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Chapter 15 OB/GYN
| Question | Answer |
|---|---|
| Appendages or accessory structures of an organ | Adnexa |
| intrauterine position of a fetus in which he buttocks or feet present first | intrauterine position of a fetus in which he buttocks or feet present first |
| A surgical procedure in which the abdominal and uterus are incised to deliver a baby | Cesarean section |
| Removal of tissue with a bunt or sharp curette by scraping the surface. Removal of abnormal tissue | Curettage |
| Abnormal uterine bleeding that is not from a tumor, pregnancy or infection. Occurs when menstration is not taking place | DUB |
| difficult labor due to various reasons such as cephalopelvic distortion, fetus size, or condition or position of fetus | Dystocia |
| The surgical incision of perineum to enlarge the vaginal opening and prevent tearing of the perineum muscle during delivery. | Episiotomy |
| Total removal of all. Usually total pelvic exenteration | Exenteration |
| Finger like structures that form on an edge such as the fimbria of the fallopian tube | Fimbria |
| Abnormal communication between two normally separate internal structures or between an internal structure and body surface | Fistula |
| Pregnant female. Number of pregnancies | Gravida |
| fleshy border. lips | Labia |
| Surgical procedure that uses the electrosurgical unit coupled to a loop electrode on the cautery pencil | LEEP |
| A band of fibrous tissue composed of collagen that connects bone to bone | Ligament |
| incision of a closed cavity with suturing of the opened edges to the wall of the wound to form an open wound | Marsupialization |
| A benign fibroid tumor of the uterus | myoma |
| Most common relationship between the presenting fetal part and the maternal body pelvis | Occiput anterior |
| The classification used to indicate the number of live and stillborn births that a female has delivered at greater than 20 weeks | parity |
| Area between the posterior portion of the vagina or scrotum and the opening of the anus | Perineum |
| Surgical transverse incision made in the lower abdomen usually employed when performing a c section | Pfannenstiel |
| An opening that serves as the entrance to a passageway such as the vestibule of the vagina | Vestibule |
| Occiput Anterior head to maternal body pelvis | Position |
| Fetus head too large for maternal birth canal | CPD |
| Mother and infant relationship | Bonding |
| Largest diameter of head encircled by vulvular ring | Crowning |
| Number of times giving birth | Para |
| Descent of presenting part of fetus in relation to ischial spines | Station |
| Opening of the cervix | Dilation |
| Fetal part overlying pelvic inlet, head or breech | Presentation |
| Cervix softens and thins | Effacement |
| White stain for abnormal tissue | Acetic acid (Vinegar) |
| Prevention of adhesions | 10% Dextran 70 |
| Schiller test -abnormal no stain | Lugol's Solution |
| Causes uterine contraction | Methergine/Pitocin |
| Hemostasis agent | Monsel's solution |
| Cryotherapy to remove lesion | Nitrous oxide or C02 |
| Microsurgical reanastomosis with dextran | Tuboplasty |
| Excision of fibroids to preserve uterus for conception | Myomectomy |
| Rectocele | Posterior colporrhaphy |
| Bartholins cyst | Marsupialization |
| Incomplete spontaneous abortion or menorrhagia | D&C |
| Desires sterilization | Colpotomy tubal ligation |
| Endometrial visualization | Hysteroscopy |
| External genitalia with in situ neoplasia | Vulvectomy |
| Incompetent cervical os | Shirodkar Cerclage |
| Endocervical suspicious lesions or dysplasia | Cold conization |
| Cystocele | Anterior colporrhaphy |
| Ruptured ectopic pregnancy | Emergency salpingotomy |
| four stages of labor | 1. true labor to complete cervix dilation 2. cervix dilation to birth of infant 3. birth of infant to delivery of placenta 4. delivery of placenta to mother stabilized |
| What suture is used to close an episiotomy | absorbable suture |
| What is dyspareunia | pain during intercourse |
| what is dyschezia | difficult defecation |
