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SGT 210

GYN TEST

QuestionAnswer
1. How many stages of labor and delivery does the patient go through? C. Four
2. In which procedure would the surgeon likely request 8-0 or 9-0 suture? D. Tuboplasty
3. What is the name of the routine surgical treatment of infected Bartholin's gland cysts? D. Mansupialization
4. For dilation and curettage (D&C), which of the following orders of instruments use is CORRECT for endometrial biopsy? C. Weighted vaginal speculum, tenaculum, uterine sound, cervical dilators, endometrial, curettes
5. What color is the abnormal tissue after staining with Lugol's solution in a cervical biopsy? D. No color change
6. What color is the abnormal tissue after staining with acetic acid in a cervical biopsy? B. White
7. What is the name for the removal of fibroid tumors of the uterus with the preservation? B. Myomectomy
8. Which of the following structures is NOT part of the anatomy of the vulva? A. Cervix
9. Which incision is MOST frequently used for cesarean sections? C. Pfannenstiel
10. What is the main purpose of putting a bolster sheet or roll under the right hip of a patient just prior to C-section? D. It reduces the pressure of the gravid uterus on the vena cava.
11. Which maneuver might be performed by the surgical technologist during a cesarean section to aid in delivery as the surgeon greatly manipulates the head of the fetus out of the uterus? B. Application of external pressure over the fundus of the uterus.
12. What is the MOST common surgical intervention for vaginal delivery? B. Episiotomy
13. Which of the following are paired ligaments that support the uterus in the lower abdomen and attach it to the pelvis EXCEPT: D. Cooper's
14. Cervical cerclage is performed to: C. Prevent spontaneous abortion
15. Cephalopelvic disproportion is a component of which of the following indications for a cesarean section delivery? A. Dystocia
16. Which medication may be injected into the uterus for hemostasis, before enclosure of the uterus in a cesarean section? D. Oxytocin
17. What is the name of the fingerlike projections at the terminal end of the fallopian tube that guides oocytes into the lumen? C. Fimbria
18. Which method of tubal ligation is less frequently performed and requires use of long instruments, but many pose a higher right of postoperative surgical site infection due to the approach? A. Colpotomy
19. Which radiological study might be ordered preoperatively for a patient scheduled for a tuboplasty? C. Hysterosalpingogram
20. Which piece of operating room furniture would likely be unnecessary for many vaginal surgical procedure? D. Mayo stand
21. Delivery of the placenta is the conclusion of which stage of labor/ C. Third
22. Which of the following is a weighted vaginal speculum? A. Auvard
23. Which self-retaining retractor has the shape of a figure-of-eight (8) when in the closed position? D. O'Sullivan-O'Connor
24. What is the name of a bivalve speculum frequently found in a vaginal procedure tray? B. Graves
25. What is the name of the heavy, right-angle scissors frequently used to dissect around the cervix during a hysterectomy? B. Jorgenson
26. Which term means the number of times a woman has been pregnant? A. Gravida
27. What is the preferred method of anesthesia for a cesarean section delivery? B. Epidural
28. When is the first closing count performed in a cesarean section? C. When the first suture is given for closure of the uterus.
29. Bulb syringes are used in obstetrical delivery procedures to: D. Suction the mouth and nares of the neonate
30. What is the name of the anatomical area where the fallopian tubes are attached and enter the uterus? B. Cornu
31. Which gynecologic procedure is performed for treatment of urinary incontinence or cystocele? A. Anterior colporrhaphy
32. 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? C. Exenteration
33. For which procedure would the surgical technologist want to be sure to have adequate numbers of Allis or Allis-Adair tissue forceps? A. A&P repair
34. Tubal ligation is performed for: B. Elective sterilization
35. Charney, Maryland, and Pfannenstiel are examples of gynecologic: C. Transverse abdominal incisions
36. Which of the following is routinely done first in a basic gynecologic laparoscopy that may require a small separated setup and glove change before proceeding? C. Insertion of uterine manipulator
37. Which gynecologic procedure is used for visualization of the endometrium and may be used to treat _ myomas? B. Hysteroscopy
38. Which of the following procedures would likely be assigned a Class III or Class IV wound and may require aerobic and anaerobic culture tubes? D. Marsupialization of Bartholin's cyst
39. Which anatomical structure is located anterior to the symphysis pubis and superior to the vaginal opening? B. Mons pubis
