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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?

25
What is the risk of ureteric injury with CS?
3 in 10,000
26
What is the risk of death with CS?
1 in 12,000
27
What is the risk of uterine rupture in future pregnancies following CS?
2-7 in 1000
28
What is the risk of antepartum SB in a subsequent pregnancy following CS?
1-4 in 1000
29
What is the risk of placenta praevia/accreta in subsequent pregnancies following CS?
4-8/1000
30
What is the readmission rate following CS?
5 in 100
31
What is the risk of haemorrhage with CS?
5 in 1000 (1 in 200)
32
What is the risk of infection with CS?
6 in 100
33
What is the risk of fetal laceration with CS?
1-2 in 100
34
What is the overall risk of complications with hysteroscopy under GA?
2 in 1000
35
How many bowel injuries may not be noted at the time of laparoscopy?
Up to 15%
36
What is the risk of death from complications with diagnostic laparoscopy?
3-8 in 100,000
37
What is the lifetime failure rate of clip sterilisation?
2-5 in 1000
38
What is the chance of 3rd and 4th degree tear with instrumental delivery?
1-4 in 100 vacuum | 8-12 in 100 forceps
39
What is the chance of extensive or significant vulval/vaginal tear with instrumental delivery? And episiotomy?
1 in 10 vacuum 1 in 5 forceps 5-6 in 10 vacuum 9 in 10 forceps
40
What is the chance of subgaleal haematoma with instrumental delivery?
3-6 in 1000
41
What is the chance of intracranial haemorrhage with instrumental delivery?
5-15 in 10,000
42
What is the chance of PPH with instrumental delivery?
1-4 in 10
43
What is the chance of cephalhaematoma with instrumental delivery?
1-12 in 100
44
What is the chance of facial or scalp lacerations with instrumental delivery?
1 in 10
45
What is the chance of neonatal jaundice/hyperbilirubinaemia with instrumental delivery?
5-15 in 100
46
What is the chance of retinal haemorrhage with instrumental delivery?
17-38 in 100
47
What is the risk of faecal urgency following repair of 3rd/4th degree tear?
26/100
48
What is the risk of perineal pain and dyspareunia following repair of 3rd/4th degree tear?
9 in 100
49
What is the risk of wound infection following repair of 3rd/4th degree tear?
8 in 100
50
What is the risk of uterine perforation for Surgical EVAC?
Up to 5 in 1000
51
What is the risk of blood transfusion following SEVAC?
1-2 in 1000
52
What is the risk of repeat surgical evacuation for SEVAC?
Up to 5 in 100
53
What is the risk of isolated pelvic infection following SEVAC?
3 in 100
54
What is the risk of bladder/urinary tract injury during vaginal surgery for prolapse?
2 in 1000
55
What is the risk of bowel injury during vaginal surgery for prolapse?
5 in 1000
56
What is the risk of excessive bleeding requiring return to theatre/blood transfusion following vaginal surgery for prolapse?
2 in 100
57
What is the risk of pelvic abscess following vaginal surgery for prolapse?
3 in 1000
58
What is the overall risk of death within 6/52 following vaginal surgery for prolapse?
37/100,000

MRCOG Part 2 (97 decks)

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