What color is the abnormal tissue after staining with Lugol’s solution in a cervical biopsy?
no color change
What is the procedure name for the removal of fibroid tumors of the uterus with the preservation of fertility?
myomectomy
What color is the abnormal tissue after staining with acetic acid in a cervical biopsy?
white
Which of the following structures is NOT part of the anatomy of the vulva?
cervix
Which incision is MOST frequently used for cesarean sections?
Pfannenstiel
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.
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
What is the MOST common surgical intervention for a vaginal delivery?
episiotomy
All of the following are paired ligaments that support the uterus in the lower abdomen and attach it to the pelvis,
EXCEPT:
Cooper’s
Cervical cerclage is performed to:
prevent spontaneous abortion
Cephalopelvic disproportion is a component of which of the following indications for a cesarean section delivery?
dystocia
Which medication may be injected into the uterus for hemostasis, before closure of the uterus in a cesarean section?
oxytocin
What is the name of the fingerlike projections at the terminal end of the fallopian tube that guides oocytes into the
lumen?
isthmus
Which method of tubal ligation (sterilization) is most frequently used?
Pomeroy
Which radiological study might be ordered preoperatively for a patient scheduled for tuboplasty?
hysterosalpingogram
Which piece of operating room furniture would likely be unnecessary for many vaginal surgical procedures?
Mayo stand
Delivery of the placenta is the conclusion of which stage of labor?
third
Which of the following is a weighted vaginal speculum?
Auvard
Which self-retaining retractor has the shape of a figure-of-eight (8) when in the closed position?
O’Sullivan-O’Connor
What is the name of a bivalve speculum frequently found in a vaginal procedure tray?
Graves
What is the name of the heavy, right-angle scissors frequently used to dissect around the cervix during hysterectomy?
Jorgenson
Which term means the number of times a woman has been pregnant?
gravida
What is the preferred method of anesthesia for a cesarean section delivery?
epidural
When is the first "uterine count" performed in a cesarean section?
when the first suture is given for closure of the uterus
Bulb syringes are used in obstetrical delivery procedures to:
suction the mouth and nares of the neonate
What is the name of the anatomical area where the fallopian tubes are attached and enter the uterus?
cornu
Which gynecologic procedure is performed for treatment of urinary incontinence or cystocele?
anterior colporrhaphy
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
Tubal ligation is performed for:
elective sterilization
Cherney, Maylard, and Pfannenstiel are examples of gynecologic:
transverse abdominal incisions
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
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
Which gynecologic procedure is used for visualization of the endometrium and may be used to treat polyps or
myomas?
hysteroscopy
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 anatomical structure is located anterior to the symphysis pubis and superior to the vaginal opening?
mons pubis
Which anatomical area is located between the posterior vaginal opening and the anus?
perineum
What is the general term for the treatment method that destroys genital condylomata with a carbon dioxide laser?
ablation
Which pistol-grip type of instrument might be found in a D&C tray for cervical biopsy?
Tischler
What is another name for the ovarian suspensory ligament?
infundibulopelvic
Which of the following is the largest supporting ligament in the female pelvis that has anterior and posterior leaves?
broad
Which type of needle holder is curved and frequently used for hysterectomy procedures?
Heaney
Instruments used for closure of the vaginal cuff in total abdominal hysterectomy are:
isolated as contaminated
Total abdominal hysterectomy is assigned which wound classification?
Class II
Which paired ligaments are encountered and ligated last in an abdominal hysterectomy and first in a vaginal
hysterectomy?
uterosacral
The fallopian tubes are located bilaterally in the mesosalpinx of which uterine-pelvic ligaments?
broad
The term adnexa refers to which gynecologic anatomical structures?
fallopian tubes, ovaries, and infundibulum
Which of the following procedures does NOT require an incision, use of trocars, or distention with gas or fluid?
colposcopy
What is a Veress needle used for?
laparoscopic insufflation
Which of the following is used for creating pneumoperitoneum in laparoscopy?
carbon dioxide
Which of the following types of stirrups would likely be used for a laparoscopically assisted vaginal hysterectomy
(LA VH)?
Allen low lithotomy
Radionuclide seeds are used to treat:
uterine/cervical carcinoma
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
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.
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
Which instrument is used to manipulate the fallopian tubes without compression or damage?
Babcock tissue forceps
For which procedure would the gynecologist likely wear surgical loupes?
tubal reanastomosis
Which of the following is a serum analysis done to detect ovarian carcinoma?
CA-125
Which muscle is incised in transverse abdominal approaches for gynecologic procedures?
anterior rectus
Which instrument is used to grasp the cervix and provide traction during cervical dilation?
single-tooth tenaculum
What is used to achieve tissue destruction in an endometrial balloon ablation?
hot dextrose water
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
Radionuclide seeds are placed in infected Bartholin’s gland cysts to treat the infected contents.
False
Laparoscopic linear stapling devices are often used to ligate and cut the uterine ligaments and vessels during LAVH.
True
Clamp, clamp, cut, tie (CCCT) is a way to anticipate routine dissection steps during hysterectomy procedures.
True
Adhesion formation is a normal physiologic inflammatory response to abdominal surgery that cannot be prevented or
minimized.
False
A woman in her first pregnancy or who has delivered only once
Primipara
Seizures or coma in a pregnant patient secondary to precursor hypertension and rapid weight gain
Eclampsia
Dark green or black fecal material that may be present in amniotic fluid, putting neonate at risk of pneumonitis from
aspiration
Meconium
A vaultlike recess in the upper part of the vagina caused by the protrusion of the uterine cervix into the vagina
Fornix
Placement of a catheter or probe into a tubular structure to assess patency or treat an obstruction
Cannulation
Symptom of difficult or painful sexual intercourse in some females
Dyspareunia
Benign uterine fibroid tumor that arises from the smooth muscle layer
Leiomyoma
Method of biopsy of vulvar or cervical lesions by use of an electrified wire
LEEP
Instrument used for cystoscopic or hysteroscopic ablation using wire loops or roller balls and electrical current
Resectoscope
Extension of peritoneal cavity between the back wall of the uterus and the rectum, also called a cul-de-sac