40. Which anatomical area is located between the posterior vaginal opening and the anus? C. Perineum
41. What is the general term for the treatment method that destroys genital condylomata with a carbon dioxide laser? A. Ablation
42. Which pistol-grip type of instrument might be found in a D&C tray for cervical biopsy? D. Tischler
43. What is another name for the ovarian suspensory ligament? B. Infudibulopelvic
44. Which of the following is the largest supporting ligament in the female pelvis that has anterior and posterior leaves? A. Broad
45. Which type of needle holder is curved and frequently used for hysterectomy procedures? B. Heaney
46. Instruments used for closure of the vaginal cuff in total abdominal hysterectomy are: B. Isolated as contaminated
47. Total abdominal hysterectomy is assigned which wound classification B. Class II
48. Which paired ligaments are encountered and ligated last in an abdominal hysterectomy and first in a vaginal hysterectomy? D. Uterosacral
49. The fallopian tubes are located bilaterally in the mesosalpinx of which uternine-pelvic ligaments? A. Broad
50. The term adnexa refers to which gynecologic anatomical structures? C. Fallopian tubes, ovaries, and infundibulum
51. Which of the following procedures does NOT require an incision, use of tracers, or detection with gas fluid? A. Colposcopy
52. What is a Veress needle used for? C. Laparoscopic insufflation
53. Which of the following is used for creating pneumoperitoneum in laparoscopy? A. Carbon dioxide
54. Which of the following types of stirrups would likely be used for a laparoscopically assisted vaginal hysterectomy? (LAVH) A. Allen low lithotomy
55. Radionuclide seeds are used to treat: C. Uterine/cervical carcinoma
56. 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? C. Radical hysterectomy
57. Which of the following statements is CORRECT regarding anatomical changes following pelvic exenteration? D. Colostomy will exit on the left and ileostomy on the right side of the abdomen
58. Which instrument should the surgical technologist have ready to provide exposure during cesarean section procedures when the uterine incision is made? B. Bladder blade
59. Which instrument is used to test the patency of the fallopian tube during tuboplasty? B. Lacrimal probe
60. Which instrument is used to manipulate the fallopian tubes without compression or damage? A. Babcock tissue forceps
61. For which procedure would the gynecologist likely wear surgical loupes? D. Tubal reanastomosis
62. Which of the following is a serum analysis done to detect ovarian carcinoma? A. CA-125
63. Which muscle is incised in transverse abdominal approaches for gynecologic procedures? A. Anterior rectus
64. Which instrument is used to grasp the cervix and provide traction during cervical dilation? D. Single-tooth tenaculum
65. What is used to achieve tissue destruction in an endometrial balloon ablation? B. Hot dextrose water
1. A woman in her first pregnancy or who has delivered only once. Primipara
2. Seizures or coma in a pregnant patient secondary to precursor hypertension and rapid weight gain. Eclampsia
3. Dark green or black fecal material that may be present in amniotic fluid, putting neonate at risk of pneumonitis from aspiration. Meconium
4. A vaultlike recess in the upper part of the vagina caused by the protrusion of the uterine cervix into the vagina. Fornix
5. Placement of a catheter or probe into a tubular structure to assess latency or treat an obstruction. Cannulation
6. Symptoms of difficult or painful sexual intercourse in some females. Dyspareunia
7. Benign uterine fibroid tumor that arises from the smooth muscle layer. Leiomyoma
8. Method of biopsy of vulvar or cervical lesions by use of an electrified wire. LEEP
9. Instrument used for cystic or hysteroscopic ablation using wire loops or roller balls and electrical current. Resectoscope
10. Extension of peritoneal cavity between the back wall of the uterus and the return, also called a cup-de-sac. Pouch of Douglas
T/F In a robotically assisted hysterectomy, the ST may be responsible for removing the specimen from the vagina after the vaginal cuff closure has been completed True
T/F Radionuclide seeds are placed in infected Bartholin's gland cysts to treat the infected contents False
T/F Laparoscopic linear stapling devices are often used to ligate and cut the uterine ligaments and vessels during a LAVH True
T/F Clamp, Clamp, Cut, Tie, Is a way to anticipate routine dissection steps during Hysterectomy procedures True
T/F Adhesion formation is a normal physiologic inflammatory response to abdominal surgery that cannot be prevented or minimized False
Created by: mdr87
 

 



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