Surg Tech Practice 4 (Nicola)

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1

Where are the Bartholin’s glands located?

on either side of the vaginal opening.

2

What is the pH of vaginal fluid?

Acidic

3

What are the layers of the uterus…in order?

visceral peritoneum, myometrium, and endometrium

4

Which ligament supports the bulk of the ovary?

Ovarian ligament

5

Which ligament are the uterine tubes contained within?

Broad

6

What are the uterine appendages?

Fallopian tubes and ovaries

7

What is a synonym for the fallopian tubes?

uterine tubes or oviducts

8

What causes the descent of the fetus through the pelvic canal?

Uterine contractions

9

In which position is the patient generally placed into for a D and C?

Lithotomy

10

The Pfannenstiel incision is which type of incision?

Lower transverse

11

Where is the internal cervical os?

at the junction between the corpus uteri and the cervix.

12

What are the two hormones from the anterior pituitary that stimulate the ovarian cycle?

Luteinizing hormone (LH) and Follicle stimulating hormone (FSH)

13

Where is the most common site for ectopic pregnancy?

Fallopian tubes

14

What is the most significant cause of morbidity during a cesarean section?

Anesthetic problems

15

What is a DeLee suction device used for?

Suctioning oral cavity and nares of newborn

16

Why is posterior colporrhaphy performed?

protrusion or herniation of the rectum into the vagina

17

Why is a Foley catheter used routinely during pelvic procedures?

To drain the bladder in order to help prevent puncturing it.

18

Why is the Trendelenburg position is used?

used to displace the abdominopelvic organs cephalad to provide better visualization of the surgiccal site.

19

What structure is removed during Total abdominal hysterectomy?

uterus

20

Why is a Cerclage performed to?

close an incompetent cervix

21

What is the ovaries function?

Production and expulsion of oocytes (ova, or eggs)

22

Why is a Tuboplasty performed?

reverse previous tubal sterilization.

23

What is the external female genitalia referred to as?

vulva

24

What is the dome-like portion of the uterus called?

Fundus

25

What is the fornix?

The annular recess created by the cervical-vaginal junction

26

What are the parts of the uterus?

Fundus, Corpus, Cervix, Internal OS, External OS

27

Why is a Pap smear performed?

Used for the detection of cervical cancer

28

What is endometriosis?

Benign lesions (an abnormal implantation of endometrial tissue)

29

In which position is the patient placed for a total abdominal hysterectomy?

supine

30

What does Marsupialization indicate?.

That a pouch has been created.

31

A fibroid is a benign tumor found in the?

myometrium

32

Why is Indigo carmine used following tuboplasty?

To test tubal patency

33

What does the term D and C represent?

dilation and curettage

34

What is a Cystocel?

Prolapsed of bladder into the vaginal vault

35

What does Vaginal hysterectomy describe the removal of?

uterus through a vaginal incision

36

Where does arterial blood supply to the uterus come from?

uterine arteries

37

What is the most common reason for the performance of a cesarean section?

Failure to progress

38

What is a Salpingectomy?

Removal of fallopian tube

39

Oopherectomy?

Removal of ovaries

40

How can the STSR aid in the prevention of adhesion formation following pelvic surgery?

Gentle tissue handling, Remove talc from gloves

41

What is the name given for the external female genitalia?

vulva

42

How is the external female genitalia vascularized?

Clitoral, perineal, and inferior hemorrhoidal branches of the pudendal artery and nerve

43

What is the name of the female erectile tissue?

clitoris

44

Which female gland secretes a lubricating mucoid substance?

Bartholin’s Glands

45

The perineum in the female is the area between which two structures?

the inferior vaginal opening and anus.

46

What is the name given to the cervical-vaginal junction?

fornix

47

What is the name of the ligament that suspends the uterus anteriorally?

cardinal

48

Arterial blood supply to the uterus is derived from the uterine branch of which artery?

paired internal iliac arteries

49

The fallopian tubes are divided into four regions. Which are they?

fimbria, isthmus, ampulla, intramural

50

What is the name given to where the fallopian tubes enter into the uterus?

Cornu

51

Arterial blood supply to the fallopian tubes is derived from which arteries?

uterine, ovarian

52

Which two hormones do the ovaries release?

Luteinizing hormone (LH)Follicle stimulating hormone (FSH)

53

What hormone does the corpus luteum secrete?

progesterone

54

Which hormone is responsible for maintaining the growth of the uterine lining in preparation for the fertilized egg?

progesterone

55

What drugs are used to induce labor?

Oxytocin, Prostaglandins, Methergine

56

What is the best suture choice for closing an episiotomy?

absorbable suture

57

Which instruments are typically placed onto the fascia during a cesarean section?

Kocher

58

How many counts are performed on a cesarean section? When?

