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LQA 19

Total questions: 77

Worksheet time: 1hrs 17mins

Name
Class
Date
1.
When handling uterine curettings,
a)
never place them in preservative
b)
keep the endometrial and the endocervical curettings separate
c)
send the endometrial and the endocervical curettings to the laboratory in one container
d)
send them on a 4 x 4 to the laboratory because it is too difficult to remove them
2.
Labor can be induced using:
a)
ergotrate
b)
diazoxide
c)
Pitocin
d)
magnesium sulfate
3.
The needle used to instill the gas during a laparoscopy is a:
a)
Silverman
b)
Crile
c)
Hegar
d)
Veress
4.
A Hulka tenaculum forceps is used in:
a)
gynecological surgery
b)
urological surgery
c)
thoracic surgery
d)
neurological surgery
5.

Which drug is given to aid in placental expulsion?

a)

Oxytocic

b)

Anticholinergic

c)

Antihistamine

d)

Hypoxic

6.
A Humi cannula is used in:
a)
eye surgery
b)
vascular surgery
c)
urological surgery
d)
gynecological surgery
7.
The aim of stress incontinence operations includes all of the following EXCEPT:
a)
to improve performance of a dislodged or dysfunctional vesical neck
b)
to restore normal urethral length
c)
to tighten and restore the anterior urethral vesical angle
d)
to repair a congenital defect
8.
A procedure done on young women who have been diagnosed with benign uterine tumors but who wish to preserve fertility is a:
a)
subtotal hysterectomy
b)
Wertheim procedure
c)
myomectomy
d)
Le Fort procedure
9.
A procedure to prevent cervical dilatation that results in release of uterine contents is a:
a)
Shirodkar
b)
Le Fort
c)
Wertheim
d)
marsupialization
10.
An endoscopic investigation of the uterus and tubes is a:
a)
Rubin's test
b)
hysterogram
c)
hysterosalpingogram
d)
hysteroscopy
11.
Sterility can be accomplished by all of the following procedures EXCEPT:
a)
laparoscopy
b)
minilaparotomy
c)
posterior colpotomy
d)
culdoscopy
12.
An endoscopic approach to pelvic and intra-abdominal examination is:
a)
culdocentesis
b)
hysteroscopy
c)
pelviscopy
d)
salpingogram
13.
The procedure that provides visualization of the internal contour of the uterus is a:
a)
laparoscopy
b)
pelviscopy
c)
hysteroscopy
d)
colposcopy
14.
Extrauterine pregnancies can occur in the:
a)
abdominal cavity and tube
b)
ovary and pelvic ligaments
c)
abdominal cavity and corpus luteum
d)
pelvic ligaments and tube
15.

What gynecological setup would include various sizes of sterile cannulas?

a)

Cesarean

b)

Hysterectomy

c)

Oophorectomy

d)

Suction curettage

16.
A Foley catheter is placed into the presurgical hysterectomy patient to:
a)
record accurate intake and output
b)
distend the bladder during surgery
c)
avoid injury to the bladder
d)
maintain a dry perineum postoperatively
17.
What would an anterior and posterior repair accomplish?
a)
Repair of cystocele and rectocele
b)
Repair of vesicovaginal fistula
c)
Repair of vesicourethral fistula
d)
Repair of labial hernia
18.

An incision made during normal labor to facilitate delivery with less trauma to the mother is a/an:

a)

colpotomy

b)

colporrhaphy

c)

episiotomy

d)

celiotomy

19.
Cervical carcinoma in situ can be classified as:
a)
limited to the epithelial layer, noninvasive
b)
micro-invasive
c)
clinically obvious
d)
vaginal extension limitations
20.
The fallopian tube is grasped with a:
a)
Kocher
b)
Babcock
c)
Kelly
d)
Lahey
21.
Reconstruction of the fallopian tube setup would include:
a)
Bowman lacrimal probes
b)
Bakes dilators
c)
Hegar dilators
d)
Van Buren sounds
22.
To confirm the diagnosis of ectopic pregnancy, it is sometimes necessary to perform a:
a)
Rubin's test
b)
culdocentesis
c)
paracentesis
d)
laparotomy
23.
Cervical conization is accomplished using all of the following EXCEPT:
a)
scalpel
b)
cautery
c)
laser
d)
sclerosing solution
24.
The most commonly identified ovarian cyst is the:
a)
chocolate
b)
follicle
c)
serous cyst adenoma
d)
dermoid
25.
A herniation of the cul-de-sac of at the Pouch of Douglas is a/ an:
a)
cystocele
b)
rectocele
c)
hydrocele
d)
enterocele
26.
A vesicourethral abdominal suspension is known as a:
a)
Le Fort
b)
Wertheim
c)
Marshall-Marchetti
d)
Shirodkar
27.
A condition causing leakage of urine into the vagina is a/ an:
a)
ureterovaginal fistula
b)
cystocele
c)
vesicovaginal fistula
d)
rectovaginal fistula
28.
What special technique is employed during a hysterectomy?
a)
Discard instruments used on cervix and vagina
b)
Use second set for closure
c)
Re-drape for closure
d)
Remove Foley before uterus is removed
29.
Papanicolaou indicates:
a)
removal of small pieces of cervix for examination
b)
cytological study of cervical smear
c)
staining of the cervix for study
d)
direct visualization of pelvic organs
30.
A technique employed for cervical biopsy is:
a)
random punches
b)
multiple punches at 3, 6, 9, and 12 o'clock
c)
one central punch at os
d)
one inferior and one superior punch
31.
In a cesarean birth, the uterus is opened with a knife and extended with a/an:
a)
Metzenbaum
b)
Heaney
c)
iris scissor
d)
bandage scissor
32.
At which point in a cesarean is a bulb syringe used?
a)
When the membranes are incised
b)
When the fetal head is delivered
c)
When the entire infant is delivered
d)
After placental delivery.
33.
Oxytocics are given in a cesarean after the baby's shoulders are delivered:
a)
to contract the uterus
b)
to relax the uterus
c)
to prolong the contraction
d)
to facilitate membrane rupture
34.
When closing a uterus in a cesarean, the edges of the uterine incision are clamped with which of the following?
a)
Allis
b)
Kocher
c)
Pennington
d)
Babcock
35.
Intraoperative chromotubation can be affected by all of the following surgical cannulae EXCEPT:
a)
Hurni
b)
Rubin
c)
Hui
d)
Hulka
36.
What suture would be placed into the wall of a large ovarian cyst before aspiration of its contents and final removal?
a)
Mattress
b)
Suture ligature
c)
Purse-string
d)
Figure-of-eight
37.

