Deck 34: Gynecologic and Obstetric Surgery

Question 1

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

Answer 1

A
The term vulva includes labia majora,labia minora,clitoris,vestibule,Bartholin glands,hymen,and perineum.

Question 2

Use of a fetal monitor is recommended in surgical procedures after 16 weeks gestation.

Answer 2

True
An electronic fetal heart monitor (EFM)should be used by appropriately trained personnel for continuous monitoring.Fetal tachycardia may be the first indicator of maternal hypoxia.EFM is most effective after 16 weeks' gestation.

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 occurs when a fertilized ovum is implanted outside the uterine cavity?

A) Uterine evacuation
B) Ectopic pregnancy
C) Missed abortion
D) Cesarean pregnancy

Question 5

When caring for pregnant patients in the OR environment,it is essential to keep the temperature below 60° F to prevent premature contractions.

Question 6

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

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

Question 7

What type of procedure is performed after a diagnosis of missed or incomplete spontaneous abortion?

A) Pap smear
B) Hysteroscopy
C) Dilation and evacuation
D) Tubal ligation

Question 8

Prior to starting a gynecologic surgery via the abdomen,ureteral catheters may be inserted so that the ureters may be identified.

Question 9

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 10

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 11

With in vitro fertilization (IVF),the embryos are transferred first to the upper uterine fundus,then fertilized with the fresh semen and allowed to implant.

Question 12

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

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

Question 13

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

Question 14

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

Question 15

Which technique of tubal ligation is the most reliable way to ensure the tubes are ligated?

A) Fallope ring
B) Filshie clip
C) Cautery
D) Pomeroy technique

Question 16

Air and gas are not used during a hysteroscope for uterine insufflation.

Question 17

Pelvic endoscopy cases are not considered sterile procedures.

Question 18

What organ contains a vault that is divided into four fornices?

A) Vagina
B) Uterus
C) Clitoris
D) Perineum

Question 19

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

Question 20

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

Question 21

Which is a possible complication of abdominal gynecological surgery?

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

Question 22

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

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

Question 23

What type of assisted reproduction involves depositing sperm only into the woman's upper vagina or uterine cavity?

A) Gamete intrafallopian transfer (GIFT)
B) Artificial insemination
C) In vitro fertilization
D) DES

Question 24

Which is one of the ligaments that supports and suspends the uterus?

A) Primary
B) Cardinal
C) Peritoneal
D) Secondary

Question 25

Which is a form of prenatal testing?

A) Serum CA 125
B) Pomeroy technique testing
C) Chorionic villus sampling
D) Chromopertubation

Question 26

Which of the following applies to both vaginal and abdominopelvic procedures in gynecologic surgery?

A) Patient position
B) Identical instrumentation
C) Placement of Foley catheter
D) Prophylactic anticoagulation

Question 27

Which organ is removed in an anterior pelvic exenteration?

A) Small bowel
B) Bladder
C) Appendix
D) Transverse colon

Question 28

What data should be assessed of a female patient before a surgical procedure?

A) Type of medical insurance
B) Blood type
C) Date of last menstrual period
D) Age of children

Question 29

Which is a reason for performing a dilation and curettage (D&C)?

A) Removal of cervix and uterus
B) To establish cause of abnormal uterine bleeding
C) Inspection of pelvic and abdominal organs
D) Removal of single or multiple fibroid tumors

Question 30

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 31

Which is the opening to the uterus?

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

Question 32

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 33

38.Match each condition with its definition.
a.Herniated bladder into vagina
b.Removal of ovary
c.Benign mass of uterus
d.Removal of uterus
e.Aberrant endometrial tissue
f.Inflammation of fallopian tube
g.Gestation outside uterus
h.Cervical infection
i.Mass of endometrial tissue
j.Repair of prolapsed uterus
Ectopic

Question 34

38.Match each condition with its definition.
a.Herniated bladder into vagina
b.Removal of ovary
c.Benign mass of uterus
d.Removal of uterus
e.Aberrant endometrial tissue
f.Inflammation of fallopian tube
g.Gestation outside uterus
h.Cervical infection
i.Mass of endometrial tissue
j.Repair of prolapsed uterus
Salpingitis

Question 35

38.Match each condition with its definition.
a.Herniated bladder into vagina
b.Removal of ovary
c.Benign mass of uterus
d.Removal of uterus
e.Aberrant endometrial tissue
f.Inflammation of fallopian tube
g.Gestation outside uterus
h.Cervical infection
i.Mass of endometrial tissue
j.Repair of prolapsed uterus
Endometriosis

Question 36

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 37

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 38

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 39

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 40

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

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

Question 41

38.Match each condition with its definition.
a.Herniated bladder into vagina
b.Removal of ovary
c.Benign mass of uterus
d.Removal of uterus
e.Aberrant endometrial tissue
f.Inflammation of fallopian tube
g.Gestation outside uterus
h.Cervical infection
i.Mass of endometrial tissue
j.Repair of prolapsed uterus
Urethrocystocele

Question 42

38.Match each condition with its definition.
a.Herniated bladder into vagina
b.Removal of ovary
c.Benign mass of uterus
d.Removal of uterus
e.Aberrant endometrial tissue
f.Inflammation of fallopian tube
g.Gestation outside uterus
h.Cervical infection
i.Mass of endometrial tissue
j.Repair of prolapsed uterus
Oophorectomy

Question 43

38.Match each condition with its definition.
a.Herniated bladder into vagina
b.Removal of ovary
c.Benign mass of uterus
d.Removal of uterus
e.Aberrant endometrial tissue
f.Inflammation of fallopian tube
g.Gestation outside uterus
h.Cervical infection
i.Mass of endometrial tissue
j.Repair of prolapsed uterus
Hysterectomy

Question 44

38.Match each condition with its definition.
a.Herniated bladder into vagina
b.Removal of ovary
c.Benign mass of uterus
d.Removal of uterus
e.Aberrant endometrial tissue
f.Inflammation of fallopian tube
g.Gestation outside uterus
h.Cervical infection
i.Mass of endometrial tissue
j.Repair of prolapsed uterus
Endometrioma

Question 45

38.Match each condition with its definition.
a.Herniated bladder into vagina
b.Removal of ovary
c.Benign mass of uterus
d.Removal of uterus
e.Aberrant endometrial tissue
f.Inflammation of fallopian tube
g.Gestation outside uterus
h.Cervical infection
i.Mass of endometrial tissue
j.Repair of prolapsed uterus
Cervicitis

Question 46

38.Match each condition with its definition.
a.Herniated bladder into vagina
b.Removal of ovary
c.Benign mass of uterus
d.Removal of uterus
e.Aberrant endometrial tissue
f.Inflammation of fallopian tube
g.Gestation outside uterus
h.Cervical infection
i.Mass of endometrial tissue
j.Repair of prolapsed uterus
Fibroid uterus

Question 47

38.Match each condition with its definition.
a.Herniated bladder into vagina
b.Removal of ovary
c.Benign mass of uterus
d.Removal of uterus
e.Aberrant endometrial tissue
f.Inflammation of fallopian tube
g.Gestation outside uterus
h.Cervical infection
i.Mass of endometrial tissue
j.Repair of prolapsed uterus
Procidentia