Surg Tech OB/GYN
Help!
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| 2 names of stirrups used in lithotomy position | candy cane and Allen "yellow fin"
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| Stage 1 of labor | onset of true labor to fully dilated cervix
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| Stage 2 of labor | complete dilation to birth of infant(s)
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| Stage 3 of labor | birth of infant(s) to delivery of placenta
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| Stage 4 of labor | delivery of placenta to when mother's condition has stabilized
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| expulsion | delivery of shoulders and body of fetus
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| extension rotation | rotation of fetal head back to its original position as head passes over perineum
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| gravida | pregnancies
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| para | number of times a woman has given birth
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| most common surgical intervention in vaginal birth | episiotomy and repair of perineal lacerations
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| ST role in labor | clamp/cut umbilical cord and collect blood for cord gases
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| episiotomy | intentional midline surgical incision in perineum to ease birth process or to protect mother from uncontrolled perineal lacerations
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| 1st degree perineal laceration | Involves vaginal mucosa or peritoneal skin
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| 2nd degree perineal laceration | Vaginal submucosa or perineum with or without the peritoneal body musculature being involved
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| 3rd degree perineal laceration | Involves anal sphincter
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| 4th degree perineal laceration | Involves rectal mucosa
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| Surgical procedure for an incompetent cervix | Cervical cerclage "Shirodkar's procedure"
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| Paired ligaments that extend to the pelvic walls to suspended the uterus are | Broad, cardinal, round, and uterosacral
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| The adnexa includes | Fallopian tubes, ovaries, and infundibulum
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| When is a cervical cerclage performed (gestation) | Late second trimester or early third trimester
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| What technique and kind of suture is placed around the cervix in Shirodkar's procedure | pursestring mersiline
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| Incision for caesarean section | Pfannenstiel
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| a #__ knife blade or #__ knife blade is used for Pfannenstiel | 10; 20
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| Patient position for caesarean section | Supine with the role place under the right hip to reduce the uterine pressure on the Vena Cava
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| Dystocia | difficult birth
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| Cephalopelvic disproportion | "CPD"; baby's head/body is too large to fit through mother's pelvis (failure to progress)
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| Medication injected into uterus to help with hemostasis | pitocin (oxytocin)
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| Type of suture to close uterus | 2 layers using 2-0 or 0 absorbable
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| How many counts are there on a caesarean section | 4 - Prior to skin incision, prior to closure of uterus, prior to closure of the abdominal cavity, and prior to closure of skin
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| Structure where fallopian tubes attached to the uterus | cornu
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| Four sections of the fallopian tubes | fimbia (infundibulum), ampula, isthmus, intramural
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| Purpose of fimbria | guide oocytes released by ovaries into tube's lumen
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| Five techniques for tubal ligation | Irving, Pomeroy, Parkland, Madlener, Kroener fimbriectomy
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| Diagnostic test for tuboplasty | hysterosalpingogram
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| Ectopic pregnancy | Pregnancy that occurs outside the uterine cavity
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| unruptured tubal pregnancy can be treated... | Laparoscopically
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| Diagnostic test to rule out carcinoma and endometrial hyperplasia | D&C - will take specimen
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| Diagnostic tests for uterine cancer | pap smear, endocervical curettage, endometrial biopsy
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| Diagnostic tests for cervical cancer | colposcopy, biopsy, endocervical curettage, Schiller's test
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| Diagnostic tests for ovarian cancer | pap smear, endometrial biopsy, endocervical curettage
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| Cervical cone - "cold" | no laser or electricity was used, only a knife
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| Three most used abdominal if incisions for GYN surgery | Pfannenstiel, Maylard, Cherney
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| Two basic diagnostic procedures for GYN | Laparoscopy and hysteroscopy
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| Main muscle incised during abdominal incisions for Pfannenstiel, Maylard, and Cherney | anterior rectus sheath
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| What instrument is used to manipulate the uterus during a basic laparoscopy | Cohen acorn cannula
