In which of the following procedures would the surgeon likely request an 8-0 or 9-0 suture? a. cervical cerclage b. cesarean section c. tubal ligation d. tuboplasty

The name of the routine surgical treatment of infected Bartholin’s gland cysts is: a. cerclage. b. episiotomy. c. labioplasty. d. marsupialization.

For a dilation and curettage (D&C), which of the following orders of instrument use is CORRECT for endometrial biopsy? a. cervical dilators, uterine sound, weighted vaginal speculum, tenaculum, endometrial curettes b. tenaculum, uterine sound, weighted vaginal speculum, cervical dilators, endometrial curettes c. weighted vaginal speculum, tenaculum, uterine sound, cervical dilators, endometrial curettes d. uterine sound, weighted vaginal speculum, tenaculum, cervical dilators, endometrial curettes

Which of the following colors is the abnormal tissue after staining with Lugol’s solution in a cervical biopsy? a. blue b. white c. brown d. no color change

Which of the following choices is the procedure name for the removal of fibroid tumors of the uterus? a. endometrial ablation b. myomectomy c. oophorectomy d. pelvic exenteration

After staining with acetic acid in a cervical biopsy, the abnormal tissue: a. is the color blue. b. is the color white. c. is the color brown. d. has no color change.

Bartholin’s ducts are located at which of the following points on the vulva? a. lower one-third b. upper one-third c. superior to the vulva d. anterior to the vulva

Which of the following incisions is MOST frequently used for cesarean sections? a. epigastric b. paramedian c. Pfannenstiel d. vertical midline

Which of the following statements describes the main purpose of putting a bolster sheet or roll under the right hip of a patient just prior to C-section? a. It keeps the epidural catheter from being kinked. b. It prevents sacral decubitus ulcer formation. c. It reduces low back strain while in the supine position. d. It reduces the pressure of the gravid uterus on the vena cava.

Which of the following maneuvers 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? a. application of external pressure over the bladder b. application of external pressure over the fundus of the uterus c. insertion of the surgical technologist’s hand into the uterus to pull the legs of the fetus out d. use of two Balfour bladder blades to widen the uterine opening

Which of the following terms is an intentional incision into the perineum? a. cerclage b. episiotomy c. labioplasty d. marsupialization

All of the following are paired ligaments that support the uterus in the lower abdomen and attach it to the pelvis, EXCEPT: a. broad. b. round. c. cardinal. d. Cooper’s.

Cervical cerclage is performed to: a. biopsy the areas of dysplasia. b. repair a cystocele. c. prevent spontaneous abortion. d. vaporize vaginal condylomata.

Cephalopelvic disproportion is a component of which of the following indications for a cesarean section delivery? a. dystocia b. placenta previa c. preeclampsia d. uterine rupture

Which of the following medications may be injected into the uterus for hemostasis before closure of the uterus in a cesarean section? a. dextran b. Hyskon c. Lugol’s d. oxytocin

Which of the following terms is the name of the fingerlike projections at the terminal end of the fallopian tube that guides oocytes into the lumen? a. ampulla b. external os c. fimbria d. isthmus

Which of the following methods of tubal ligation (sterilization) is most frequently used? a. Pomeroy b. Irving c. Parkland d. Kroener fimbriectomy

Which of the following radiological studies might be ordered preoperatively for a patient scheduled for tuboplasty? a. angiography b. cholangiogram c. hysterosalpingogram d. retrograde urography

Which of the following pieces of operating room furniture would likely be unnecessary for many vaginal surgical procedures? a. back table b. ESU c. kick bucket d. Mayo stand

Delivery of the placenta is the conclusion of which of the following stages of labor? a. first b. second c. third d. fourth

Which of the following instruments is a weighted vaginal speculum? a. Auvard b. Graves c. Heaney d. Sims

Which of the following perineal lacerations involves the vaginal mucosa, vaginal submucosa, perineum, and anal sphincter? a. first b. second c. third d. fourth

The name of a bivalve speculum frequently found in a vaginal procedure tray is the: a. Goelet. b. Graves. c. Heaney. d. Hegar.

The name of the heavy, right-angle scissors frequently used to dissect around the cervix during hysterectomy is: a. Braun. b. Jorgenson. c. Metzenbaum. d. tenotomy.

