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MRCOG Part 2 > Consent and complications > Flashcards

Consent and complications Flashcards

1
Q

What is the risk of severe haemorrhage requiring blood transfusion following hysterectomy?

A

23 in 1000

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2
Q

How frequently are ureteric injuries seen at the time of laparoscopy?

A

1 in 3

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3
Q

What are the chances of having a ureteric injury during laparoscopic gynaecological surgery?

A

<1-2%

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4
Q

What number constitutes a ‘very common’ complication?

A

1 in 1 to 1 in 10

‘Person in a family’

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5
Q

What number constitutes a ‘common’ complication?

A

1 in 10 - 1 in 100

‘Person in the street’

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6
Q

What number constitutes an ‘uncommon’ complication?

A

1 in 100 - 1 in 1000

‘Person in a village’

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7
Q

What number constitutes a ‘rare’ complication?

A

1 in 1000 - 1 in 10,000

‘Person in a small town’

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8
Q

What number constitutes a ‘very rare’ complication?

A

<1 in 10,000

‘Person in a large town’

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9
Q

What is the risk of a serious complication during diagnostic laparoscopy?

A

2 in 1000

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10
Q

What is the overall risk of a serious complication during hysterectomy?

A

4 in 100

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11
Q

What is the risk of damage to the ureter/bladder during hysterectomy?

A

7 in 1000

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12
Q

What is the risk of damage to the bowel during hysterectomy?

A

4 in 10,000

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13
Q

What is the risk of a return to theatre following hysterectomy?

A

7 in 1000

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14
Q

What is the risk of pelvic abscess/infection following hysterectomy?

A

2 in 1000

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15
Q

What is the risk of VTE following hysterectomy?

A

4 in 1000

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16
Q

What is the risk of death in the first 6/52 post hysterectomy?

A

32 in 100,000

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17
Q

What is the risk of emergency hysterectomy in all women following CS for placenta praaevia?
And if a previous CS?

What is the risk in all CS?

A

Up to 11 in 100

27 in 100 with previous CS

7-8 in 1000

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18
Q

What is the risk of further laparotomy following CS for placenta praaevia?

A

75 in 1000

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19
Q

What is the risk of VTE following CS for placenta praaevia?

And for all CS?

A

Up to 3 in 100

All CS: 4-16 in 10,000

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20
Q

What is the risk of bladder or ureteric injury following CS for placenta praaevia?

A

Up to 6 in 100

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21
Q

What is the risk of future placenta praevia following CS for placenta praaevia?

A

23 in 1000

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22
Q

What is the risk of massive obstetric haemorrhage with CS for placenta praaevia?

A

21 in 100

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23
Q

What are the overall complication rates with CS in labour vs electively?

And at 9-10cm vs 0-1cm?

A

24 in 100 in labour
16 in 100 electively

9-10cm: 33 in 100
1-2cm: 17 in 100

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24
Q

What is the risk of bladder injury with CS?

A

1 in 1000

25
Q

What is the risk of ureteric injury with CS?

A

3 in 10,000

26
Q

What is the risk of death with CS?

A

1 in 12,000

27
Q

What is the risk of uterine rupture in future pregnancies following CS?

A

2-7 in 1000

28
Q

What is the risk of antepartum SB in a subsequent pregnancy following CS?

A

1-4 in 1000

29
Q

What is the risk of placenta praevia/accreta in subsequent pregnancies following CS?

A

4-8/1000

30
Q

What is the readmission rate following CS?

A

5 in 100

31
Q

What is the risk of haemorrhage with CS?

A

5 in 1000 (1 in 200)

32
Q

What is the risk of infection with CS?

A

6 in 100

33
Q

What is the risk of fetal laceration with CS?

A

1-2 in 100

34
Q

What is the overall risk of complications with hysteroscopy under GA?

A

2 in 1000

35
Q

How many bowel injuries may not be noted at the time of laparoscopy?

A

Up to 15%

36
Q

What is the risk of death from complications with diagnostic laparoscopy?

A

3-8 in 100,000

37
Q

What is the lifetime failure rate of clip sterilisation?

A

2-5 in 1000

38
Q

What is the chance of 3rd and 4th degree tear with instrumental delivery?

A

1-4 in 100 vacuum

8-12 in 100 forceps

39
Q

What is the chance of extensive or significant vulval/vaginal tear with instrumental delivery?

And episiotomy?

A

1 in 10 vacuum
1 in 5 forceps

5-6 in 10 vacuum
9 in 10 forceps

40
Q

What is the chance of subgaleal haematoma with instrumental delivery?

A

3-6 in 1000

41
Q

What is the chance of intracranial haemorrhage with instrumental delivery?

A

5-15 in 10,000

42
Q

What is the chance of PPH with instrumental delivery?

A

1-4 in 10

43
Q

What is the chance of cephalhaematoma with instrumental delivery?

A

1-12 in 100

44
Q

What is the chance of facial or scalp lacerations with instrumental delivery?

A

1 in 10

45
Q

What is the chance of neonatal jaundice/hyperbilirubinaemia with instrumental delivery?

A

5-15 in 100

46
Q

What is the chance of retinal haemorrhage with instrumental delivery?

A

17-38 in 100

47
Q

What is the risk of faecal urgency following repair of 3rd/4th degree tear?

A

26/100

48
Q

What is the risk of perineal pain and dyspareunia following repair of 3rd/4th degree tear?

A

9 in 100

49
Q

What is the risk of wound infection following repair of 3rd/4th degree tear?

A

8 in 100

50
Q

What is the risk of uterine perforation for Surgical EVAC?

A

Up to 5 in 1000

51
Q

What is the risk of blood transfusion following SEVAC?

A

1-2 in 1000

52
Q

What is the risk of repeat surgical evacuation for SEVAC?

A

Up to 5 in 100

53
Q

What is the risk of isolated pelvic infection following SEVAC?

A

3 in 100

54
Q

What is the risk of bladder/urinary tract injury during vaginal surgery for prolapse?

A

2 in 1000

55
Q

What is the risk of bowel injury during vaginal surgery for prolapse?

A

5 in 1000

56
Q

What is the risk of excessive bleeding requiring return to theatre/blood transfusion following vaginal surgery for prolapse?

A

2 in 100

57
Q

What is the risk of pelvic abscess following vaginal surgery for prolapse?

A

3 in 1000

58
Q

What is the overall risk of death within 6/52 following vaginal surgery for prolapse?

A

37/100,000

MRCOG Part 2 (97 decks)

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