Gyne

Question 1

How is excision of condylomata preformed?

Answer 1

With electrocautery
Sharp excision
Laser

Question 2

What is a vulvectomy?

Answer 2

Removal of Lanka minora and majora

Possibly clitoris and tissue from perianal area

Question 3

Why is a vulvectomy preformed?

Answer 3

Carcinoma in situ of vulva
Leukoplakia
Intractable puritis

Question 4

What is a radical vulvectomy?

Answer 4

Complete dissection of
Skin from abd and groin
Lab min and maj
Clitoris
Mons veneris
Terminal urethra, vagina, and other vulvar organs
Superficial and deep inguinal nodes
Portion of round ligament
Portion of saphenous vein
Lesion itself

Reconstruction of vaginal walls and pelvic floor
Closure of abdominal wound
Full thickness skin grafts or flap rotations
Abdominoperineal and groin dissection

Question 5

How is a bartholins cyst taken care of?

Answer 5

Incised, sutured open to allow drainage.

Question 6

What are the three parts of the uterus?

Answer 6

Fundus (top)
Corpus ( middle inner part)
Isthmus (section connecting into Fallopian tube)

Question 7

What are the three layers of the uterus?

Answer 7

Serous
Myometrium (middle)
Endometrium (inner lining)

Question 8

Blood supply of ovaries?

Answer 8

Direct from aorta via ovarian artery

Question 9

Uterus blood supply?

Answer 9

Internal iliac via uterine

Question 10

Blood supply for vagina?

Answer 10

Vaginal arteries

Question 11

Blood supply for Fallopian tubes?

Answer 11

Uterine artery

Ovarian artery

Question 12

When is examination under anesthetic done?

Answer 12

Nervous pt
Pain dx
Obese

Question 13

What is an incisional biopsy of the cervix?

Answer 13

Punch biopsy

Question 14

What is a cone biopsy?

Answer 14

Biopsy in cone shape to level of internal OS

Question 15

What is fractional dilation and curettage?

Answer 15

Pt is dilated and all sections of endometrium curetted for specimens, incomplete abortions, etc.

Question 16

What are laminate tents?

Answer 16

Inserted 4-24 hours before procedure to help dilate cervix.

Question 17

What is a hydatiform mole?

Answer 17

Molar pregnancy.

Defective egg is fertilized with sperm or more than two sperm fertilize an egg.

Question 18

What is endometrial ablation?

Answer 18

Removal of endometrial layer in uterus by hysterics ope and electrosurgical unit and laser, or balloon endometrial ablation.
Treats uterine bleeding.
Goal to create amenorrhea or reduce menstrual bleeding.
Alternative to hysterectomy

Question 19

What is anterior repair of cystocele?

Answer 19

Herniation of bladder into vaginal wall, restores bladder to normal position.

Question 20

What is posterior repair (rectocele)?

Answer 20

Protrusion of anterior rectal wall in vagina.

Feelings of pressure, difficulty evacuating lower bowel, haemorrhoids

Question 21

What is tension free vaginal tape?

Answer 21

Prolene sheath passes under urethra through to abdomen to support in center for female urinary incontinence. Abdominal muscles tighten and pulls sling upwards.

Question 22

What is a myomectomy?

Answer 22

Removal of one or more fibroids.
Arise from muscular wall of uterus
Indications include:
Pain
Pressure
Irregular bleeding
Infertility

Question 23

Functional ovarian cysts develop from

Answer 23

Corpus luteum

Question 24

Dermoid cyst is aka

Answer 24

Teratomas

Question 25

What is the name for removal of a Fallopian tube and all or part of an ovary?

Answer 25

Salpingo-oophorectomy

Question 26

What is tuboplasty?

Answer 26

Reversal of tubal ligation | Aka tuboplasty

Question 27

What is cyklokapron?

Answer 27

Anti fibrinolytic Treat hyperfibrinolysis Short term use in patients with coagulopathies

Question 28

What is epinephrine?

Answer 28

Adrenaline Prolonged action of anaesthetics Hemostatic agent

Question 29

What is ergometrine (pitressin)

Answer 29

Prevent or treat post-partum or post-abortal hemorrhage | Used with uterine muscle weakness (atony)

Question 30

What is oxytocin?

Answer 30

``` Pitocin Stimulate uterine contractions Improve uterine tone Aid in placental delivery Treat post partum hemorrhage ```

Question 31

What is indigo carmine?

Answer 31

Determines patency of ureters/Fallopian tubes

Question 32

What is lugols solution?

Answer 32

Potassium iodine Strong iodine solution Staining tissue Diagnostic use

Question 33

What is methylene blue?

Answer 33

Indicator dye | Determines patency of Fallopian tubes in infertile patients.

Question 34

What is Monsels solution?

Answer 34

Astringent to check light bleeding from scratches and small cuts

Question 35

What is versed (midazolam)

Answer 35

Used in conscious sedation Short endoscopic or diagnostic procedures Sedation after IV injection 3-6 mins Benzodiazepine antagonist - Anexate

Question 36

What is fentanyl?

Answer 36

Narcotic analgesic Local laparoscopy or local hysteria copy Narcotic antagonist - narcan

Question 37

What is omnipaque 300?

Answer 37

Contrast media | Inflate catheter bulb

Question 38

What is marcaine?

Answer 38

Local anesthetic Long lasting effect 3-6 hours Several strengths, plain or epinephrine

Question 39

What is xylocaine?

Answer 39

Local anesthetic Not as long lasting as marcaine Concentrations of 0.5% to 2% plain or epinephrine