Midterm Exam with Correct Solution
What does obstetrics focus on? - Correct Answer Relates to the process of pregnancy
and birth
What is another word used to discuss birth? - Correct Answer Parturition
Where is the uterus found? What function does it serve? - Correct Answer Located in
the anterior female pelvic cavity. It houses and protects the fetus during pregnancy.
What are the three sections of the uterus? - Correct Answer Fundus, body, and cervix.
The perimetrium, or outer layer of the uterus is a folding back or reflection of the
abdominal peritoneum over the bladder. What pouch is formed? What is the fold called?
- Correct Answer This forms a pouch called the cul-de-sac; the fold is called the
bladder flap.
What is the opening of the cervix called? - Correct Answer Cervical os
What are the four ligaments associated with supporting the uterus? - Correct Answer
Broad ligament, round ligament, cardinal ligament, uterosacral ligament.
Where is the perineum located? Why is this area significant during childbirth? - Correct
Answer Located between the posterior vaginal wall and the anus. May be incised
during the second stage of labor to prevent tearing when the baby's head emerges
through the birth canal. Referred to as Episiotomy.
Name some of the information obtained for a complete medical assessment prior to
surgical intervention. - Correct Answer Menstrual history, obstetrical history, use of
contraceptives, history of previous infection, signs, and symptoms, current medications
and allergies, family history, social history.
Where is the contrast medium injected during hysterosalpingography? - Correct
Answer A radiological contrast medium is injected into the uterus and fallopian tubes.
What structures can then be viewed using fluoroscopy? - Correct Answer Uterus and
tubes
What is the Papanicolaou test screening for? - Correct Answer Used to screen for
cervical cancer
, Patients who have evidence of abnormal cells or test positive for high risk HPV strains
will have what procedure performed? - Correct Answer Colposcopy
What is done during this procedure? - Correct Answer The cervix is painted with acetic
acid, which causes pervasive cells to appear white.
What is a LEEP procedure? - Correct Answer Loop electrosurgical excision procedure
What is being removed? (LEEP) - Correct Answer Involves the removal of a
circumferential core of tissue around the cervical canal
Why is this done? (LEEP) - Correct Answer To treat abnormal cells
What are the two positions associated with gynecological procedures? - Correct
Answer Supine or lithotomy
What are the two types of stirrups that can be used to maintain lithotomy position? -
Correct Answer Cane or Allen (yellow)
During abdominal procedures, a right-handed surgeon is going to stand on which side
of the patient? Why? - Correct Answer On the patient's left side because this allows
the best access to the pelvis.
How is a pregnant patient positioned? Why? - Correct Answer Modified left lateral
position
When prepping for a combined abdominal-vaginal procedure, what are three important
facts to remember? - Correct Answer The perineal prep is done first. The rationale for
this is to prevent possible contamination of the abdomen from splashed droplets during
the perineal prep.
Second, always prepare the two sites sequentially, not simultaneously, third, separate
prep kit strong and gloves are required for each site.
If trans cervical access to the uterus is necessary, what is required? - Correct Answer
Require graduated cervical dilators, uterine sounds, forceps, sharps and smooth
curettes and an ample supply of sponges. Suction and a monopole ESU or HF bipolar
ESU are needed for all procedures.
What are the two dyes that might be used during a hysterosalpingography to verify
patency of the fallopian tubes? - Correct Answer Methylene blue dye or carmine red
dye
What is done during a hysteroscopy? What is this used to assess? - Correct Answer A
fiber optic hysteroscopy is inserted through the cervix and into the uterus. This