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obstetric and gyn
st430 predictor test
| Question | Answer |
|---|---|
| Which anatomical area is located between the posterior vaginal opening and the anus? | perineum |
| What is the MOST common surgical intervention for a vaginal delivery? | episiotomy |
| What color is the abnormal tissue after staining with Lugol's solution in a cervical biopsy? | no color change |
| Which of the following is used for creating pneumoperitoneum in laparoscopy? | carbon dioxide |
| What is the general term for the treatment method that destroys genital condylomata with a carbon dioxide laser? | ablation |
| Which instrument is used to manipulate the fallopian tubes without compression or damage? | Babcock tissue forceps |
| When is the first "uterine count" performed in a cesarean section? | when the first suture is given for closure of the uterus |
| In which procedure would the surgeon likely request 8-0 or 9-0 suture? | tuboplasty |
| Which of the following procedures does NOT require an incision, use of trocars, or distention with gas or fluid? | colposcopy |
| Which gynecologic procedure is performed for treatment of urinary incontinence or cystocele? | anterior colporrhaphy |
| For which procedure would the surgical technologist want to be sure to have adequate numbers of Allis or Allis-Adair tissue forceps? | A&P Colporrhaphy |
| Delivery of the placenta is the conclusion of which stage of labor? | third |
| Cherney, Maylard, and Pfannenstiel are examples of gynecologic: | transverse abdominal incisions |
| What is the main purpose of putting a bolster sheet or roll under the right hip of a patient just prior to C-section? | It reduces the pressure of the gravid uterus on the vena cava. |
| What is the procedure name for the removal of fibroid tumors of the uterus with the preservation of fertility? | myomectomy |
| Which radiological study might be ordered preoperatively for a patient scheduled for tuboplasty? | hysterosalpingogram |
| Which pistol-grip type of instrument might be found in a D&C tray for cervical biopsy? | Tischler |
| The term adnexa refers to which gynecologic anatomical structures? | fallopian tubes, ovaries, and infundibulum |
| In a robotically assisted hysterectomy, the surgical technologist may be responsible for removing the specimen from the vagina after the vaginal cuff closure has been completed. | True |
| Instruments used for closure of the vaginal cuff in total abdominal hysterectomy are: | isolated as contaminated |
| What color is the abnormal tissue after staining with acetic acid in a cervical biopsy? | white |
| Which maneuver might be performed by the surgical technologist during a cesarean section to aid in the delivery as the surgeon gently manipulates the head of the fetus out of the uterus? | application of external pressure over the fundus of the uterus |
| Which term means the number of times a woman has been pregnant? | gravida |
| Which method of tubal ligation (sterilization) is most frequently used? | Pomeroy |
| Which of the following is a serum analysis done to detect ovarian carcinoma? | CA-125 |
| What is another name for the ovarian suspensory ligament? | infundibulopelvic |
| Which piece of operating room furniture would likely be unnecessary for many vaginal surgical procedures? | Mayo stand |
| Which of the following types of stirrups would likely be used for a laparoscopically assisted vaginal hysterectomy (LAVH)? | Allen low lithotomy |
| Tubal ligation is performed for: | elective sterilization |
| Which of the following procedures would likely be assigned a Class III or Class IV wound and may require aerobic and anaerobic culture tubes? | marsupialization of Bartholin's cyst |
| Which paired ligaments are encountered and ligated last in an abdominal hysterectomy and first in a vaginal hysterectomy? | uterosacral |
| For which procedure would the gynecologist likely wear surgical loupes? | tubal reanastomosis |
| Cephalopelvic disproportion is a component of which of the following indications for a cesarean section delivery? | dystocia |
| Adhesion formation is a normal physiologic inflammatory response to abdominal surgery that cannot be prevented or minimized. | false |
| What is the preferred method of anesthesia for a cesarean section delivery? | epidural |
| Which of the following is the largest supporting ligament in the female pelvis that has anterior and posterior leaves? | broad |
| Clamp, clamp, cut, tie (CCCT) is a way to anticipate routine dissection steps during hysterectomy procedures. | True |
| Bulb syringes are used in obstetrical delivery procedures to: | suction the mouth and nares of the neonate |
| What is a Veress needle used for? | laparoscopic insufflation |
| How many stages of labor and delivery does the patient go through? | four |
| Which instrument should the surgical technologist have ready to provide exposure during cesarean section procedures when the uterine incision is made? | bladder blade |
| Which instrument is used to test the patency of the fallopian tube during tuboplasty? | lacrimal probe |
| Laparoscopic linear stapling devices are often used to ligate and cut the uterine ligaments and vessels during LAVH. | True |
| What is the name of the routine surgical treatment of infected Bartholin's gland cysts? | marsupialization |
| Which medication may be injected into the uterus for hemostasis, before closure of the uterus in a cesarean section? | oxytocin |
| All of the following are paired ligaments that support the uterus in the lower abdomen and attach it to the pelvis, EXCEPT: | Cooper's |
| Which of the following is a weighted vaginal speculum? | Auvard |
| The fallopian tubes are located bilaterally in the mesosalpinx of which uterine-pelvic ligaments? | broad |
| Which instrument is used to grasp the cervix and provide traction during cervical dilation? | single-tooth tenaculum |
| Which of the following statements is CORRECT regarding anatomical changes following pelvic exenteration? | Colostomy will exit on the left and ileostomy on the right side of the abdomen. |
| For a dilation and curettage (D&C), which of the following orders of instrument use is CORRECT for endometrial biopsy? | weighted vaginal speculum, tenaculum, uterine sound, cervical dilators, endometrial curettes |
| Which anatomical structure is located anterior to the symphysis pubis and superior to the vaginal opening? | mons pubis |
| Cervical cerclage is performed to: | prevent spontaneous abortion |
| What is the name of the heavy, right-angle scissors frequently used to dissect around the cervix during hysterectomy? | Jorgenson |
| Which muscle is incised in transverse abdominal approaches for gynecologic procedures? | anterior rectus |
| What is the name of a bivalve speculum frequently found in a vaginal procedure tray? | graves |
| Which of the following structures is NOT part of the anatomy of the vulva? | cervix |
| Total abdominal hysterectomy is assigned which wound classification? | Class II |
| Which incision is MOST frequently used for cesarean sections? | Pfannenstiel |
| What is used to achieve tissue destruction in an endometrial balloon ablation? | hot dextrose water |
| Which gynecologic procedure is used for visualization of the endometrium and may be used to treat polyps or myomas? | hysteroscopy |
| Which of the following is routinely done first in a basic gynecologic laparoscopy that may require a small separate setup and glove change before proceeding? | insertion of uterine manipulator |
| Radionuclide seeds are used to treat: | uterine/cervical carcinoma |
| Which self-retaining retractor has the shape of a figure-of-eight (8) when in the closed position? | O'Sullivan-O'Connor |
| Radionuclide seeds are placed in infected Bartholin's gland cysts to treat the infected contents. | False |
| Which type of needle holder is curved and frequently used for hysterectomy procedures? | Heaney |
| 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? | radical hysterectomy |
| 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? | exenteration |
| What is the name of the fingerlike projections at the terminal end of the fallopian tube that guides oocytes into the lumen? | fimbria |
| What is the name of the anatomical area where the fallopian tubes are attached and enter the uterus? | cornu |