OB Gyn Flashcards

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
Q

If a tumor of an ovary is suspected to be malignant, what other organs must be removed?

A

Both fallopian tubes, both ovaries and the uterus

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26
Q

Which uterine ligament contains the uterine artery and vein?

A

cardinal

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27
Q

What hormone controls the development of secondary sex characteristics and initiates growth of the endometrium during the menstrual cycle?

A

Estrogen

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28
Q

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

A

a. fallopian adhesions
b. lost IUD’s
c. intrauterine adhesions
d. submucosa fibroids

Answer is a. fallopian adhesions

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29
Q

Which scissors is most likely found in a hysterectomy set-up?

A

Jorgenson

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30
Q

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 ________.

A

Sims sound

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31
Q

What is the name of the instrument that the surgeon will need to perform an endocervical scraping?

A

Kevorkian

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32
Q

A metallic element that contains radioactive isotopes used for radiation of cancerous cervical tissue is:

A

Cesium

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33
Q

A pneumoperitoneum is established during a laparoscopy through the use of the:

A

Verres needle

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34
Q

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?

A

Heaney

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35
Q

Types of dilators used to dilate or open the cervix include all of the following EXCEPT:

A

Somer

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36
Q

Ureteral catheters will probably be inserted to provide a landmark to prevent accidental injury during which of the following procedures?

A

Radical hysterectomy with Pelvic Lymphadenectomy

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37
Q

Instruments used to grasp the vaginal mucosa during Anterior/Posterior Repair include:

A

Allis

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38
Q

The term gravida indicates the ___________.

A

number of preganacies

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39
Q

The term to describe abnormal labor or childbirth is ________.

A

dystocia

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40
Q

Posterior colporrhaphy is peformed to _________.

A

repair a rectocele

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41
Q

The trendelenburg position is used to prevent injury and enhance visualization by displacing the abdominal contents _________.

A

superiorly

42
Q

Total abdominal hysterectomy involves the removal of which structure(s)?

A

uterus

43
Q

Cervical cerclage is performed to _________.

A

close an incompetent cervix

44
Q

The ovaries function is to ___________.

A

produce and expel ova

45
Q

A tuboplasty is performed to ___________.

A

restore tubal patency

46
Q

All of the following are parts of the uterus except the __________.

A

a. fundus
b. fimbria
c. corpus
d. cervix

Answer is b. fimbria

47
Q

What is the abnormal condition associated with pregnancy, marked by high blood pressure, proteinuria, edema and headache?

A

Preeclampsia

48
Q

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?

A

vernix caseosa

49
Q

A Pap smear is performed to rule out __________.

A

cervical dysplasia

50
Q

Marsupialization indicates that __________.

A

a pouch is created

51
Q

What is the ripening or thinning of the cervix in preparation for delivery called?

A

Effacement

52
Q

What is the syndrome characterized by the enlargement of the ovaries caused by the presence of many cysts formed by incompletely developed follicles?

A

Polycystic Ovary syndrome

53
Q

What is the hormone secreted by the corpus luteum and is essential for the implantation of the fertilized ovum and development of the embryo?

A

Progesterone

54
Q

Indigo carmine is used following a tuboplasty to demonstrate _________.

A

tubal patency

55
Q

A cystocele is the prolapse of the __________________.

A

bladder into the vaginal vault

56
Q

During which stage of labor is the placenta delivered?

A

third stage

57
Q

What is the most common reason for the performance of a cesarean section?

A

failure to progress

58
Q

An examination of the cervix that uses a binocular microscope is called a:

A

Colposcopy

59
Q

The medical term for the removal of a uterine fibroid is:

A

Myomectomy

60
Q

Which presentation makes the patient have to push harder and longer due to the baby’s face pointing up?

A

posterior presentation

61
Q

What is the solution that is applied to the cervix with a long q-tip that stains the abnormal tissue?

A

Lugols solution

62
Q

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?

