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Ovariohysterectomy Quiz

Chapter 6: Table of Contents

1) When preparing for a canine ovariohysterectomy, the patient only needs to be clipped and prepped from the umbilicus to the pubis, since the incision will be made in the caudal abdomen. 

  • True 
  • False

2) For a canine ovariohysterectomy, the skin and subcutaneous incision should be made 

  • At the cranial third of the caudal abdomen (from the umbilicus to approximately half way between the umbilicus and pubis) 
  • At the middle third of the caudal abdomen (a few inches cranial and a few inches caudal to the half way point between the umbilicus and pubis) 
  • At the caudal third of the caudal abdomen (from a few inches caudal to the half way point between the umbilicus and pubis to the pubis) 
  • In the middle of the abdomen (from a few inches cranial to the umbilicus to a few inches caudal to the umbilicus)

3) If you encounter a lot of fat in the subcutaneous tissues when performing a canine ovariohysterectomy, you should cut out as much of the fat as possible to ensure good visualization of the linea alba. 

  • True 
  • False

4) Which of the following is the least acceptable method for finding and retracting the left uterine horn during an ovariohysterectomy? 

  • Slide a finger or a spay hook along the abdominal wall and gently retract the first structure it hooks onto. 
  • Use your fingers to identify the kidney and follow caudally until you find the ovary and uterine horn. 
  • Exteriorize the intestines onto the skin and sterile drape to visually identify the uterine body and horns. 
  • Retroflex the urinary bladder to identify the cervix and follow along the uterine body and horn towards the ovary.

5) If the suspensory ligament is not visible, what should you do to it in order to further exteriorize the ovary? 

  • Transect it with a pair of Metzembaum scissors 
  • Grasp it with a pair of mosquito forceps 
  • Cut it with a scalpel blade 
  • Break it with your index finger

6) What type of hemostatic forcep is ideal to clamp the ovarian pedicle in a large dog? 

  • Carmalt 
  • Crile 
  • Kelly 
  • Mosquito

7) It is acceptable to place either two or three hemostatic forceps across the ovarian pedicle during a canine ovariohysterectomy. 

  • True 
  • False

8) Which of the following suture materials would not be appropriate for ligating the ovarian pedicle? 

  • PDS® 
  • Prolene® 
  • Vicryl® 
  • Biosyn®

9) Transecting the ovarian pedicle far away from the ligatures on the distal side (closer to the ovary) will result in excessive tissue (which will become ischemic) remaining in the body. 

  • True 
  • False

10) The right ovarian pedicle is generally shorter and more friable than the left. 

  • True 
  • False

11) Cutting the broad ligament with scissors generally creates better hemostasis than breaking it with fingers. 

  • True 
  • False

12) The uterine body should be ligated 

  • On the cervix 
  • Just cranial to the cervix 
  • At the base of each uterine horn 
  • Where the attachment of the broad ligament ends

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