What is the preferred procedure for recurrent or persistent carcinoma of the cervix after radiation therapy has been completed?

a)

Wertheim's

b)

Pelvic exenteration

c)

Abdominal perinea! resection

d)

Low-anterior resection

38.
Which of the following instruments would be used to grasp the anterior cervix of the uterus just before dissection from the vaginal vault during a total abdominal hysterectomy?
a)
Allis
b)
Heaney
c)
Phaneuf
d)
Kelly
39.

Laparoscopic tubal occlusion may utilize all of the following methods of effecting sterilization EXCEPT:

a)

bipolar coagulation

b)

Silastic bands

c)

Surgitie ligating loop

d)

spring clip

40.
A holding instrument not found in a vaginal procedure is a:
a)
Jacobs
b)
Lahey
c)
Staude
d)
Skene
41.

Conization of the cervix may be accomplished by all of the following EXCEPT:

a)

scalpel

b)

Thomas uterine curette

c)

laser

d)

electrosurgery

42.
An enterocele differs diagnostically from a rectocele by its contents and its position in the perineum. Its location is in the:
a)
Pouch of Douglas
b)
anterior vaginal wall
c)
posterior vaginal wall
d)
pelvic floor
43.
Pelviscopy differs from laparoscopy in the:
a)
utilization of a larger trocar and scope
b)
utilization of auxiliary ports for ancillary instrumentation
c)
utilization of a 30-degree angled scope
d)
BothA andC
44.
A Stamey endoscopic procedure is performed to:
a)
suspend the vesicle neck
b)
correct anterior wall prolapse
c)
correct posterior wall prolapse
d)
repair a bladder laceration
45.

What is the name given to a radical vaginal hysterectomy?

a)

Exenteration

b)

Schauta

c)

Wertheim's

d)

Le Fort

46.
What surgical procedure provides obliteration of the vagina by denuding and approximating the anterior and posterior walls of the vagina?
a)
Vaginoplasty
b)
Colpocleises
c)
Colpoperineorrhaphy
d)
Colporrhaphy
47.
The hysteroscope may be used to identify or remove all of the following EXCEPT:
a)
fallopian adhesions
b)
lost intrauterine devices (IUDs)
c)
intrauterine adhesions
d)
submucosa fibroids
48.

Needle aspiration of the cul-de-sac is surgically termed:

a)

colpocleisis

b)

culdocentesis

c)

culdotomy

d)

