OBGYN Review

Deep femoral nerve

A patient is scheduled for a vaginal hysterectomy and is placed in a lithotomy position with Allen stirrups. The assistant is responsible for the visualization of the surgical area. What nerve is at risk for injury from an inappropriate placement of retractors?

Sequential compression device (SCD)

A patient will be in the lithotomy position in stirrups. Which device provides alternating pressure intraoperatively to prevent venous pooling for the patient?

A rectocele

A posterior repair repairs to a procedure used to correct:

Monsel's solution

A surgeon is performing a cervical cone biopsy and has encountered bleeding. What solution can be used to control the bleeding?

The surgeon's top outer gloves should be removed and replaced.

A uterine manipulator is placed by the surgeon in the cervix for diagnostic laparoscopic procedures. Which of the following is the best practice to prevent cross-contamination?

primigravida

A woman who is pregnant for the first time is:

The en-bloc removal of the rectum, the distal sigmoid colon, the urinary bladder and the distal ureters, the internal iliac vessels and their lateral branches, all reproductive organs and lymph nodes, and the entire pelvic floor with the accompanying pelvic peritoneum.

Which of the following describes a pelvic exenteration ?

Sims

Which of the following instruments is placed into the cervical canal to determine the direction and depth of the uterine cavity?

Sims uterine sound

Which of the following instruments is placed into the cervical canal to determine the direction and depth of the uterine cavity?

leiomyoma

Which of the following is a type of uterine fibroid?

Endometrium

Which of the following is the name of the inner lining of the uterus?

Myomectomy

Which of the following is the procedure for removal of uterine fibroids?

Blue bulb syringe

Which of the following is used to aspirate mucus and fluid from the mouth and nose of the neonate during cesarean delivery?

Oxytocin

Which of the following medications increases the intensity of uterine contractions?

Lithotomy

Which of the following positions is MOST often used for vaginal surgery?

Lithotomy surgical position

Which of the following positions places the patients on their back and then flexes the hips and knees?

Trendelenburg

Which of the following positions would facilitate optimal laparoscopic visualization of the uterus for a hysterectomy?

Salpingo Oophorectomy

Which of the following procedures involves the surgical removal of the ovaries and fallopian tubes?

Shirodkar's

Which of the following procedures is appropriate for a pregnant woman with an incompetent cervix?

Hysterectomy

Which of the following procedures would require the use of Jorgensen scissors?

Auvard weighted speculum

Which of the following retractors is used exclusively in OBGyn cases?

Any pathogenic organism can cause an infection, so sterile technique is always employed to protect the patient.

Which of the following statements is true regarding sterile technique during vaginal procedures?

Round

Which of the uterine ligaments help suspend the uterus anteriorly?

myomectomy

Which procedure would be listed in the OR schedule for a patient undergoing surgical treatment of uterine fibroids?

O'Connor-O'Sullivan

Which retractor will the CST have on the back table for use during an abdominal hysterectomy?

Jorgensen

Which scissor has a pronounced curvature and is used in gynecological and cardiac-valvular surgeries?

Closure of the uterus

While assisting on a C-section, when can the CST begin a closing count?

Heager

Hysteroscopy involves the insertion of a hysteroscope into the cervix. Before insertion, which dilator does the surgeon use to create space for the scope?

Metzenbaum

In total abdominal hysterectomy, the surgeon uses _____ scissors and long tissue forceps to separate the bladder and the uterus.

salpingostomy

Incision into the fallopian tube to remove the products of conception is called ____.

Myomectomy

Jenny is a 25 year old female who has been trying to become pregnant. She was recently diagnosed with benign fibroid tumors. Which procedure would you schedule her for?

Abdominal aorta and vena cava

Placing a rolled sheet, gel pad, or blanket to elevate a pregnant patient's right hip is done to relieve pressure from?

dilation and suction evacuation

Products of conception (POC) that may be lodged in the uterus and can cause the patient to continue to bleed will most likely be treated with a _________.

The nares and mouth of the fetus are suctioned

The baby is delivered during a c-section. What is the next action taken?

Lithotomy

The case in room 4 is a LAVH. In what position does the CST anticipate that he will need to place the patient?

uterus

The cervix is the lower neck of the ___________.

mons pubis, labia majora, labia minora, clitoris, urethra, vaginal opening.

The correct order of the external organs of the vulva listed anterior to posterior is:

annular recess created by the cervical-vaginal junction

The fornix is the ______.

complete dilation of the cervix

The labor process is defined by four stages. Stage two begins with ____.

Suspensory

The ligament that supports the bulk on the ovary is called the ________ ligament.

True

The manner in which the fetus is presented may necessitate emergency surgery. (T/F)

Produce and expel ova

The ovaries function to _______.

placental abruption

The premature separation of the placenta from the uterine wall is known as:

Nipple line to the mid-thigh

The skin prep required when preparing the patient for an abdominal procedure would extend from the:

Vulva

The structures that together make up the external genitalia are called the _________.