| What are the three most common transverse incisions | pfannenstiel, Maylard and Cherney |
| What is condylomata | external genitalia wart usually spread by sexual contact. surgical ablation with smoke evac. Silvadene cream used post op |
| A radical hysterectomy is also known as | Wertheim procedure |
| The pelvic girdle consists of the | iliac crest, ischia, pubic bones and sacrum |
| The uterine appendages are the | ovaries and fallopian tubes |
| Uterus | muscular tissue suspended in pelvic cavity by ligaments. Top of uterus is the fundus. Bottom of uterus contains the cervix. |
| Broad uterine ligament | suspend the uterus from pelvic wall. Mesometrium, Mesovarium and Mesosalpinx |
| Suspensory (infundibulopelvic) uterine ligament | Contains the bulk of the ovary |
| Round uterine ligament | Above the broad ligament near the fallopian tubes and helps suspend the uterus anteriorly |
| Cardinal uterine ligament | Lie below the broad ligaments and provide primary support for the uterus |
| Uterosacral ligaments | curve along the bottom of the uterus and attach to the sacrum |
| Is there is difference between fallopian tubes and uterine tubes? | yes |
| What is another name given to the fallopian tubes | Oviducts |
| The ligament that supports the bulk of the ovary is called the | Suspensory ligament |
| List four different ways a hysterectomy can be done | Laproscopic, Open, Vaginal, Robotic |
| What type of hysterectomy is a simple/partial | Type 1 |
| What type of hysterectomy is a Modified/total | Type 2 |
| What type of hysterectomy is a Radical/wertheim | type 3 |
| What is the procedure called when you remove tubes and ovaries | Salpingectomy and OOpherectomy |
| Wertheim procedure | Radical hysterectomy where the uterus, tubes, ovaries, supporting ligaments, upper vagina, pelvic lymphnodes are removed |
| Total pelvic exerteration | Anterior and posterior removal. Can also be partial just one or the other |
| what is a Myomectomy | Removal of fibroids. |
| What are fibroids and what is another term for uterine fibroids | benign tumors that arise from muscular wall of uterus. AKA uterine leiomyomas |
| The uterus is lined with | endometrium |
| Endometrial ablation | done vaginally. Uses resectoscope |
| What procedure is done during an anterior repair | cystocele or bladder sling |
| What proceudre is done during a posterior repair | rectocele |
| What procedure is done during a vaginal repair | enterocele |
| What instruments will you have ready with an A/P repair and what position is the patient | Allis clamps, lithotomy |
| Lugols solution | strong iodine mixture used for schillers test on cervical tissue. Abnormal cells will not take up the brown iodine and will be white. Use a punch biopsy forcep called tischer |
| Acetic acid | Vinegar can identify areas of cervical dysplasia. Abnormal tissue is white |
| Cryotherapy freeze | C02 or nitrous oxide used with a flat silver cryoprobe that lowers tissue temperature creating cell death |
| C02 laser boils | boiling water within the cells until they explode |
| LEEP | loop electrodesugical incision, used more frequently than C02 |
| What type of tape is used on a cervical cerclage (shirodkar's procedure) | dacron or mersilene tape |
| What is the name of a fistula that forms between the bladder and the vagina | Vesicovaginal |
| Which female gland secretes a lubricating mucoid substance | Bartholins gland |
| What is the vulva and what is a vulvectomy | external female genitals. Areas compromised with condylomata or pagets disease |
| The external female genitalia is vascularized by branches of the | pudendal artery |
| The perineum in the female is area between which two structures | Vaginal opening and anus |
| What are the two hormones from the anterior pituitary that stimulate the ovarian cycle? | LH and FSH |
| Which of the following is an indication for a cesarean section? | Dystocia |
| What do you do with the instruments that have been used for closure of vaginal cuff | Isolate and separate |
| A curette is a surgical instrument used to | remove tissue by scraping |
Created by:
amberlowe08