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SUR 123 Lab > OB/GYN (Lab) > Flashcards

OB/GYN (Lab) Flashcards

1
Q

Which diagnostic technique involves staining cervical squamous epithelial cells with iodine-based Lugol’s solution?

A

Schiller’s Test

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2
Q

Explain if a pelvic endoscopy is a sterile or unsterile procedure.

A

Sterile, vagina is dirty / contaminated BUT microbes can enter through peritoneal cavity via fallopian tubes

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3
Q

List two procedures used to treat severe dysplasia and/or carcinoma of the cervix in situ.

A

LEEP procedure, Laser conization, Scalpel conization

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4
Q

Describe cerclage by the Shirodkar procedure.

A

Placement of a collar-tupe ligature at level of internal os to treat cervical incompetence. Mersiline tape may be used to prevent premature expulsion Intrauterine pregnancy.

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5
Q

Which uterine incision used for cesarean section causes less intraoperative blood loss and a less chance of rupture with subsequent pregnancies?

A

Pfannenstiel

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6
Q

Gynecology procedures can be performed through two approaches, what are they?

A

Abdominal or Vaginal

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7
Q

What are the advantages of the LAVH (Laparoscopic Assisted Vaginal Hysterectomy) approach?

A

+ Less exposure
+ Shortens hospital Stay
+ Optimum visualization of abdomen

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8
Q

Why do you need to drain the bladder prior to D&C (Dilation and Curettage) or other pelvic procedures?

A

Protect bladder & uterus from injury during pelvic procedure.
Red Rubber (Robinson) used to drain.

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9
Q

List the drape components that are necessary to drape a patient in the lithotomy position.

A

Under the buttocks, (2) dog-ear towels, leggings, laparotomy drape
if needed.

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10
Q

Describe pelvic exenteration.

A

Complete removal of all pelvic reproductive organs. Bladder, vagina, sigmoid colon, rectum, pelvic lymph nodes.

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11
Q

Ectopic Pregnancy

A

gestation outside of uterus

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12
Q

Endometriosis

A

aberrant endometrial tissue

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13
Q

Salpingitis

A

inflammation of fallopian tube

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14
Q

Corpus luteal cyst

A

follicular cyst of ovary

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15
Q

Endometrioma

A

mass of endometrial tissue

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16
Q

Fibroid uterus

A

benign mass of uterus

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17
Q

Cystocele

A

herniated bladder into vagina

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18
Q

Oophorectomy

A

removal of ovary

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19
Q

Hysterectomy

A

removal of uterus

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20
Q

Abdominal Hysterectomy

A

Removal of uterus abdominaly

21
Q

Vaginal Hysterectomy

A

Removal of uterus vaginally

22
Q

D&C

A

dialation of cervix to include scrapings of endocervical and/or endometrial for diagnostic

23
Q

LEEP Procedure

A

Loop Electrical Excision Procedure
Small electrical wire loop to remove abnormal cells from cervix (prevent cancer)

24
Q

Cesarean Section

A

Derivery of fetus through abdominal and uterine incision.

25
Q

What type of serrations does the Heaney-Ballentine clamp have?

A

Vertical serrations

26
Q

When performing a hysterectomy, which clamp may be used to clamp the uterine artery?

A

Phaneuf Uterine Artery Clamp

27
Q

Describe the difference between an open-sided and the closed-sided vaginal speculum.
When would you need to have an open speculum avallable?

A

Graves - open sided, allows surgeon to place tenaculum on cervix and then
remove speculum. Close sided wouldn’t.

28
Q

What is the name of the vaginal retractor that is weighted, single-ended, and comes in different types and various blade lengths.

A

Auvard weighted speculum

29
Q

Which self-retaining retractor is usually used for the Pfannenstiel incision?

A

O’Sullivan - O’connor

30
Q

What is the difference in the Heaney needle holder used in gynecology procedures?

A

It is curved & allows for maneuvering around uterine structures.

31
Q

Describe the T-clamp and what procedure would you need to have them available?

A

“Pratt T forcep” “Pratt-Smith hemostatic forcep”
Used to grasp vaginal mucosa to be removed, used during A & P repair.

32
Q

You are scrubbed on a D&C, what vaginal retractor will you need to have available, and why would you place a glove on the end?

A

Auvard Speculum, to catch blood/ tissue during procedure.

33
Q

What is the name of the tenaculum which is single-toothed and has an elevating sound at the end? It is usually used for mobilizing the uterus during laparoscopic procedures.

A

Hulka Tenaculum

34
Q

(1). Pennington clamp
(2) Foerester spongestick
(3) Cord clamp
(4)Obstetrical Forceps * simpson delivery*
(5) Iowa membrane puncturing forcep

A

(1) Aid in hemostasis of uterine edges
(2) Grasp uterine edges for hemostasis & open cervix.
(3) Placed on umpilical cord to be transected
(4) Used to grasp fetal head & aid in delivery
(5) Puncture amniotic sac

35
Q

You’re scrubbed on a D&C, what instruments will you need to provide the surgeon to measure the depth of the intrauterine cavity?

A

Sims uterinesound

36
Q

The _____ curette has sharp edges; whereas, the ____ curette has dull edges.

A

Sims
Thomas

37
Q

During a laparoscopy, what is the name of the needle used to insert the gas into the abdomen, and what type of gas is used?

A

Veress needle, Carbon dioxide

38
Q

What are Lister scissors used for on a C-Section?

A

They are used to finish off uterine incision & cut the umbilical cord

39
Q

During a C-Section, the surgeon has deepened the dissection to the fascia. What scissors will you give the surgeon?

A

Curved mayos

40
Q

You are scrubbed on a C-Section and the head of the baby is clear of the uterus. What is needed?

A

bulb syringe

41
Q

The surgeon asks for a “Schroeder”. What do you provide to him?

A

Braun tenaculum /single tooth tenaculum

42
Q

The surgeon wants a Hank Uterine Dilator. How is that different from a Hegar?

A

Hank nas curved ends & ribbed at BOTH ends, which HELPS It halt the depth & penetration. Hegars are hollow.

43
Q

During a Vaginal Hysterectomy, the surgeon requests a right angle. What is needed?

A

Heaney retractor

44
Q

The weighted speculum has been placed in the vagina and the os of the cervix has been grasped with the tenaculum. As the scrub, what instrument will the surgeon need next?

A

uterine sound / this is a D&C

45
Q
A

T clamp

46
Q
A

Iowa membrane puncturing forceps

47
Q
A

Uterine elevating forceps

48
Q
A

Uterine cannula (acorn tip)

49
Q
A

Pratt dilators

SUR 123 Lab (4 decks)

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