Which of the following terms means the number of times a woman has been pregnant? a. gravida b. menarche c. parity d. rotation

The preferred method of anesthesia for a cesarean section delivery is: a. Bier block. b. epidural. c. general. d. MAC.

The first "uterine count" is performed in a cesarean section: a. when the umbilical cord is clamped and cord blood is collected. b. immediately prior to delivery of the placenta. c. when the first suture is given for closure of the uterus. d. as the fascial or muscle layer is being sutured.

Bulb syringes are used in obstetrical delivery procedures to: a. collect cord blood gas specimens. b. collect pelvic washings for cytology. c. suction amniotic fluid from the field. d. suction the mouth and nares of the neonate.

The name of the anatomical area where the fallopian tubes are attached and enter the uterus is: a. cervix. b. cornu. c. infundibulum. d. isthmus.

Which of the following gynecologic procedures is performed for treatment of a cystocele? a. anterior colporrhaphy b. posterior colporrhaphy c. Shirodkar procedure d. Wertheim’s procedure

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? a. cerclage b. colporrhaphy c. exenteration d. marsupialization

Tubal ligation is performed for: a. blood gas collection. b. elective sterilization. c. unruptured tubal pregnancy. d. urinary incontinence treatment.

Cherney, Maylard, and Pfannenstiel are examples of gynecologic: a. fenestrated drape sheets. b. self-retaining retractors. c. transverse abdominal incisions. d. urinary drainage catheters.

For which of the following procedures would the surgical technologist want to be sure to have adequate numbers of Allis or Allis-Adair tissue forceps? a. A&P colporrhaphy b. D&C c. LAVH d. TAH-BSO

Which of the following procedures is routinely done first in a basic gynecologic laparoscopy and may require a small separate setup and glove change before proceeding? a. cervical conization b. pelvic ultrasonography c. insertion of uterine manipulator d. injection of methylene blue into IV

Which of the following gynecologic procedures is used for visualization of the endometrium and may be used to treat polyps or myomas? a. laparoscopy b. hysteroscopy c. cervical cerclage d. dilation and curettage

Which of the following procedures would likely be assigned a Class III or Class IV wound and may require aerobic and anaerobic culture tubes? a. dilation and curettage b. radical hysterectomy c. cesarean section delivery d. marsupialization of Bartholin’s cyst

Which of the following anatomical structures is located anterior to the symphysis pubis and superior to the vaginal opening? a. labia majora b. mons pubis c. perineum d. urethral orifice

Which of the following anatomical areas is located between the posterior vaginal opening and the anus? a. labia majora b. mons pubis c. perineum d. urethral orifice

The general term for the treatment method that destroys genital condylomata with a carbon dioxide laser? a. ablation b. curettage c. exenteration d. suspension

Which of the pistol-grip types of instruments might be found in a D&C tray for cervical biopsy? a. Kerrison b. pituitary c. Takahashi d. Tischler

Another name for the ovarian suspensory ligament is: a. cardinal. b. infundibulopelvic. c. round. d. uterosacral.

Which of the following ligaments is the largest supporting ligament in the female pelvis that has anterior and posterior leaves? a. broad b. cardinal c. round d. suspensory

Which of the following types of needle holders is curved and frequently used for hysterectomy procedures? a. Castroviejo b. Heaney c. Mayo-Hegar d. Webster

Instruments used for closure of the vaginal cuff in total abdominal hysterectomy are: a. discarded in the trash. b. isolated as contaminated. c. d. flash sterilized by the circulator. used to elevate the fascia during closure.

If the surgeon inserts a uterine manipulator, the wound class must be at least a: a. Class I. b. Class II. c. Class III. d. Class IV.

Which of the following paired ligaments are encountered and ligated last in an abdominal hysterectomy and first in a vaginal hysterectomy? a. cardinal b. infundibulopelvic c. round d. uterosacral

The fallopian tubes are located bilaterally in the mesosalpinx of which uterine-pelvic ligaments? a. broad b. cardinal c. round d. uterosacral

The term adnexa refers to which of the following gynecologic anatomical structures? a. labia minora, labia majora, urinary orifice, and clitoris b. isthmus, internal os, cervix, and external os c. fallopian tubes, ovaries, and infundibulum d. endometrium, myometrium, and peritoneum

Which of the following procedures is performed to remove adhesions that prevent ovum uptake? a. fimbrioplasty b. hysteroscopy c. salpingectomy d. salpingostomy

A Veress needle used for: a. amniocentesis. b. epidural anesthesia. c. laparoscopic insufflation. d. suprapubic catheter placement.