4

59

What is the surgical procedure that involves the placement of a large-diameter Dacron or Mersilene tape around the cervix at the internal os?

McDonalds Procedure (Cervical Cerclage)((Shirodkar procedure))

60

What is a colporrhaphy?

Anterior/Posterior repair (Surgical repair of a cystocele and/or rectocele

61

What is the name given to a fistula that forms between the bladder and vagina?

vesicovaginal fistula

62

What is the medial border of the kidneys that receives the renal blood vessels called?

The Hilum

63

Which outer portion of the kidney contains the the glomeruli?

The Cortex.

64

Which structures unite to form the renal pelvis?

Minor calyces and major calyces.

65

Which aretery provides the blood supply to the kidneys?

The right and left renal arteries.

66

Which muscle is responsible for emptying the bladder and closing the bladder?

The detrusor muscle.

67

Which clinical landmark is marked by ureteral and urethral orifices?

Vesical Trigone.

68

Which artery provides blood supply to the bladder?

Internal Iliac Artery.

69

What is the name of the portion of the skin covering the distal base of the penis that forms a free fold?

Prepuce (foreskin)

70

What is the proximal portion of the male urethra called?

Spongy Urethra.

71

Which portion of the male reproductive system can be found passing thru the spermatic cord and eventually conducting semen into the prostatic urethra?

Prostate Gland?

72

Which rare condition is indicated by an overproduction of cortisol by the cortex of the adrenal gland?

Cushing's Syndrome.

73

Know the 4 basic chemical types of urinary calculi and which accounts for the majority of cases?

Calcium-based stones account for 75% of urinary calculi. b) Struvite or magnesium ammonium phosphate c) Uric acid d) Cystine stones caused by metabolic defect.

74

Which disorder is caused by multiple fluid filled, benign cysts in the parenchyma of the kidney?

Polycystic Kidney Disease (PKD)

75

Which congenital condition is marked by the absence of the anterior wall of the urethra?

Espispadia

76

Which test can indicate the possibility of prostatic cancer?

Digital Rectal Examination (DRE)

77

Which diagnostic tool involves the use of intravenous dye and radiological films to view the urological system?

Intravenous Pyelogram (IVP)

78

Which extraperitoneal incisional option can be used to access the lower portion of the ureter?

Gibson Incision.

79

Know the different types of nephrectomy and what pathology is involved.

Radical (malignancy) Subtotal (biopsy, remove small cancers,remove caculi) Simple (small malignancies, chronic obstructive disorders, benign tumors, kidney transplant)

80

Which surgical procedure involves diverting urine flow through an isolated loop of bowel?

Ileal conduit?

81

What is a Koch pouch?

A continent urinary reservoir fashioned from reconfigured bowel to serve as the holding area for urine.

82

How are adrenalectomies performed?

Endoscopically or traditional incision.

83

What type of suture is appropriate for closure of a ureterotomy?

Absorbable?

84

What are some of the procedures perfored on women with stress incontinence?

Colporrhaphy, Marshall-Marchetti-Krantz (MMK), Stamey procedure.

85

What are the following procedures? Radical orchiectomy-

removal of a cancerous testicle. Entire contents of the hemiscrotum, tunica vaginalis, and spermatic cord are removed.

86

What surgical instrument is used to remove tissue fragments from within the bladder during a Transurethral Resection of the Prostate (TURP)?

Resectoscope

87

Which prostatectomy procedure involves an incision into the bladder to remove the prostate en bloc?

Suprapubic prostatectomy

88

Why is the right kidney located slightly lower than the left?

The location of the liver over the right kidney.

89

Know occurrence info on bladder tumors.

usually present with hematuria. tumors can be benign or malignant. May appear as single growth ,but are often seen in multiples..

90

Know what complications can occur with a TURP.

bleeding,infection,urethral stricture.

91

circumcisions-

removal of foreskin(prepuce)

92

vasectomy-

partial removal of the vas deferens: performed to render a male sterile.

93

vasovasectomy-

revesal of a vasectomy.

94

Which fluid is acceptable when doing a TURP?

glycine

95

working element-

ESU device that recieves assortment of cautery loop,balls and blades

96

What do the medulla and the cortex of the adrenal glands do?

cortex- secrete steroid type hormones essential to the control of fluid and electrolyte balance in the body.Medulla-secretes epinephrine and norepinephrine.

97

Which muscles surround the kidney?

medial side- psoas, laterally-transverse abdominal muscle, posteriorly-quadratus lumborum

98

What is the vascular supply for the ureters? Kidney, Bladder?

renal artery,superior and inferior vesical arteries

99

How long is the male urethra approximately? Female?

male urethra-20cm -- female urethra- 4cm

100

41. What is the function of the tunica albuginea?

thick connective tissue that covers most of the testes and turns into the testicular substance at posterior border, forming a mesh like mediastinum testis.