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67 Cards in this Set
- Front
- Back
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The internel female organs are located in the lesser pelvis and are protected by this.
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pelvic girdle (bony pelvis)
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Another name for the external female genitalia.
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vulva
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What structures make up the adnexa?
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fallopian tubes and overies
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What hormones do the ovaries produce?
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estrogen and progesterine
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What are the four stages of labor?
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1. onset to fully dilated cervix
2. dilated cervix to birth 3. birth to delivery of placenta 4. delivery of placenta to mother's condition stabilizes |
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The most common surgical intervention during vaginal birth?
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episiotomy
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Three drugs that cause uterine contraction.
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oxytocin
carboprost ergonovine |
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When is it not necessary to use a Mayo stand?
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During vaginal procedures
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What position is used for C-section?
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Supine with arms extended on armboards
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This is important to have during delivery to clear infant's airway.
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bulb syringe
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Blood tubes and syringe are used to?
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Draw blood from the cord artery for cord gasses.
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Two common reasons for C-section are?
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cephalopelvic disproportion
failure to progress |
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A low transverse incision used for C-section is called?
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Pfannensteil
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How many counts are performed during a C-section and when?
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4 are performed.One at beginning of case,
second when closing the uterus, third when closing the peritoneum, fourth when closing the skin. |
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How many cord clamps are used?
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2 clamps, often Kelleys-they go with the infant when removed from field- don't forget to include them in your count
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Name five methods used to accomplish tubal ligation.
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division
ligature electrosurgery silastic bands clips |
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What instrument is used to grasp the tube during tubal ligation?
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babcock
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Colpotomy is performed in what position?
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lithotomy
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Name three ways to perform a tubal ligation.
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minilaparotomy
vaginal colpotomy laparoscopy |
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How are the fallopian tubes
sent as specimens after removal? |
In separate containers labeled
right and left. |
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Define Tuboplasty.
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Microscopic resection and anastomosis of the fallopian tube.
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Why is a Tuboplasty performed?
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For tubal obstruction causing infertility and to reverse previous tubal ligation.
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What is a tongue blade used for in a tuboplasty?
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As a cutting surface against which to transect the tube using a #11 knife blade.
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How is luminal patency verified during tuboplasty?
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By using a lacrimal probe and injecting dye into the uterus.
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What is the name of the dye used during tuboplasty?
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Indigo carmine.
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What is the purpose of using low molecular weight dextran in the pelvis following tuboplasty?
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To help keep tissues separated
in order to reduce formation of adhesions and scar tissue. |
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What does a suture used as a "stent" accomplish during tuboplasty?
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It is passed through the lumen to assist with approximation and protection of the lunen.
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What instrument is used to approximate the tube during tuboplasty?
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An approximation clamp.
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The surgical approach to an emergency ruptured etopic pregnancy is?
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Open abdominal
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During laparoscopic resection of unruptured tubal pregnancy, how is the tube closed?
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The tube is not closed but is left open.
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Name 3 types of incisions used in gynecological abdominal surgery.
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transverse
vertical oblique |
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A Veress needle is used for what?
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To inflate the abdomen with CO2 to establish a pneumoperitoneum.
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What gas is used to create a pneumoperitoneum?
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CO2
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What is the purpose of a saline filled syringe during placement of the Veress needle?
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To verify that the abdominal cavity has been entered.
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What instrument is placed through the vagina to enable the surgeon to move the uterus?
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A uterine manipulator.
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If there is a laparoscopic and vaginal approach during a procedure, what must be done?
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Two separate setups and instruments must be kept separate during procedure.
Gloves changed. |
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Which trocar is placed first during a laparoscopy?
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10 mm
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Why is a colposcopy performed?
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To evaluate after an abnormal PAP smear when the cervix appears normal on visual exanimation.
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This instrument is placed into the cervical canal to determine the direction and depth of the uterine cavity.
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A uterine sound
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This instrument is used to grasp the cervix during a hysteroscope.
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A tenaculum
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The names of two kinds of uterine dilators are?
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Hank and Hegar
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Some solutions used to distend the uterus during a hysteroscope are?
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glycine
sorbitol dextran CO2 |
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Marsupialization of Bartholin's cyst does what?
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Opens the obstructed cyst by converting the closed cavity into an open pouch.
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An Anterior Repair is a repair of what?
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a cystocele
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A Posterior Repair is a repair of what?
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a rectocele
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Urinary incontinence may be corrected by this vaginal procedure.
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Anterior Repair
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What is LEEP?
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Loop electrosurgical excision-used to treat cervical cancar
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Surgical methods that may be employed to treat cervical cancer.
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LEEP
punch biopsy cryotherapy conization CO2 laser |
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The solution used to "stain" lesions white for better identification during GYN surgeries is what?
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3-5% acetic acid
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This procedure uses CO2 or nitrous oxide to "freeze" the cervix for treatment of cancer.
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Cryotherapy
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What does "follow" the suture mean?
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The process of holding the suture taut and away from the suture line while surgeon is placing sutures.
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How does a CO2 laser work?
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By boiling the water within cells until they explode.
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Two types of electrodes used for a LEEP procedure.
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ball-tipped
loop |
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If a D&C is performed after the thirteenth week of pregnancy, it is called?
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A D&E
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What are specimens from a D&C placed on?
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Telfa
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How many specimens are taken during a D&C?
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Two- endocervical and endometrial.
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What may be placed on an Auvard weighted speculum to catch blood and fluids?
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A sterile glove.
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Define Myomectomy.
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The surgical excision of uterine fibroids.
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Clamps used during an Abdominal Hysterectomy are?
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Heaney or Heaney-Ballantine.
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What is a stick tie?
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A suture with a needle on a needle holder.
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What is a sponge on a stick?
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A folded raytec placed in a sponge stick for blunt dissection or hemostasis.
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What routine is repeated several times during an abdominal hysterectomy?
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Clamp, clamp, cut, tie
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What instrument is used to remove the uterus during an abdominal hysterectomy?
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Jorgenson (also called cuff) scissors or Mayo scissors.
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LAVH stands for what?
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Laparoscopic assisted vaginal hysterectomy
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During a LAVH, the uterus is delivered how?
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Through the vagina.
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What is the vaginal cuff?
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The opening created in the vagina after removal of the uterus.
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What organs are removed during a Total Pelvic Exenteration?
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vagina, uterus
cervix, ovaries rectum, bladder Fallopian tubes |
