OB Gyn Flashcards

(100 cards)

1
Q

The pelvic girdle consists of the __________.

A

iliac crest, ischia, pubic bones, and sacrum

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2
Q

Bartholin’s glands are located __________.

A

within the vestibule

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3
Q

The PH of vaginal fluid is __________.

A

acidic

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4
Q

The ligament that supports the bulk of the ovary is called the _________.

A

suspensory ligament

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5
Q

What causes the descent of the fetus through the pelvic canal?

A

uterine contractions

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6
Q

What accessories are needed for the operating room table in order to place the patient in the lithotomy position?

A

stirrups and foot holders

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7
Q

The three layers of the uterus are the:

A

myometrium, endometrium, perimetrium

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8
Q

Name the two hormones from the anterior pituitary that stimulates the ovarian cycle.

A

LH and FSH

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9
Q

What is the most significant cause of morbidity during a C-section?

A

anesthetic complications

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10
Q

A Delee suction device is used ___________.

A

to clear the neonate’s airway in the presence of meconium

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11
Q

A foley catheter is used routinely during pelvic procedures to ___________.

A

decompress the bladder to prevent injury

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12
Q

Ms. Peterson, age 42 goes to the gynecologist, complaining of pelvic pain. Upon office examination, the physician palpated a pelvic mass on the right adnexae. Ultrasound showed that the mass appears to contain fluid. She is scheduled for surgery. Which procedure would the patient most likely be scheduled for?

A

Diagnostic laparoscopy

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13
Q

What equipment would you assemble as you prepared the room for the procedure?

A

video cart with monitor

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14
Q

What supplies would you gather in preparation for this procedure?

A

CO2 insufflation tubing

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15
Q

The mass is found to be a simple ovarian cyst. The surgeon decides to perform an I&D (incision and drainage) of the cyst. What supply/instrument would you have ready?

A

a needle aspiration tip with a 30cc syringe

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16
Q

When handling uterine currettings:

A

keep the endometrial and the endocervical currettings separate

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17
Q

The specimen from an aspiration of an ovarian cyst would be sent:

A

to Cytology without any solution for examination of the cells

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18
Q

Extrauterine pregnancies can occur in the :

A

abdominal cavity and fallopian tubes

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19
Q

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

A

episiotomy

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20
Q

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

A

a. bipolar coagulation
b. Silastic bands
c. Surgitie ligating loop
d. spring clip

Answer is c. surgitie ligating loop

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21
Q

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

A

Laparoscopic assisted vaginal hysterectomy (LAVH)

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22
Q

Which of the following statements concerning C-sections is NOT true?

A

a. Metzenbaum scissors are used to cut the uterus and the umbilical cord
b. delivery forceps may be needed to assist in the removal of the baby’s head from the uterus
c. the cervix is open, therefore care should be taken when suctioning inside the uterus to prevent wound contamination
d. a small bulb syringe is used to aspirate the baby’s mouth and nose prior to delivery of the shoulders and body

Answer is a. Metzenbaum scissors are used to cut the uterus and the umbilical cord

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23
Q

A technique employed for cervical biopsy is:

A

multiple punches at 3,6,9 and 12 oclock

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24
Q

What pathology is a serious obstetrical emergency that is a type of coagulopathy resisting from overstimulation of the clotting and anticlotting processes?