A

Rubin’s test

63
Q

Name for the dressing forceps found in a D&C tray is ___________.

A

Bozeman

64
Q

A diagnostic procedure for a suspected ectopic pregnancy is called:

A

Culdocentesis

65
Q

How many sponge, sharps and instrument counts does a c-section require?

A

four

66
Q

Which of the following surgical instruments is a type of bladder retractor used during a c-section?

A

DeLee

67
Q

Which of the following would the first scrub surgical technologist need to include in the set-up for an incomplete abortion?

A

Suction currettage

68
Q

A radical procedure involving removal of the reproductive organs, bladder and rectum is called a/an:

A

Pelvic exenteration

69
Q

An indwelling foley catheter is inserted into a patient prior to the start of a hysterectomy to:

A

Avoid injury to the bladder

70
Q

A postoperative complication in gynecologic surgery resulting from the patient being placed in the lithotomy position is:

A

Thrombosis

71
Q

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?

A

Placenta previa

72
Q

During minimally-invasive/laparoscopic pelvic surgery, the peritoneal cavity is insufflated with:

A

carbon dioxide

73
Q

You are scheduled to scrub on a D&C and abdominal hysterectomy. You will:

A

set up two tables and be prepared first for the D&C, followed by the abdominal hysterectomy

74
Q

Oxytocics are given in a c-section after the baby’s shoulders are delivered:

A

to contract the uterus

75
Q

The sharp uterine curettes located in the D&C tray are called:

A

Sims

76
Q

All of the following are indications for a C-section except:

A

ectopic pregnancy

77
Q

The clamps most desirable for approximating uterine wound edges for closure during a Cesarean section are:

A

Pennington

78
Q

Excessive uterine bleeding occurring during menses and at regular intervals is:

A

menometrorhagia

79
Q

A simple diagnostic procedure to differentiate normal from abnormal cervical or vaginal tissue by a staining technique is:

A

Schiller’s test

80
Q

A basin for contaminated instruments must be provided for which of the following procedures?

A

Abdominal hysterectomy

81
Q

CPD stands for:

A

cephalopelvic disproportion

82
Q

The finger-like projections that trap and direct the ova after its maturation and release are called the:

A

fimbria

83
Q

Where is the ovarian artery located?

A

in the suspensory ligament

84
Q

What is the largest and longest portion of the fallopian tube called?

A

ampulla

85
Q

What is the area between the rectum and vagina called?

A

perineum

86
Q

What is the erectile structure located directly above the urethral orifice and below the mons pubis?

A

clitoris

87
Q

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?

A

culdocentesis

88
Q

The uterine appendages are the ___________.

A

ovaries and fallopian tubes

89
Q

The Pfannenstiel incision is a/an ___________ incision.

A

lower transverse abdominal

90
Q

The absence or abnormal stoppage of the menses is called ____________.

A

amenorrhea

91
Q

The external genitalia are collectively referred to as the ___________.

A

vulva

92
Q

Endometriosis is ____________.

A

abnormal implantation of endometrial tissue

93
Q

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?

A

Pelvic Inflammatory Disease

94
Q

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?

A

to prevent compression of the aorta and vena cava

95
Q

All of the following are indications for an abdominal hysterectomy EXCEPT;

A

a. pelvic inflammatory disease
b. fibroids
c. ovarian cyst
d. endometriosis

Answer is c. ovarian cyst

96
Q

A woman who is pregnant for the first time is:

A

primaigravida

97
Q

Stirrups would not be required for which of the following procedures:

A

Abdominal hysterectomy

98
Q

A radical hysterectomy with pelvic lymphadenectomy is a/an:

A

Wertheim procedure

99
Q

Cervical conization or biopsy is performed for all of the following EXCEPT:

A

a. chronic cervicitis
b. cervical incompetence
c. cervical dysplasia
d. carcinoma in situ of the cervix

Answer is b. cervical incompetence

100
Q

The fallopian tube is grasped with a:

A

Babcock