Deck 34: Gynecologic and Obstetric Surgery

Question 1

What type of test is done to test fallopian tube patency?

A)Tubal curettage
B)Tubal ligation
C)Tubal biopsy
D)Tubal insufflation

Answer 1

D
Tubal patency can be tested by chromopertubation or tubal insufflation.Tubal insufflation is also known as uterotubal insufflation.A hysterosalpingography using x-ray may also show patency.

Question 2

Which female organ can expand,receive,and hold a fertilized ovum during development of a fetus?

A)Bartholin's glands
B)Hymen
C)Cervix
D)Uterus

Answer 2

D
The uterus is the female organ of gestation capable of receiving,holding,expanding,and expelling the child during birth.

Question 3

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

A)Enterocele
B)Hydrocele
C)Cystocele
D)Rectocele

Answer 3

D
Repair of the posterior vaginal wall for rectocele,a herniation of the rectum into the vagina,consists of a triangular excision of redundant vaginal mucosa and separation of the vagina from the rectum.

Question 4

What diagnostic test involves staining cervical squamous epithelium with iodine-based Lugol's solution?

A)Pap smear
B)Endocervical test
C)Schiller's test
D)LEEP

Question 5

What action does the surgeon take to assess female anatomy before a surgical procedure?

A)Examination under anesthesia (EUA)
B)Blood type
C)Date of last menstrual period
D)Age of children

Question 6

Which is a possible complication of abdominal gynecological surgery?

A)Injury to ureters
B)Premalignant lesions
C)Condylomata
D)Cervical dysplasia

Question 7

Which is a method used to drain and evacuate a Bartholin cyst?

A)Herniation
B)Marsupialization
C)Crenation
D)Exenteration

Question 8

What procedure is commonly performed to establish the cause of abnormal uterine bleeding?

A)Pap smear
B)Hysteroscopy
C)Dilation and curettage (D&C)
D)Tubal ligation

Question 9

Which is a symptom of a vesicovaginal fistula?

A)Rectal contents into the vagina
B)Endometriosis
C)Urine seepage into the vagina
D)Fecal incontinence

Question 10

Which is a part of the female external genitalia that make up the vulva?

A)Labia majora
B)Fallopian tubes
C)Cervix
D)Bilateral ovaries

Question 11

What type of incision is used in cases where the fetus is in transverse presentation?

A)Low transverse
B)Low vertical midline
C)Classic uterine
D)Clark's low line

Question 12

Which special features apply to both vaginal and abdominopelvic procedures in gynecologic surgery?

A)Patient position
B)Prophylactic anticoagulation
C)Placement of Foley catheter
D)All of the above

Question 13

What procedure is frequently performed to remove uterine fibroids?

A)Polypectomy
B)Myomectomy
C)In vitro fertilization
D)Vulvectomy

Question 14

What two hormones help prepare the uterus for implantation of the fertilized egg?

A)Testosterone and estrogen
B)Insulin and estrogen
C)Progestin and testosterone
D)Progesterone and estrogen

Question 15

Which of the following may be used to obtain a cone biopsy?

A)Hot knife
B)ESU
C)Laser
D)Curette

Question 16

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

A)Menstruation
B)Menorrhagia
C)Menometrorrhagia
D)Menarche

Question 17

Which surgical procedure corrects and restores support of a prolapsed uterus?

A)Procidentia
B)Hysterectomy
C)Colpocleisis
D)Pomeroy technique

Question 18

What procedure is a true obstetric-gynecologic emergency?

A)Cervical dysplasia
B)Ruptured ectopic pregnancy
C)Vaginal delivery
D)Planned C-section

Question 19

What area of the female anatomy is the common route of entry for a number of diagnostic and surgical procedures?

A)Posterior cul-de-sac
B)Uterus
C)Clitoris
D)Perineum

Question 20

What procedure uses a stainless steel or tungsten loop to excise a core of cervical tissue?

A)D&C
B)LEEP procedure
C)Pap smear
D)Colposcopy

Question 21

A laparoscopy is the insertion of a scope with the use of carbon dioxide to produce a working space in the abdomen and pelvis.

Question 22

The perineum forms the base of the pelvic floor and helps support the posterior vaginal wall.

Question 23

Raytec sponges that are rolled up and secured on a sponge forcep are called?

A)Uterine sound
B)Sponge stick
C)Curette
D)Dressing forcep

Question 24

Define cervical incompetence.

A)Early painless dilation and effacement of cervix
B)Any pregnancy involving a prior cesarean section
C)Any pregnancy with previous elective termination of pregnancy
D)Early diagnosed ectopic pregnancy

Question 25

Hysterectomy can be performed totally through the vagina,abdomen,or by laparoscopic assisted methods.

Question 26

Which procedure is performed after entering the posterior vaginal fornix to visualize ovaries or posterior surfaces in the lower pelvis?

A)Culposcopy
B)Hysteroscopy
C)Hysterosalpingoscopy
D)Culdoscopy

Question 27

What are the reason pelvic washings are done?

A)To test the pelvic fluid for cancer cells
B)To establish cause of abnormal uterine bleeding
C)For Inspection of pelvic and abdominal organs
D)To examine the ovaries

Question 28

Which is a reason a low transverse (Kerr)incision is made during a cesarean section?

A)Bladder is not dissected off the uterus
B)Low anterior placenta is present
C)Cervical cancer is diagnosed
D)Less chance of rupture in future pregnancies

Question 29

Clear,straw-colored peritoneal fluid is a positive finding when a culdocentesis is performed.

Question 30

Which is a reason an abdominal hysterectomy would need to be performed instead of a vaginal hysterectomy?

A)Ovarian mass
B)Multiple pregnancies
C)Less extensive incision
D)Early menarche

Question 31

Pelvic endoscopy cases are not considered sterile procedures.

Question 32

When positioning a pregnant patient in the OR in the supine position,always place a wedge or small roll under the left side.

Question 33

An anterior colporrhaphy or Kelly procedure is performed to prevent stress incontinence or urine leakage.

Question 34

Carbon dioxide gas is used as the expansion medium for uterine insufflation during a hysteroscopy.

Question 35

Intrauterine thermal balloon ablation is contraindicated for women wishing to have future pregnancies.

Question 36

Which technique of tubal ligation is one of the most reliable methods?

A)Cautery
B)Pomeroy technique
C)Falope ring
D)Filshie or Hulka clip

Question 37

A cyst located on an ovary is usually removed to prevent further damage or transformation into a symptomatic condition.