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.