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CH 15-SURG 2030 OBGY
Chapter 15 SURG 2030 OBGYN
| Question | Answer |
|---|---|
| Ovaries, Fallopian tubes, and supporting tissues are defined as the female _________. | Adnexa |
| The blood supply to the female pelvis is primarily derived from the? | internal iliac branches |
| Annular recess created by the cervical-vaginal junction | Fornix |
| The three layers of the uterine wall are: | Perimetrium Myometrium Endometrium |
| Where are the Bartholin's Glands located? | Vestibule |
| What is the function of the Bartholin's Glands? | to secrete mucous and provide vaginal lubrication |
| Round ligaments, Ovarian Ligaments, Fallopian Tubes, Ovaries, uterine arteries and suspensory ligaments are contained within what ligament? | Broad |
| What are the two other names for the Fallopian tubes? | Oviducts Uterine tubes |
| What two hormones are secreted by the anterior pituitary and stimulate the ovarian cycle? | FSH and LH |
| What two hormones are produced by the ovary? | Estrogen and Progesterone |
| Rounded prominent longitudinal flaps of the vulva: | Labia Majora |
| Area between the vaginal opening and anus: | Perineum |
| The external female genitalia: | Vulva |
| Cavity between the labia minora containing the urethral meatus: | Vestibule |
| Rounded prominence over symphysis pubis of the vulva: | Mons Pubis |
| Erectile structure of the female anatomy: | Clitoris |
| Two flat cutaneous flaps containing sebaceous glands: | Labia minora |
| Rectal orifice | Anus |
| Thin fold of membrane just inside the vaginal orifice: | Hymen |
| Another name for the pouch of douglas is? | Cul de sac |
| What is unnecessary for vaginal procedures? | Mayo Stand |
| What type of probe is put into tubular structures? | Cannulation |
| What is injected into the uterus for hemostasis? | Oxytocin |
| What type of forceps are used for a cervical biopsy? | Tischler biopsy forceps |
| What is the term for seizures or coma during pregnancy? | Eclampsia |
| What is the largest supporting ligament in the pelvis? | Broad |
| What type of analysis is done for ovarian cancer? | CA125 |
| What is the treatment of Bartholin's glands? | marsupialization |
| What is the term for the removal of fibroid tumors? | Myometomy |
| What is the term for how many times a woman has been pregnant? | Gravida |
| What is the term for the visualization of the endometrium? | Hysteroscopy |
| What are the fingerlike projections at the end of the fallopian tubes? these aid in moving the oocyte | Fimbriae |
| What is the term for viewing of the cervix? | Colposcopy |
| What is the thin fold of skin at the back of the vulva? | Fourchette |
| What external genital organs are included in the vulva? | mons pubis Labia Majora Labia Minora Bartholin's Glands Clitoris Perineum Fourchette |
| What are the internal female organs? | Uterus Fallopian Tubes Ovaries Cervix Vagina |
| The ______lines the inside of the uterus and changes under hormonal influence. | Endometrium |
| The pelvic girdle consists of what? | Ischium Ilium Pubis |
| During childbirth this stretches to allow the birth of the fetus? | Perineum |
| During childbirth this dilates to allow the birth of the fetus? | Cervix |
| The vagina is also referred to as what? | Vaginal Vault or Birth Canal |
| This is a pear-shaped organ situated in the pelvic cavity between the bladder and the rectum? | Uterus |
| What are the appendages of the uterus? | Ovaries and Fallopian Tubes |
| This can be found at the junction of the body of uterus and the cervix. | Internal OS |
| This can be found at the cervix opening into the vagina. | External OS |
| What are the ligaments of the uterus? | Broad Cardinal Round Uterosacral |
| What ligaments are contained in the broad ligament? | Round and ovarian ligaments |
| How man portions does the fallopian tubes have? | 4 |
| What are the four portions of the fallopian tubes? | Fimbria Ampulla Isthmus Intramural |
| Where do the fallopian tubes open into the uterus at? | Uterine Os in the Cornu |
| The fallopian tubes get their blood supply from what arteries? | Ovarian and uterine arteries and veins |
| The __________ligaments lie below the broad ligaments and provide the primary support for the uterus. | Cardinal |
| The ovaries are homologous with what part of the male? | Testes |
| What is the function of the ovaries? | release oocyte into the uterus Produce estrogen Release progesterone |
| The fallopian tube is suspended on the upper margin in the pelvis by the ________ligament. | Infundibulopelvic |
| Where do the ovaries get their blood supply from? | Ovarian arteries |
| The anterior wall of the vagina is adjacent to what? | Urethra and bladder |
| The posterior wall of the vagina is adjacent to what? | Rectum |
| Where does the uterus get its arterial blood supply from? | Uterine arteries |
| The process which the fetus is moved from the uterine cavity to the external world is called? | Childbirth/Labor |
| How many stages of labor are there? | 4 |
| At what stage of labor is considered the onset of labor and the cervix is dilated to 10 CM? | 1 |
| At what stage of labor is the birth of the infant? | 2 |
| What stage of labor is the placenta delivered? | 3 |
| What stage of labor involves the recovery of the mother? | 4 |
| What is the term for how many times a woman has given birth? | Parity |
| What is the most common surgical intervention in vaginal birth? | Episiotomy |
| What are three drugs that are used that can cause uterine contractions? | Oxytocin/Pitocin Cervidil Methergine |
| What type of suture should be used when closing up episiotomy or perineal laceration? | absorbable usually 2-0 chromic |
