Quiz # 4 OB/GYN Surgery online

What is the name of a bivalve speculum frequently found in a vaginal procedure tray?

Graves

Which type of needle holder is curved and frequently used for hysterectomy procedures?

Heaney

What is the name of the heavy, right-angle scissors frequently used to dissect around the cervix during hysterectomy?

Jorgenson

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

Kocher

When the cord precedes the fetal head

Cord prolapsed

Tuboplasty is performed to ____.

Correct Answer! restore tubal patency interrupt tubal patency remove a Bartholin's cyst prevent pregnancy

Which self-retaining retractor has the shape of a figure-of-eight (8) when in the closed position?

O'Sullivan-O'Connor

What is the surgical procedure that involves the placement of a large-diameter Dacron or Mersilene tape around the cervix at the internal os?

Shirodkar procedure

The positioning for a total abdominal hysterectomy is ________.

supine with arms out on an armboard For a total abdominal hysterectomy, the patient is placed in a supine position. After a routine abdominal and vaginal prep, a Foley catheter is inserted for continuous urinary drainage. A lower midline or Pfannenstiel incision can be used for a hysterectomy. The incision traverses the lower abdomen approximately 3 to 4 inches above the symphysis pubis.

The ligament that supports the bulk of the ovary is called the ____ ligament.

suspensory

What is the name given to a fistula that forms between the bladder and vagina?

vesicovaginal fistula

For a dilation and curettage (D&C), which of the following orders of instrument use is CORRECT for endometrial biopsy?

weighted vaginal speculum, tenaculum, uterine sound, cervical dilators, endometrial curettes

What color is the abnormal tissue after staining with acetic acid in a cervical biopsy?

white

Delivery of the placenta is the conclusion of which stage of labor?

third

A DeLee suction device is used ____.

to clear the neonate's airway in the presence of meconium

Indigo carmine is used following tuboplasty to demonstrate ____.

tubal patency

What is the treatment method that destroys genital condyloma with a carbon dioxide laser?

ablation

Endometriosis is ____.

an abnormal implantation of endometrial tissue

The fornix is the ____.

annular recess created by the cervical-vaginal junction

The fallopian tubes are located bilaterally in the mesosalpinx of which uterine-pelvic ligaments?

broad

The ligaments that surround the uterus and are suspended from the pelvic wall are called ________ ligaments.

broad

A procedure in which a suture ligature is placed around the cervix to prevent spontaneous abortion is called _________.

cerclage

What is the MOST common surgical intervention for a vaginal delivery?

cerclage Correct! episiotomy marsupialization labioplasty

A Pap smear is performed to rule out ____.

cervical dysplasia

What is the best suture choice for closing an episiotomy?

chromic

Cerclage is performed to ____.

close an incompetent cervix

Herniation of the bladder into the vagina is called a ________.

cystocele Cystocele (herniation of the bladder) and rectocele (herniation of the rectum) occur when the musculature and connective tissues become weakened and prolapse against the anterior and posterior vaginal walls.

A Foley catheter is used routinely during pelvic procedures to ____.

decompress the bladder to prevent injury

The term used to describe abnormal labor or childbirth is ____.

dystocia

Which incision is MOST frequently used for cesarean sections?

epigastric vertical midline paramedian Correct! Pfannenstiel

In which of the following procedures would the patient be left without a vagina or any of the female reproductive organs and have a permanent colostomy and ileostomy?

exenteration

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

failure to progress

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

fallopian tube Ectopic pregnancy is implantation of the fertilized egg outside the uterus. The fallopian is a common site of ectopic implantation.

The term adnexa refers to which gynecologic anatomical structures?

fallopian tubes, ovaries, and infundibulum

How many counts are performed on a cesarean section?

four

Which term means the number of times a woman has been pregnant?

gravida

Arterial blood supply to the uterus is derived from the uterine branch of which artery?

internal iliac

LAVH is removal of the uterus by combined ___________ approach.

laparoscopic and vaginal It is the most common approach to hysterectomy.