colpotomy

49.
An alternative to abdominal hysterectomy utilizing an endoscope is surgically termed a/ an:
a)
laparoscopic-assisted vaginal hysterec- tomy (LAVH)
b)
LEEC
c)
pelviscopic-assisted vaginal hysterec- tomy (PAVH)
d)
Both A and C
50.
What procedure cannot be performed through a pelviscope?
a)
Ovarian cystectomy
b)
Hysterectomy
c)
Oophorectomy
d)
Adhesiolysis
51.
Endometrial ablation is performed to correct:
a)
amenorrhea
b)
metrorrhagia
c)
menorrhagia
d)
endometriosis
52.
Endoscopic visualization of the uterine cavity is called:
a)
pelviscopy
b)
laparoscopy
c)
hysteroscopy
d)
colposcopy
53.
Marsupialization of a Bartholin' s cyst involves the:
a)
suturing the posterior wall of the cyst to the skin edges
b)
removal of anterior wall of cyst
c)
draining cyst contents
d)
Both A and B
54.
What is the self-retaining retractor used in vaginal procedures?
a)
O'Sullivan-O'Conner
b)
Gelpi
c)
Graves
d)
Auvard
55.
Extrauterine disease of the female reproductive system may utilize any of the following lasers via a colposcope or laparoscope EXCEPT:
a)
CO2
b)
Nd:YAG
c)
Candela
d)
argon
56.
A postoperative complication of the GYN patient in lithotomy position for an extended period of time is:
a)
emboli
b)
hypertension
c)
ulnar nerve damage
d)
hemorrhage
57.
A benign smooth muscle tumor of the uterus which causes abnormal uterine bleeding lead to anemia is:
a)
dermoid
b)
endometriosis
c)
leiomyoma
d)
cystocele
58.
What incision is commonly used for a C-section?
a)
McBurney
b)
Upper midline
c)
Lower paramedian
d)
Pfannenstiel
59.
Premature separation of the placenta from the uterine wall is:
a)
placenta prolapsed
b)
placenta previa
c)
nuchal cord
d)
placental abruption
60.
The graft used for a vaginoplasty is:
a)
full thickness skin graft
b)
biological skin graft
c)
split thickness skin graft
d)
subcutaneous connective tissue
61.
When all products of conception are expelled and surgical intervention is NOT necessary, it is a:
a)
incomplete abortion
b)
complete abortion
c)
missed abortion
d)
D&C
62.
A cyst that is formed from the germ layer from the developing embryo is called a:
a)
teratoma ( dermoid)
b)
leiomyoma
c)
fibroid
d)
endometrial cyst
63.
Hypertension and seizure during pregnancy are known as:
a)
preeclampsia
b)
placenta abruption
c)
malignant hypertension
d)
eclampsia
64.
Electrocoagulation, cryoablation, and radio frequency ablation are procedures performed for:
a)
dysfunctional uterine bleeding
b)
malignant fibroids
c)
benign fibroids
d)
cervical cancer
65.
LAVH is removal of the uterus by combined approach using:
a)
laparoscopic and vaginal
b)
abdominal and vaginal
c)
pfannenstiel and vaginal
d)
lower midline and vaginal
66.
The term describing the specimen removal in one piece is:
a)
in situ
b)
en bloc
c)
colon resection
d)
None of the above
67.
The umbilical cord proceeding the fetal head is:
a)
placenta abruption
b)
placenta previa
c)
cord prolapsed
d)
nuchal cord
68.
All of the following are uterine ligaments EXCEPT:
a)
broad
b)
round
c)
cardinal
d)
transcervical
69.

A 29-year-old pregnant presents to the emergency room complaining of severe abdominal pain, referred pain to the shoulder and bleeding. The transvaginal ultrasound shows an absence of an intrauterine pregnancy.

The tests show that the fertilized egg implan­ted itself outside the uterus. She is diagnosed with:

a)

ectopic pregnancy

b)

incompetent cervix

c)

complete abortion

d)

ovarian cyst

70.

A 29-year-old pregnant presents to the emergency room complaining of severe abdominal pain, referred pain to the shoulder and bleeding. The trans-vaginal ultrasound shows an absence of an intrauterine pregnancy.

She is scheduled for:

a)

laparoscopic removal of ectopic

b)

exploratory laparotomy for ectopic

c)

ovarian cystectomy

d)

Both A and B

71.

A 29-year-old pregnant presents to the emergency room complaining of severe abdominal pain, referred pain to the shoulder and bleeding. The transvaginal ultrasound shows an absence of an intrauterine pregnancy.

The position when the surgeon chooses an open approach for emergent surgery for ecto­pic pregnancy is:

a)

lithotomy

b)

supine with a wedge under the affected side

c)

supine

d)

reverse Trendelenburg

72.

A 29-year-old pregnant presents to the emergency room complaining of severe abdominal pain, referred pain to the shoulder and bleeding. The transvaginal ultrasound shows an absence of an intrauterine pregnancy.

The surgery performed to remove the embryo while preserving the tube is:

a)

salpingo-oophorectomy

b)

salpingectomy

c)

salpingostomy

d)

oophorectomy

73.

A 29-year-old pregnant presents to the emergency room complaining of severe abdominal pain, referred pain to the shoulder and bleeding. The transvaginal ultrasound shows an absence of an intrauterine pregnancy.

The affected tube is grasped with:

a)

Babcock

b)

Allis

c)

mixter

d)

Kocher

74.

Pathology of an ectopic pregnancy includes all EXCEPT:

a)

an STD

b)

previous tubal surgery

c)

exercising during first trimester

d)

smoking

75.

Tubal patency may be tested by the installation of into the uterine cavity.

a)

balanced salt solution

b)

Chymar

c)

methylene blue

d)

gentian violet

76.
In laparoscopy, tubal patency is checked by:
a)
irrigating with normal saline
b)
injecting Renografin into the tube
c)
injecting methylene blue into the cervical canal
d)
irrigating tube with Lugol's solution
77.
After removal of uterus in a hysterectomy,
a)
cervical and vaginal instruments are isolated from the instrument set in a discard basin
b)
the cervix is cauterized
c)
new instruments are used on the cervical closure
d)
cervical instruments are returned to the basket