P2: Cervical Dilators, Uterine Curettes & Forceps

Question 1

Types of Cervical Dilators

Answer 1

• Hegar’s dilator
• Fenton’s dilator

Question 2

Types of Cervical Dilators

• Hegar

Answer 2

Has tapering end.

Question 3

Types of Cervical Dilators

• Fenton

Question 4

Application of Hegar Dialator

Question 5

Indications of Hegar Dialator

Question 6

Indications of Hegar Dialator

• Diagnostic

Answer 6

Diagnosis of cervical incompetence (if Hegar 8 passed easily).

Question 7

Indications of Hegar Dialator

• Therapeutic

Question 8

Indications of Hegar Dialator

• Preliminary to other procedures or operations

Question 9

Degree of dilatation

• Hegar 5

Answer 9

Cervical cauterization (in nulliparas) & application or removal of IUD.

Question 10

Degree of dilatation

• Hegar 8

Answer 10

HSG, insufflation & diagnosis of cervical incompetence (if passed easily

Question 11

Degree of dilatation

• Hegar 10-12

Answer 11

Endometrial curettage & Fothergill’s operation

Question 12

Degree of dilatation

• Hegar 12-14

Answer 12

Evacuation of products of conception

Question 13

Degree of dilatation

• Hegar 14-16

Answer 13

Treatment of spasmodic dysmenorrhea

Question 14

Degree of dilatation

• Hegar 18-22

Answer 14

Finger exploration of uterine cavity

Question 15

CI of Hegar Dialator

Answer 15

A) Vaginal & cervical infections.

B) Pregnancy & suspicion of pregnancy.

C) Soft uterine wall (in sever uterine infection & cancer body).

Question 16

Complication sof Hegar Dialator

Answer 16

A) Neurogenic shock (vagal nerve stimulation).
B) Perforation of uterus.
C) Introduction of infection.
D) Induction of abortion if introduced in pregnant uterus.

+

Question 17

Causes of bleeding during dilatation

Question 18

Types of Uterine Curettes

Question 19

Types of Uterine Curettes

• Loop Curette

Question 20

Types of Uterine Curettes

• Flushing Curette

Question 21

Types of Uterine Curettes

• Fundal Curette

Question 22

Types of Uterine Curettes

• Novak, Randall & Sharman curettes

Question 23

Indications of Uterine Curettes

Question 24

Indications of Uterine Curettes

• Diagnostic

Question 25

Indications of Uterine Curettes

• Therapeutic

Question 26

Complications of Uterine Curettes

Question 27

Types of Endometrial biopsy

Question 28

Time of Endometrial biopsy

Answer 28

• During bleeding: → For determination of endometrial pattern & helping to stop bleeding.
• Premenstrual: → For diagnosis of anovulation & TB endometritis.

Question 29

Possibilities of endometrial pattern detected by D&C

Answer 29

First 4 patterns aren’t present in postmenopausal patients.
1) Normal proliferative endometrium.
2) Normal secretory endometrium.
3) Irregular ripening of endometrium.
4) Irregular shedding of endometrium.
—–
5) Endometrial hyperplasia.
6) Endometrial carcinoma.
7) Atrophic endometrium.
8) Specific endometritis (as TB endometritis).

Question 30

Types of Forceps

Question 31

Desc of Ring forceps

Question 31

Desc. of Sponge Forceps

Question 32

Indications of Ring & Sponge Forceps

Question 33

Desc. of Ovum Forceps

Question 34

Indications of Ovum Forceps

Answer 34

Evacuation of products of conception as
in:

1) Abortion (inevitable, incomplete, septic or therapeutic).

2) Vesicular mole.

Question 35

Types of Volsellum forceps

Question 36

Indications of Volsellum forceps

Question 37

CI of Volsellum forceps

Answer 37

A) Soft pregnant cervix.
B) Friable cervix (as in cancer cervix).
C) Infection.

Question 38

Comp of Volsellum forceps

Answer 38

A) Lacerations.
B) Bleeding from site of grasp.
C) Infection.

Question 39

Multitoothed volsellum is used > single toothed as it …….

Answer 39

is less traumatic & doesn’t slip

Question 40

Volsellum can be used èout anesthesia as cervix is sensitive only to dilatation.

Answer 40

…..