Initiate the closing count

The surgeon begins to close the uterus during a c-section. Which of the following actions should the surgical technologist take before continuing with the closure of the uterus?

Indigo carmine

The surgeon is going to perform a tuboplasty, what solution should the surgical technologist have on the sterile field?

Sims

The surgeon is performing a D and C. He asks for curettes with the sharp blades. Which curette do you hand him?

DeLee

The surgeon is performing a cesarean section. Which retractor is used to protect the bladder?

DeLee

The surgical technologist is preparing the mayo stand for a C-section, Which retractor may be used to protect the bladder during the case?

The lithotomy position stirrups height is adjusted according to the length of the patient's legs.

When positioning a patient having a gynecologic procedure, the surgical team must ensure the proper positioning. This is comprised of which of the following protocols?

Pubic area

When readying a patient for D&C, the CST in the circulating role should begin the prep at the:

anus

Which area is prepped last when performing the skin prep for a Bartholins cystectomy?

Kocher

Which instruments are typically placed onto the fascia during a cesarean section?

Urine seepage into the vagina

Which is a symptoms of a vesicovaginal fistula?

manipulator

During laparoscopic pelvic surgery, the uterus is retracted with a uterine _____.

Hysterectomy

During which procedure would a surgical technologist find a Heaney clamp?

False

Eclampsia is the clamping of the umbilical cord at the time of delivery. (T/F)

fallopian tube

Ectopic pregnancy is implantation of the egg and growth of the embryo in the ____.

four

How many counts are performed on a cesarean section?

ectopic pregnancy

All of the following are indications for a Cesarean section except: ectopic pregnancy abruptio placenta cephalopelvic disproportion eclampsia

Tubal ligation

An Irving, Pomeroy, Parkland are all techniques to approach what open procedure?

Cervical cerclage

Another name for Shirodkar's procedure is:

Expulsion of all products of conception. Surgical intervention is not necessary.

Complete abortion

Schroeder (a tenaculum)

During a dilation and curettage, the surgeon needs to grasp the cervix. What instrument will the ST pass?

Braun

During a dilation and curettage, the surgeon needs to grasp the cervix. What instrument will the surgical technologist pass?

O'Connor O'Sullivan

During an obstetric or gynecological procedure, which is the retractor used specifically for this service?

Ileal conduit

During anterior pelvic exenteration the CST must anticipate an additional procedure. What is it?

Menorrhagia

Excessive bleeding during menses is ____________.

Sweep the egg into the fallopian tube

Fimbriae, the small finger-like extensions on the distal ends of the fallopian tubes serve what purpose?

Trendelenburg

For an abdominal hysterectomy, the patient will be placed in which position?

Cervical excisions (during a LEEP procedure)

For which of the following is a loop electrode commonly used?

Heaney Ballentine

Forceps that are a part of a hysterectomy instrument tray are

Hysterectomy

The Marshall Marchetti Krantz procedure may be performed in conjunction with a _____.

lower transverse abdominal

The Pfannenstiel incision is which type of incision?

resectoscope

The ______ is used specifically for endometrial ablation.

Bartholin's

The ________ glands lie on both sides of the vestibule and secrete mucus during sexual intercourse.

placenta

The ________ is a thick organ that adheres to the uterus on the maternal side.

Fimbria

The ________ is/are small projection(s) that extend from the end of the tube.

Mons Pubis

The __________ is a raised mound of tissue that protects the symphysis pubis.

Perineum

The anatomical area between the posterior vestibule and the anus is the ____________.

perimetrium, myometrium, endometrium

The three layers of the uterine wall are the _______.

Adnexa

The tubes, ovaries, and their ligaments are collectively known as:

A placenta that is delivered ahead of the fetus

There are several indications for a Cesarean section, which of the following most accurately describes a placenta previa?

removal of the uterus through a vaginal incision

Vaginal hysterectomy is used to describe _______.

Mayo scissors

What cutting instrument should the CST have ready for the surgeon to cut the uterosacral ligament during an abdominal hysterectomy?

(Sims curette)

What instrument would you hand the surgeon who asks for a curette with sharp blades during a D&C procedure?

failure to progress

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

Rectocoele

What term describes the herniation of the rectum into the vagina?

Menometrorrhagia

What term means "bleeding in between menstrual periods in a premenopausal woman?"

Under buttocks sheet

When draping a patient who is in a lithotomy position which of the following drapes is placed first?

Underbuttocks

When draping the patient for a D&C procedure, the first drape to be placed is the:

Low lithotomy

When positioning a patient for a laparoscopic vaginal hysterectomy, it is imperative that the patient be placed in:

Herniation of the bladder into the vaginal vault.

Your patient has been scheduled for a cystocele repair. What is the definition of a cystocele?

Meconium

_____________ is a nearly sterile fecal waste that accumulates while the fetus is in the uterus.

Leiomyoma

______________ is a fibrous, benign tumor of the uterus that usually arises from the myometrium.