| What is the term for the delivery of an infant through an incision of the abdomen and uterus? | C-section |
| What is one of the main indications for doing a C-section? | CPD |
| What is one of the most significant causes of morbidity in C-sections? | Anesthesia Complications |
| What is the term for an abnormal or difficult birth? | Dystocia |
| Tubal occlusion is also referred to as: | Tubal Ligation |
| When is post partum tubal performed? | Immediately after childbirth |
| What is the term for the anastomosis of the fallopian tubes? | Tuboplasty |
| When doing a postpartum tubal, where are the segments of the tubes placed? | separate specimen containers |
| What type of pregnancy occurs outside the uterine endometrial cavity? | Ectopic Pregnancy |
| What does EUA mean? | Exam under Anesthesia |
| What is the term for converting a closed cavity into an open pouch, may require for second intention healing to occur? | Marsupialization |
| What is another term for Colporrhaphy? | A&P Repair |
| When doing a D&C, A&P Repair, TVH and Hysterscope what position is the patient in? | Lithotomy |
| What is associated with urinary incontinence? | Cystocele |
| What is the term for the herniation of the rectum into the vaginal vault? | Rectocele |
| What is the term for the herniation of the bladder into the vaginal vault? | Cystocele |
| What is an abnormal passageway between the urethra and the vagina? | Urethrovaginal Fistula |
| What does D&C stand for? | Dilation and Curettage |
| This is a routine diagnostic modality used in most countries for detection of cervical cancer. | Schillers Test |
| What does LAVH stand for? | Laparoscopic Assisted Vaginal Hysterectomy |
| What is the term for the removal of both fallopian tubes and ovaries? | Salpingo-oophorectomy |
| The clamps most desirable for approximating uterine wound edges for closure during a C-section are: | Pennington |
| Ova travel through the fallopian tubes toward the uterus by which type of action? | Peristalsis |
| What is another name for Dyspareunia? | Coital Pain |
| What is the term for symptom of difficult or painful intercourse? | Dyspareunia |
| What does LEEP stand for? | Loop electrosurgical excision procedure |
| LEEP is the treatment for what? | abnormal cells on the cervix |
| What does HSG stand for? | Hysterosalpingogram |
| What does HCG stand for? | Human Chrionic Gonadotropic |
| What does ECC stand for? | Endocervical Curetting's |
| What does EMC stand for? | Endometrial Curetting's |
| What is the primary difference between a D&C and Cervical biopsy? | The cervix is not dilated and curettage |
| What class is a TAH procedure? | Class 2 clean contaminated |
| What class is a TVH procedure? | Class 3 or 4 |
| When a TAH is being performed the uterosacral ligaments are resected _______. | Last |
| When a TVH is being performed the uterosacral ligaments are resected _________. | First |
| What is the term for excessive bleeding? | Menorrhagia |
| What is the term for abnormal bleeding (between cycles)? | Metrorrhagia |
| What us used to grasp the uterus in hysterectomy? | Jacobs Vullsellum |
| How many counts are performed during a C-section? | 4 |
| When should the 4 counts be performed during a C-section? | before the procedure closure of uterus Abdomen Closure Skin Closure |
| What is the term for the repair of a defect in the wall of the vagina? | Colporrhaphy |
| What is the term for a woman in 1st pregnancy, or who has only delivered once? | Primipara |
| What does OA stand for? | Occiput Anterior |
| What is the term for the ideal birth position? The baby is head down facing mothers spine. | Occiput Anterior |
| What are benign smooth muscle neoplasm that are most common in the uterus? | Leiomyomas (Fibroids) |
| What measures inflammation? | Erythrocyte Sedimentation Rate |
| What is the most common reason for fetal enlargement? | Gestational Diabetes |
| What is the term for painful menses? | Dysmenorrhea |
| What does PID stand for? | Pelvic Inflammatory Disease |
| What is a mass of hair or teeth? | Teratoma |
| What blood test is used to mark a tumor and detects ovarian cancer? | Serum CA 125 Titer |
| What stains abnormal tissue white? | Acetic Acid |
| What is located in the mesosalpinx of the broad ligament and is attached to and open into the uterus at the uterine os in the cornu? | Fallopian Tubes |
| What is the largest and longest portion of the fallopian tubes? | Ampulla |
| What is another name for a Radical Hysterectomy? | Wertheim Procedure |
| What procedure requires the patient to have a permanent ileostomy and colostomy? | Pelvic Exenteration |
| What reduces the diameter of the urethra and treats stress incontinence? | Kelly Plication |
| What is another term for "false" Labor? | Braxton Hicks |
| What is another name for a Cervical Cerclage procedure? | Shirodkar's Procedure |
| What procedure is done to repair an incompetent cervix? this procedure is usually done late second trimester or early 3rd trimester. | Cervical Cerclage (Shirodkar's Procedure) |
| What incision gently curves and is 10-15 cm long at any level between the umbilicus and symphysis pubis? | Pfannenstiel |
| What incisions are less curved and are between the crests of the anterior iliac spine? | Maylard and Cherney |
| What does CIN stand for? | Cervical Intraepithelial Neoplasia |
| What are the almond shaped structures that lie on either side of the uterus in the ovarian fossa of the lateral pelvic wall. They are supported by ligaments. | Ovaries |
| What is the surgical removal of the uterus? | Hysterectomy |
| What is the term for sealed radionuclide seeds that are implanted temporarily or permanently to treat uterine cancer? | Uterine Radiation Seeding |