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
The trendelenburg position is used to prevent injury and enhance visualization by displacing the abdominal contents _________.
superiorly
Total abdominal hysterectomy involves the removal of which structure(s)?
uterus
Cervical cerclage is performed to _________.
close an incompetent cervix
The ovaries function is to ___________.
produce and expel ova
A tuboplasty is performed to ___________.
restore tubal patency
All of the following are parts of the uterus except the __________.
a. fundus
b. fimbria
c. corpus
d. cervix
Answer is b. fimbria
What is the abnormal condition associated with pregnancy, marked by high blood pressure, proteinuria, edema and headache?
Preeclampsia
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
A Pap smear is performed to rule out __________.
cervical dysplasia
Marsupialization indicates that __________.
a pouch is created
What is the ripening or thinning of the cervix in preparation for delivery called?
Effacement
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
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
Indigo carmine is used following a tuboplasty to demonstrate _________.
tubal patency
A cystocele is the prolapse of the __________________.
bladder into the vaginal vault
During which stage of labor is the placenta delivered?
third stage
What is the most common reason for the performance of a cesarean section?
failure to progress
An examination of the cervix that uses a binocular microscope is called a:
Colposcopy
The medical term for the removal of a uterine fibroid is:
Myomectomy
Which presentation makes the patient have to push harder and longer due to the baby’s face pointing up?
posterior presentation
What is the solution that is applied to the cervix with a long q-tip that stains the abnormal tissue?
Lugols solution
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
Name for the dressing forceps found in a D&C tray is ___________.
Bozeman
A diagnostic procedure for a suspected ectopic pregnancy is called:
Culdocentesis
How many sponge, sharps and instrument counts does a c-section require?
four
Which of the following surgical instruments is a type of bladder retractor used during a c-section?
DeLee
Which of the following would the first scrub surgical technologist need to include in the set-up for an incomplete abortion?
Suction currettage
A radical procedure involving removal of the reproductive organs, bladder and rectum is called a/an:
Pelvic exenteration
An indwelling foley catheter is inserted into a patient prior to the start of a hysterectomy to:
Avoid injury to the bladder
A postoperative complication in gynecologic surgery resulting from the patient being placed in the lithotomy position is:
Thrombosis
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
During minimally-invasive/laparoscopic pelvic surgery, the peritoneal cavity is insufflated with:
carbon dioxide
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
Oxytocics are given in a c-section after the baby’s shoulders are delivered:
to contract the uterus
The sharp uterine curettes located in the D&C tray are called:
Sims
All of the following are indications for a C-section except:
ectopic pregnancy
The clamps most desirable for approximating uterine wound edges for closure during a Cesarean section are:
Pennington
Excessive uterine bleeding occurring during menses and at regular intervals is:
menometrorhagia
A simple diagnostic procedure to differentiate normal from abnormal cervical or vaginal tissue by a staining technique is:
Schiller’s test
A basin for contaminated instruments must be provided for which of the following procedures?
Abdominal hysterectomy
CPD stands for:
cephalopelvic disproportion
The finger-like projections that trap and direct the ova after its maturation and release are called the:
fimbria
Where is the ovarian artery located?
in the suspensory ligament
What is the largest and longest portion of the fallopian tube called?
ampulla
What is the area between the rectum and vagina called?
perineum
What is the erectile structure located directly above the urethral orifice and below the mons pubis?
clitoris
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
The uterine appendages are the ___________.
ovaries and fallopian tubes
The Pfannenstiel incision is a/an ___________ incision.
lower transverse abdominal
The absence or abnormal stoppage of the menses is called ____________.
amenorrhea
The external genitalia are collectively referred to as the ___________.
vulva
Endometriosis is ____________.
abnormal implantation of endometrial tissue
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
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
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
A woman who is pregnant for the first time is:
primaigravida
Stirrups would not be required for which of the following procedures:
Abdominal hysterectomy
A radical hysterectomy with pelvic lymphadenectomy is a/an:
Wertheim procedure
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
The fallopian tube is grasped with a:
Babcock
