Gynecologic Flashcards Preview

Senior Rotations > Gynecologic > Flashcards

Flashcards in Gynecologic Deck (107)
Loading flashcards...
1

between which two organs does the uterus lie

bladder

rectum

2

4 paired ligaments supporting uterus

broad

round

cardinal

uterosacal

3

area of uterus above openings of tubes

fundus

4

body of uterus communicates with cervix at...

internal os

5

cervix communicating with vagina is...

external os

6

3 layers of uterus

outer: serous

middle: myometrium

innter: endometrial

7

salpinx

tube/trumpet

8

purpose of tubes

ova from ovaries to uterus

9

how do tubes move ova

peristalsis/ciliary movement

10

right adnexa close to which 2 GI structures

cecum

appendix

11

ligament suspends ovaries

ovarian ligament

12

2 layers of ovaries

outer cortex

inner medulla

13

layer of ovary containing nerves, blood, and lymph vessels

medulla

14

layer of ovary containing follicles in different levels of maturity

cortex

15

2 functions of ovaries

make ova

endocrine glands-hormones

16

hormones produced by ovaries

estrogen: secondary sex characteristics, growth of uterine lining during period

progesterone: implantation of fertilized ovum, development of embryo

17

what ligament is fallopian tube in

broad

18

3 functions of vagina

sexual intercourse

menstrual bleeding

end of birth canal

19

anterior vaginal wall is near...

bladder

urethra

20

lower posterior vaginal wall close to...

rectum

21

projection of cervix into vagina divides into regions

fornices: anterior, posterior, right and left lateral

22

posterior fornix contacts

periotneum of cul-de-sac of Douglas pouch

23

external organs of the vulva

labia minora, laabia majora, clitoris, vestiblue, bartholin's glands, vaginal opening, urethral opening

24

what bony structure is the mons pubis situated over

anterior symphysis pubis

25

what lies within labia majora

labia minora

26

homolog of penis

clitoris

27

vestibule openings for what structures

vaginal

urethral

28

2 paraurethral ducts on either side of urethral meatus

Skene's

29

glands & ducts on lower end of vagina

Bartholin's

30

self-retaining vaginal speculum

Grave's speculum/bivalved

31

weighted vaginal speculum

Auvard

32

3 types of uterine dilators

Hank

Hegar

Goodell

33

2 self-retaining abdominal retractors in GYN

O'Sullivan O'Connor

balfour and blade

34

why is a simple vulvectomy done and what is removed

carcinoma in situ (multicentric)

labia majora, minora, possibly clitoris

35

position and incision for simple vulvectomy

lithotomy

wide elliptical

36

lasers most commonly in GYN

CO2

ND:YAG

Argonp

37

2 procedures to remove vulvar structures, inguinal nodes, portion of round ligament & saphenous vein and skin from abd. and groin

radical vulvectomy

groin lymphadenectomy

38

position for radical vulvectomy/groin lymphadenectomy

supine

trendelenburg

low lithotomy

39

prep area for radical vulvectomy/groin lymphadenectomy

abdomen

thighs

vulva

40

urethral marker to prevent urethral postop damage in radical vulvectomy/groin lymphadenectomy

catheter

41

drains in radical vulvectomy/groin lymphadenectomy

closed-wound

catheter

42

cystocele procedure

anterior colporrhaphy

herniated bladder into anterior vaginal wall

43

rectocele procedure

posterior colporrhaphy

herniation of rectum into vagina

44

enterocele

hernia sac w/ intestine between anterior and posterior vaginal walls

45

instrument on vaginal tissue for A&P repair

allis / wide allis

46

vesicovaginal fistula is..

between bladder and vagina

47

2 apporaches for vesicovaginal fistula

vaginal

abdominal (transperitoneal)

