Which part of the body is removed in a tubectomy?

Appeared in: Bihar CHO -2019

Explanation

Tubectomy, also known as tubal ligation, is a surgical procedure for permanent female sterilization.
The procedure involves cutting, tying, or removing a section of the fallopian tubes.
This action blocks the path for the egg to travel from the ovary to the uterus.
It also prevents sperm from traveling up the fallopian tube to fertilize the egg, thus effectively preventing pregnancy.

Option A: The surgical removal of the uterus is called a hysterectomy.
Option C: The surgical removal of an ovary is called an oophorectomy.
Option D: The urinary bladder is part of the urinary system, not the reproductive system. Its removal is called a cystectomy.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Surgical procedures of the female reproductive system as background academic context rather than a clinical decision trigger.
Tubectomy is considered a permanent form of contraception. Nurses must ensure the patient is thoroughly counseled about the irreversibility of the procedure before obtaining informed consent.
Post-operative nursing care involves monitoring for signs of infection, managing pain, and providing instructions for wound care and activity restrictions.
What if? If a patient desires long-term but reversible contraception, the nurse should educate them about alternative methods such as Intrauterine Devices (IUDs) or hormonal implants, which are highly effective but can be removed if pregnancy is desired in the future.

How to Approach the Question

This is a factual recall question based on medical terminology.
First, identify the key term in the question stem, which is 'tubectomy'.
Break down the term: 'tube' refers to a tube-like structure, and the suffix '-ectomy' means 'surgical removal of'. In the context of the female reproductive system, 'tube' refers to the fallopian tube.
Evaluate the options based on this definition.
Option A, Uterus, is removed in a hysterectomy.
Option C, Ovary, is removed in an oophorectomy.

Concept Tested & Keywords

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E6 Anatomy Applied Ashalatha 4e pp. 389-391, 388-390

Practise the full Bihar CHO -2019

Attempt every question from this paper in a timed mock, then review the full solution for each one.