OB Gyn Flashcards
The pelvic girdle consists of the __________.
iliac crest, ischia, pubic bones, and sacrum
Bartholin’s glands are located __________.
within the vestibule
The PH of vaginal fluid is __________.
acidic
The ligament that supports the bulk of the ovary is called the _________.
suspensory ligament
What causes the descent of the fetus through the pelvic canal?
uterine contractions
What accessories are needed for the operating room table in order to place the patient in the lithotomy position?
stirrups and foot holders
The three layers of the uterus are the:
myometrium, endometrium, perimetrium
Name the two hormones from the anterior pituitary that stimulates the ovarian cycle.
LH and FSH
What is the most significant cause of morbidity during a C-section?
anesthetic complications
A Delee suction device is used ___________.
to clear the neonate’s airway in the presence of meconium
A foley catheter is used routinely during pelvic procedures to ___________.
decompress the bladder to prevent injury
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?
Diagnostic laparoscopy
What equipment would you assemble as you prepared the room for the procedure?
video cart with monitor
What supplies would you gather in preparation for this procedure?
CO2 insufflation tubing
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 needle aspiration tip with a 30cc syringe
When handling uterine currettings:
keep the endometrial and the endocervical currettings separate
The specimen from an aspiration of an ovarian cyst would be sent:
to Cytology without any solution for examination of the cells
Extrauterine pregnancies can occur in the :
abdominal cavity and fallopian tubes
An incision made during normal labor to facilitate delivery with less trauma to the mother is a/an:
episiotomy
Laparoscopic tubal occlusion may utilize all of the following methods of sterilization EXCEPT:
a. bipolar coagulation
b. Silastic bands
c. Surgitie ligating loop
d. spring clip
Answer is c. surgitie ligating loop
An alternative to an abdominal hysterectomy utilizing an endoscope is surgically termed a/an:
Laparoscopic assisted vaginal hysterectomy (LAVH)
Which of the following statements concerning C-sections is NOT true?
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
A technique employed for cervical biopsy is:
multiple punches at 3,6,9 and 12 oclock
What pathology is a serious obstetrical emergency that is a type of coagulopathy resisting from overstimulation of the clotting and anticlotting processes?
Disseminated intravascular coagulopathy
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
Which uterine ligament contains the uterine artery and vein?
cardinal
What hormone controls the development of secondary sex characteristics and initiates growth of the endometrium during the menstrual cycle?
Estrogen
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
Which scissors is most likely found in a hysterectomy set-up?
Jorgenson
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
What is the name of the instrument that the surgeon will need to perform an endocervical scraping?
Kevorkian
A metallic element that contains radioactive isotopes used for radiation of cancerous cervical tissue is:
Cesium
A pneumoperitoneum is established during a laparoscopy through the use of the:
Verres needle
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
Types of dilators used to dilate or open the cervix include all of the following EXCEPT:
Somer
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
Instruments used to grasp the vaginal mucosa during Anterior/Posterior Repair include:
Allis
The term gravida indicates the ___________.
number of preganacies
The term to describe abnormal labor or childbirth is ________.
dystocia
Posterior colporrhaphy is peformed to _________.
repair a rectocele