48

rectovaginal fistula

rectum and vagina

vaginal approach

49

why is a vesicourethral suspension

urinary stress incontinence

50

difference between Marshall Marchetti and Burch procedures

Marshall: tack to symphysis pubis

Burch: cooper's ligament

51

procedure to repair deep laceratinos of cervix from childbirth

trachelorrhaphy

52

purpose of uterine sound in D&C

depth and direction of uterine cavity

53

procedure to aspirate uterine contents

suction curettage

54

why is a Shirodkar done

incompetenet cervix

55

suture in Shirodkar procedure

mersilene polyester tape around os of cervix

56

after colposcopy and punch biopsy how can conization be done

cryo, cautery, cold knife, loop electrosurgical, laser excisional

57

what is inserted vaginally when cesium is done for cancer

intracavitary implant and cesium needles

loaded in radiation dept

58

where is needle placed in culdocentesis...why

posterior vaginal fornix

intraperioneal bleeding, ectopic pregnancy, tuboovarian abscess

59

how is a Bartholin's cyst treated

marsupiliazation

60

what is marsupialization

drain cyst in vagina create new ductal opening

61

endoscopic visualization of uterine cavity and tubal orifices

hysteroscopy

62

3 indications for hysteroscopy

abnormal bleeding, lost IUD, adhesions, fibroids, polyp

63

3 contraindications for hysteroscopy

pelvic infection

cervical malignancy

heavy bleeding

64

3 media used to distend uterus for hysteroscopy

hyskon

CO2

D5W

Sorbitol

Mannitol

Saline

65

2 complications of hysteroscopy media

hyponatremia

hypertension

66

instruments after hyskon

rinse in hot water

67

what does endometrial ablation treat and what is the goal

abnormal uterine bleeding

amenorrhea or reduced bleeding

68

2 sources of energy for endometrial ablation through hysteroscope

ESU, laser, microwave

69

3 contraindications for vaginal hysterectomy

large uterine tumor

pelvic malignancy

overlooked metastatic disease

70

in vag hyst what is done to facilitate dissection and decrease bleeding

infiltrate vaginal walls with normal saline or local anesthetic

71

endoscopic visualization of peritoneal cavity w/pneumo

position?

laparoscopy

lithotomy

72

if chromotubation is done what is placed in cervix

intrauterine cannula

73

liquids in normal saline to check tube patency

methylene blue

indigo carmine

74

how is tubal patency checked in laparoscopy

inject dye/contrast chromotubation

75

veress needle vs. hassan

needle: blind stab

hassan: valve of trocar sleeve make opening

76

what is LAVH, why does the surgeon use a laparoscope

lap assisted vag hyst: remove uterus from ligaments and vessel

visualize pelvis to see disease

77

what is removed in panhysterectomy

uterus, tubes, ovaries cervix, corpus

78

in TAH what is done with down below instruments

separate setup contamination

79

what are fibroids

benign tumors from myometrium

80

what is abdominal myomectomy? is uterus preserved?

remove single/multiple fibroids

yes

81

name for Wertheim procedure, what is done?

radical hysterectomy: uterus, tubes, ovaries, ligaments, upper vagina, lymph nodes

for malignancy

82

pelvic exenteration

rectum, sigmoid colon, bladder, distal ureters, internal iliacs, lateral brancehs, pelvic reproductive organs, lymph nodes, pelvic floor, peritoneum, levator muscle, perineum

83

what is created for urinary and bowel diversinos in pelvic exenteration

bladder: ileostomy

bowel: colostomy

84

what is oopherectomy and salpingo-oopherectomy

remove ovary and tube

85

tuboplasty and approaches

reconstruct tubes

open, laparoscopic

86

tubal ligation and 3 ways

interrupt tube continuity sterilization

coagulate, clip, silastic band

87

self-retaining retractor for tubal ligation w/minilaparotomy

large Graves bivalved speculum

88

2 hazards of performing abdominal surgery on pregnant patient

fetal injury: anesthesia

premature labor

89

C-section

deliver feteus from abdominal and uterine incisions

90

4 indications for C-section

failure to progress, malposition, abruptio placentae, uterine dysfunction

91

abruptio placenta/previa

placenta: premature detachment of placenta

previa: attachment low

92

position for C-section and why is right side elevated

supine w/ wedge

displace uterus from interior vena cava

93

incision for c-section

low transverse pfannensteil

94

why is speed important in c-section with anesthesia

fetal hypoxia-low blood pH (metabolic acidosis)

respiratory depression

95

what is used to extend incision in c-section

lister bandage scissors

fingers

96

when & why is bulb syringe used

after head comes through

suction mouth nose of amniotic fluid

97

why is oxytocin given, when, and how

uterine contraction before birth if natural

after birth in c-section (decrease size of uterus)

10-20 units IV or intrauterine

98

instruments used on uterine edge after infant is delivered

ring/pean forceps, pennington clamp

99

bartholin gland purpose

vaginal lube

100

why is a bimanual exam under anesthesia helpful

more relaxed, less painful

101

complication of GYN surgery that leads to loss of renal functino

severed ureters

102

schiller's test

stain vagina and cervical squamous epithelium with lugol's

103

lugol's turns normal tissue...

brown

104

when should lugol's not be used

iodine allergy

105

what layers are scraped in fraction d&C

endocervical

endometrial

106

2 positions for culdoscopy

lithoromy

knee-chest

107

indications for vaginal hysterectomy

uterine prolapse

pelvic relaxation/stress incontinence

myoma

irregular bleeding

premalignant lesion