A

Disseminated intravascular coagulopathy

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25
If a tumor of an ovary is suspected to be malignant, what other organs must be removed?
Both fallopian tubes, both ovaries and the uterus
26
Which uterine ligament contains the uterine artery and vein?
cardinal
27
What hormone controls the development of secondary sex characteristics and initiates growth of the endometrium during the menstrual cycle?
Estrogen
28
The hysteroscope may be used to identify or remove all of the following EXCEPT:
a. fallopian adhesions b. lost IUD's c. intrauterine adhesions d. submucosa fibroids Answer is a. fallopian adhesions
29
Which scissors is most likely found in a hysterectomy set-up?
Jorgenson
30
The surgeon is performing a D&C. He/She wants to measure the depth of the intrauterine cavity. The instrument you hand to him/her is a ________.
Sims sound
31
What is the name of the instrument that the surgeon will need to perform an endocervical scraping?
Kevorkian
32
A metallic element that contains radioactive isotopes used for radiation of cancerous cervical tissue is:
Cesium
33
A pneumoperitoneum is established during a laparoscopy through the use of the:
Verres needle
34
The surgeon is performing a hysterectomy and needs to suture around a ligament. What needle holder has an angled tip to facilitate use around structures?
Heaney
35
Types of dilators used to dilate or open the cervix include all of the following EXCEPT:
Somer
36
Ureteral catheters will probably be inserted to provide a landmark to prevent accidental injury during which of the following procedures?
Radical hysterectomy with Pelvic Lymphadenectomy
37
Instruments used to grasp the vaginal mucosa during Anterior/Posterior Repair include:
Allis
38
The term gravida indicates the ___________.
number of preganacies
39
The term to describe abnormal labor or childbirth is ________.
dystocia
40
Posterior colporrhaphy is peformed to _________.
repair a rectocele
41
The trendelenburg position is used to prevent injury and enhance visualization by displacing the abdominal contents _________.
superiorly
42
Total abdominal hysterectomy involves the removal of which structure(s)?
uterus
43
Cervical cerclage is performed to _________.
close an incompetent cervix
44
The ovaries function is to ___________.
produce and expel ova
45
A tuboplasty is performed to ___________.
restore tubal patency
46
All of the following are parts of the uterus except the __________.
a. fundus b. fimbria c. corpus d. cervix Answer is b. fimbria
47
What is the abnormal condition associated with pregnancy, marked by high blood pressure, proteinuria, edema and headache?
Preeclampsia
48
What is the mixture of fatty secretions from fetal sebaceous glands and dead skin that protects the fetus's delicate skin from abrasions and chapping?
vernix caseosa
49
A Pap smear is performed to rule out __________.
cervical dysplasia
50
Marsupialization indicates that __________.
a pouch is created
51
What is the ripening or thinning of the cervix in preparation for delivery called?
Effacement
52
What is the syndrome characterized by the enlargement of the ovaries caused by the presence of many cysts formed by incompletely developed follicles?
Polycystic Ovary syndrome
53
What is the hormone secreted by the corpus luteum and is essential for the implantation of the fertilized ovum and development of the embryo?
Progesterone
54
Indigo carmine is used following a tuboplasty to demonstrate _________.
tubal patency
55
A cystocele is the prolapse of the __________________.
bladder into the vaginal vault
56
During which stage of labor is the placenta delivered?
third stage
57
What is the most common reason for the performance of a cesarean section?
failure to progress
58
An examination of the cervix that uses a binocular microscope is called a:
Colposcopy
59
The medical term for the removal of a uterine fibroid is:
Myomectomy
60
Which presentation makes the patient have to push harder and longer due to the baby's face pointing up?
posterior presentation
61
What is the solution that is applied to the cervix with a long q-tip that stains the abnormal tissue?
Lugols solution
62
What is the test where gas is passed under pressure into the tubes through the cervix and uterus where the doctor listens with a stethoscope to determine if he can hear gas passing through the tube?
Rubin's test
63
Name for the dressing forceps found in a D&C tray is ___________.
Bozeman
64
A diagnostic procedure for a suspected ectopic pregnancy is called:
Culdocentesis
65
How many sponge, sharps and instrument counts does a c-section require?
four
66
Which of the following surgical instruments is a type of bladder retractor used during a c-section?
DeLee
67
Which of the following would the first scrub surgical technologist need to include in the set-up for an incomplete abortion?
Suction currettage
68
A radical procedure involving removal of the reproductive organs, bladder and rectum is called a/an:
Pelvic exenteration
69
An indwelling foley catheter is inserted into a patient prior to the start of a hysterectomy to:
Avoid injury to the bladder
70
A postoperative complication in gynecologic surgery resulting from the patient being placed in the lithotomy position is:
Thrombosis
71
Which of the following is the medical term for the abnormal implantation of the placenta in the uterus so that it covers the cervical os?
Placenta previa
72
During minimally-invasive/laparoscopic pelvic surgery, the peritoneal cavity is insufflated with:
carbon dioxide
73
You are scheduled to scrub on a D&C and abdominal hysterectomy. You will:
set up two tables and be prepared first for the D&C, followed by the abdominal hysterectomy
74
Oxytocics are given in a c-section after the baby's shoulders are delivered:
to contract the uterus
75
The sharp uterine curettes located in the D&C tray are called:
Sims
76
All of the following are indications for a C-section except:
ectopic pregnancy
77
The clamps most desirable for approximating uterine wound edges for closure during a Cesarean section are:
Pennington
78
Excessive uterine bleeding occurring during menses and at regular intervals is:
menometrorhagia
79
A simple diagnostic procedure to differentiate normal from abnormal cervical or vaginal tissue by a staining technique is:
Schiller's test
80
A basin for contaminated instruments must be provided for which of the following procedures?
Abdominal hysterectomy
81
CPD stands for:
cephalopelvic disproportion
82
The finger-like projections that trap and direct the ova after its maturation and release are called the:
fimbria
83
Where is the ovarian artery located?
in the suspensory ligament
84
What is the largest and longest portion of the fallopian tube called?
ampulla
85
What is the area between the rectum and vagina called?
perineum
86
What is the erectile structure located directly above the urethral orifice and below the mons pubis?
clitoris
87
What is the procedure where a long thin needle is inserted through the vaginal wall and a sample of fluid is aspirated for diagnostic purposes?
culdocentesis
88
The uterine appendages are the ___________.
ovaries and fallopian tubes
89
The Pfannenstiel incision is a/an ___________ incision.
lower transverse abdominal
90
The absence or abnormal stoppage of the menses is called ____________.
amenorrhea
91
The external genitalia are collectively referred to as the ___________.
vulva
92
Endometriosis is ____________.
abnormal implantation of endometrial tissue
93
What is the name of the condition in which the patient has an infection of the uterus and the fallopian tubes usually caused by an ascending infection is which the disease producing germs spread from the vagina to the reproductive tract?
Pelvic Inflammatory Disease
94
Positioning of the surgical patient that is having a C-section is very important. Why is it necessary to put a rolled blanket or towel under the patient's right side?
to prevent compression of the aorta and vena cava
95
All of the following are indications for an abdominal hysterectomy EXCEPT;
a. pelvic inflammatory disease b. fibroids c. ovarian cyst d. endometriosis Answer is c. ovarian cyst
96
A woman who is pregnant for the first time is:
primaigravida
97
Stirrups would not be required for which of the following procedures:
Abdominal hysterectomy
98
A radical hysterectomy with pelvic lymphadenectomy is a/an:
Wertheim procedure
99
Cervical conization or biopsy is performed for all of the following EXCEPT:
a. chronic cervicitis b. cervical incompetence c. cervical dysplasia d. carcinoma in situ of the cervix Answer is b. cervical incompetence
100
The fallopian tube is grasped with a:
Babcock