.

17
Q

What is a hydatiform mole?

A

Molar pregnancy.

Defective egg is fertilized with sperm or more than two sperm fertilize an egg.

18
Q

What is endometrial ablation?

A

Removal of endometrial layer in uterus by hysterics ope and electrosurgical unit and laser, or balloon endometrial ablation.
Treats uterine bleeding.
Goal to create amenorrhea or reduce menstrual bleeding.
Alternative to hysterectomy

19
Q

What is anterior repair of cystocele?

A

Herniation of bladder into vaginal wall, restores bladder to normal position.

20
Q

What is posterior repair (rectocele)?

A

Protrusion of anterior rectal wall in vagina.

Feelings of pressure, difficulty evacuating lower bowel, haemorrhoids

21
Q

What is tension free vaginal tape?

A

Prolene sheath passes under urethra through to abdomen to support in center for female urinary incontinence. Abdominal muscles tighten and pulls sling upwards.

22
Q

What is a myomectomy?

A 
Removal of one or more fibroids.
Arise from muscular wall of uterus
Indications include:
Pain
Pressure
Irregular bleeding
Infertility
23
Q

Functional ovarian cysts develop from

A

Corpus luteum

24
Q

Dermoid cyst is aka

A

Teratomas

25
Q

What is the name for removal of a Fallopian tube and all or part of an ovary?

A

Salpingo-oophorectomy

26
Q

What is tuboplasty?

A

Reversal of tubal ligation

Aka tuboplasty

27
Q

What is cyklokapron?

A

Anti fibrinolytic
Treat hyperfibrinolysis
Short term use in patients with coagulopathies

28
Q

What is epinephrine?

A

Adrenaline
Prolonged action of anaesthetics
Hemostatic agent

29
Q

What is ergometrine (pitressin)

A

Prevent or treat post-partum or post-abortal hemorrhage

Used with uterine muscle weakness (atony)

30
Q

What is oxytocin?

A 
Pitocin
Stimulate uterine contractions
Improve uterine tone
Aid in placental delivery
Treat post partum hemorrhage
31
Q

What is indigo carmine?

A

Determines patency of ureters/Fallopian tubes

32
Q

What is lugols solution?

A

Potassium iodine
Strong iodine solution
Staining tissue
Diagnostic use

33
Q

What is methylene blue?

A

Indicator dye

Determines patency of Fallopian tubes in infertile patients.

34
Q

What is Monsels solution?

A

Astringent to check light bleeding from scratches and small cuts

35
Q

What is versed (midazolam)

A

Used in conscious sedation
Short endoscopic or diagnostic procedures
Sedation after IV injection 3-6 mins
Benzodiazepine antagonist - Anexate

36
Q

What is fentanyl?

A

Narcotic analgesic
Local laparoscopy or local hysteria copy
Narcotic antagonist - narcan

37
Q

What is omnipaque 300?

A

Contrast media

Inflate catheter bulb

38
Q

What is marcaine?

A

Local anesthetic
Long lasting effect 3-6 hours
Several strengths, plain or epinephrine

39
Q

What is xylocaine?

A

Local anesthetic
Not as long lasting as marcaine
Concentrations of 0.5% to 2% plain or epinephrine

Exam 3 (8 decks)

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