Which of the following gases is used for creating pneumoperitoneum in laparoscopy? a. carbon dioxide b. helium c. nitrogen d. oxygen

When positioning a patient for a laparoscopic tubal sterilization, the patient should be in which of the following positions? a. low lithotomy b. high lithotomy c. supine with legs straight d. reverse Trendelenburg

Radionuclide seeds are used to treat: a. dysmenorrhea/menorrhalgia. b. endometriosis. c. uterine/cervical carcinoma. d. vulvar condylomata.

Which of the following procedures involves an en bloc removal of the uterus, bilateral ovaries and fallopian tubes, supporting ligaments, upper third of the vagina, and pelvic lymph nodes? a. anterior and posterior colporrhaphy b. bilateral laparoscopic tubal ligation c. radical hysterectomy d. suprapubic hysterectomy

Which of the following pieces of equipment is unique to a robotically assisted procedure? a. electrocautery b. trocars c. light source d. vision cart

Which of the following instruments should the surgical technologist have ready to provide exposure during cesarean section procedures when the uterine incision is made? a. Auvard b. bladder blade c. Gelpi d. Graves

Which of the following instruments is used to test the patency of the fallopian tube during tuboplasty? a. Hegar dilator b. lacrimal probe c. uterine sound d. Veress needle

Which of the following instruments is used to manipulate the fallopian tubes without compression or damage? a. Babcock forceps b. Ferris-Smith forceps c. Heaney clamp d. Kocher clamp

For which of the following procedures would the gynecologist likely wear surgical loupes? a. cesarean section b. endometrial ablation c. robotically assisted hysterectomy d. tubal reanastomosis

Which of the following choices is a serum analysis done to detect ovarian carcinoma? a. CA-125 b. CBC c. FSH d. KUB

Which of the following transverse abdominal incisions includes opening the peritoneum vertically? a. Pfannenstiel b. Cherney c. Maylard d. McBurny

Which of the following instruments would be used to grasp the cervix and provide traction during cervical dilation? a. Allis-Adair tissue forceps b. Babcock tissue forceps c. perforating Backhaus clip d. single-tooth tenaculum

Tissue destruction is achieved in an endometrial balloon ablation using: a. electrical energy. b. hot dextrose water. c. laser light energy. d. ultrasonic friction.

The most common cause of equipment failure is failure to plug the machine into the wall socket. True/False

true

Only the nurse and surgeon will monitor the flow rate, maximum volume, and outflow rate of uterine distention medium during a hysteroscopy. True/false

false

Laparoscopic linear stapling devices are often used to ligate and cut the uterine ligaments and vessels during LAVH. True/false

true

Clamp, clamp, cut, tie (CCCT) is a way to anticipate routine dissection steps during hysterectomy procedures. True/false

true

Adhesion formation is a normal physiologic inflammatory response to abdominal surgery that cannot be prevented or minimized. True/false

false

A gravis patient is in active labor and does not have a regional block. Due to sudden, extreme complications, a STAT C-section is called. What is the likely method of anesthesia a. Epidural b. Bierblock c. General d. Spinal

Total abdominal hysterectomy is assigned which wound classification a. Class II b. Class IV c. Class III d. Class I

Matching 1. A woman and her second pregnancy is delivered only once. 2. Risk factors for this condition include previous trauma to cervix and previous premature delivery. 3. A combining form in medical terminology referring to the ovary or ovaries. 4. Benign uterine fibroid tumor that rises from the smooth muscle layer. 5. Method of biopsy of Vulvar or cervical lesions by the use of an electrified wire. 6. Instrument used for examination of the internal cavity of the uterus. A. Oophoro B. Incompetent cervix. C. LEEP D. Hysteroscope E. G2P1 F. Leiomyoma (or myoma)

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