A __________________ is a benign, smooth muscle tumor of the uterus that may cause abnormal uterine bleeding and lead to anemia

leiomyoma

In which position is the patient generally placed into for a D and C?

lithotomy

The surgical patient, for an endometrial ablation, will be placed in the ________ position.

lithotomy

The Pfannenstiel incision is which type of incision?

lower transverse abdominal

What is the name of the routine surgical treatment of infected Bartholin's gland cysts?

marsupialization

What is the procedure name for the removal of fibroid tumors of the uterus with the preservation of fertility?

myomectomy

A _______________________ is the removal of a benign tumor (fibroid) of the myometrium to control bleeding and prevent pressure on other structures in the pelvis.

myomectomy Submucous myomas can be removed with the resectoscope.

A fibroid is a benign tumor found in the ____.

myometrium

An umbilical cord wrapped one or more times around the baby's neck

nuchal cord

Removal of the tubal contents with preservation of the tube is called ________.

salpingostomy

What accessories are needed for the operating room table in order to place the patient in lithotomy position?

stirrups and foot holders

Bulb syringes are used in obstetrical delivery procedures to:

suction the mouth and nares of the neonate

LEEP stand for : Loop Electrocautery Excision Procedure. T/F

True

Marsupialization is the surgical technique to treat Bartholin's Cyst.

True

Myoma : is a fibrous, benign tumor of the uterus that usually arises from the myometrium . and it is also called Leiomyoma . T/F

True

TAH with BSO involves the removal of :uterus, ovaries, fallopian tubes. T/F

True

The picture shows Tips of Heaney hysterectomy forceps. T/F

True

There are 4 counts are performed during a c-section , the first initial count the second count initiated after closing the uterus ,then the third count after closing fascia then the forth count when the surgeon start closing the skin. T/F

True

Which gynecologic procedure is performed for treatment of urinary incontinence or cystocele?

Wertheim's procedure Shirodkar procedure Correct! anterior colporrhaphy posterior colporrhaphy

Which of the following is a weighted vaginal speculum?

Auvard

Which instrument is used to manipulate the fallopian tubes without compression or damage?

Babcock tissue forceps

An example of perineal glands that secrete mucus is:

Bartholin's glands. Bartholin's glands and ducts are located on each side of the lower end of the vagina at the 5 and 7 o'clock positions. The narrow ducts open into the vaginal orifice on the inner aspects of the labia minora. The glands secrete mucus and can become infected or inflamed.

During cesarean delivery, which is the priority instrument or device needed as soon as the fetal head is delivered?

Bulb syringe or aspirator tip (As soon as the head is delivered, the surgical assistant provides transabdominal fundal pressure to aid in the delivery of the shoulders and extremities. A bulb syringe and aspirator tip is used to aspirate the exposed nares and mouth to minimize aspiration of amniotic fluid and its contents.)

In tuboplasty procedure the surgeon likely will request 0 or 2-0 suture. T/F

False In tuboplasty procedure the surgeon likely will request 8-0 or 9-0 suture.

Subtotal hysterectomy: Removing the uterus and the cervix.

False Subtotal hysterectomy: Removing the uterus but leaving the cervix intact.

the best suture choice for closing an episiotomy is Ethibond suture.T/F

False the best suture choice for closing an episiotomy is Chromic.

Anterior colporrhaphy is performed to repair a rectocele. T/F

False Anterior colporrhaphy is performed to repair a cystocele.

The picture shows Jorgenson needle holder T/F

False The picture shows Heaney needle holder

Which piece of operating room furniture would likely be unnecessary for many vaginal surgical procedures?

Mayo stand

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

Meconium

The cervix painted with Lugol's solution is ________.

Schiller's test

CKC :cold knife cone biopsy (conization) is surgery to remove a sample of abnormal tissue from the cervix. T/F

True

Cervical cerclage(Shirodkar Technique), also known as a cervical stitch, is performed to close cervical incompetence or insufficiency. T/F

True

A common drug given to induce labor is ____.

oxytocin

Which medication may be injected into the uterus for hemostasis, before closure of the uterus in a cesarean section?

oxytocin

When the placenta implants completely or partially over the cervical os

placenta previa

Premature separation of the placenta from the uterine wall

placental abruption

The external female genitalia is vascularized by branches of the ____.

pudendal artery

Which procedure involves an en bloc removal of the uterus, bilateral ovaries and fallopian tubes, supporting ligaments, upper third of the vagina, and pelvic lymph nodes?

radical hysterectomy

Posterior colporrhaphy is performed to ____.

repair a rectocele