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| Hysteroscopies are used to treat pathologies such as | Adhesions, polyps, and myomas
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| Endoscopic equipment for a hysteroscopy | scope, camera, light cord, irrigation tubing (not insufflation tubing)
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| Where are Bartholin's glands located | Posterior third of the labia of majora
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| Pathologies for obstruction of Bartholin's glands | gonococcal infection or trauma (most common)
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| Reasons for labiaplasty | Correct the labia minora hypertrophy caused by congenital abnormality, to repair tearing and stretching due to childbirth, trauma, sexual intercourse, age, and genital piercing
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| If a D&C is performed after the 13th week of pregnancy, it is termed | dilation and evacuation (D&E)
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| Acetic acid turns abnormal cells what color | white
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| Schiller's test with Lugol's solution turns abnormal cells what color | none; normal cells retain brown coloration
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| What ligament provides the main support to ovaries | Ovarian (lies within the broad ligament)
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| Name of serum that detects ovarian cancer | CA 125 titre
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| Broad ligament | Attaches uterus to the pelvic wall and covers the entire reproductive system and becomes continuous with parietal peritoneum
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| Mesovarium ligament | Attaches ovaries to broad ligament to stabilize and support the position of the ovaries
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| Suspensory ligament | Anchors ovaries of the pelvic wall and contains the major blood vessels to the ovaries
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| Ovarian ligament | Anchors ovaries to uterus
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| Cephalopelvic disproportion is a component of which indication for a cesarean section? | dystocia
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| What is the name of the routine surgical treatment of infected Bartholin's gland cysts? | marsupialization
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| Which anatomical structure is located anterior to the symphysis pubis and superior to the vaginal opening? | mons pubis
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| What is the general term for the treatment method that destroys genital condylomata with a carbon dioxide laser? | ablation
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| Radionuclide seeds are used to treat: | uterine/cervical carcinoma
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| Instrument used to measure depth of uterus | Sim's uterine sound
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| Instrument used to remove endometrial or cervical lining | Sin's curette
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| Instrument used as a bladder blade, removed prior to birth of the baby | DeLee
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| Needle holder used for TAH or pelvic surgery | Haney-curved
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| Used to grasp the uterus during TAH or cervix during D&C, causes less trauma | Jacobs Vulsellum
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| Dilator for D&C (3 names) | Hank, Hegar, Pratt
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| Scissors used for vaginal cuff—TAH | Jorgenson
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| Weighted retractor for vagina | Auvard
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| Used to grasp cervix at 12-o’clock | Braun or Schroeder
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| Clamp used in TAH | Ballentine
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| devices used to ligate and cut the uterine ligaments and vessels during LAVH | Linear stapling device
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| cavity between labia minor and contains urethral meatus as well as Bartholin's glands | vestibule
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| Another name for radical hysterectomy | Wertheim
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| Why is air or gas not used to cool the laser fiber in an endometrial ablation? | could cause an air embolism
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| Why is an endometrial ablation performed? | an alt to hysterectomy to treat chronic menorrhagia
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| When using a balloon for endometrial ablation, what is the balloon filled with? | hot D5W solution (dextrose water)
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| Myomectomy | procedure to excise uterine fibroid tumors (myomas)
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| Main reason to perform myomectomy | to preserve the uterus for fertility
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| 3 ways to reduce adhesion formation | gentle tissue handling, removal of talc (powder) from gloves, irrigation with heparinized Ringer's solution
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| uterosacral ligament | attaches cervix to sacrum
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| During a TAH, the uterosacral ligaments are clamped first or last? | Last
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| During a vaginal hysterectomy, the uterosacral ligaments are clamped first or last? | First
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| Another name for suspensory ligament | Infundibulopelvic ligament
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| Uterine radiation seeding is used to treat | uterine or cervical cancer
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| Use for radiation seeding | shrink a tumor preop that's nonresectable or destroying the rest of a tumor postop
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