LESSON 16

Question 1

Removal of the uterus at the time of a planned or unplanned cesarean section

Answer 1

Obstetric Hysterectomy

Question 2

When hysterectomy is performed at the time of cesarean delivery

Answer 2

Cesarean hysterectomy

Question 3

It is performed ‘within a short time’ ‘after vaginal delivery’

Answer 3

Postpartum hysterectomy

Question 4

In ‘stage one cervical cancers’ with pregnancy, the treatment is by ___________ followed by a ___________

Answer 4

cesarean delivery, radical hysterectomy

Question 5

What is the increase risk of blood loss for undergoing cesarean section

Answer 5

More than 1000 ml

Question 6

The patient must be kept nothing per mouth at least ______ prior to the surgery

Answer 6

12 hrs

Question 7

In an emergency procedure, the patient must be given premedication at least _____ hours prior to the procedure

Answer 7

1 hour

Question 8

All obstetric patients undergoing cesarean section should be position with ________-

Answer 8

left lateral tilt

Question 9

It is the safer anesthesia and most commonly used in the set up (CS)

Answer 9

Regional Anesthesia

Question 10

It serves as the last resort for saving the pregnant woman’s life

Answer 10

Cesarean Hysterectomy

Question 11

Complications of Hysterectomy

Answer 11

Hemorrhage
Injury to urinary tract
Infection

Question 12

The ‘best form of surgical approach for CONTROLLING atonic PPH’ as it helps in preserving the ‘anatomical integrity of the uterus’

Answer 12

Compression sutures

Question 13

It is the ‘uterine bracing suture’, which when tightened and tied helps in compressing the anterior and the posterior

Answer 13

B-Lynch Suture

Question 14

These are ‘brace like absorbable sutures helps in controlling bleeding’ by causing hemostatic compression of the uterine fundus

Answer 14

B-Lynch Suture

Question 15

This is ‘highly effective method of controlling PPH’, which is indicated in cases of PPH due to uterine atony, ruptured uterus and placenta previa

Answer 15

Hypogastric Artery Ligation

Question 16

The blood supply to the uterus, is via the uterine artery, ligation of this vessel through the uterine wall at the level of uterine isthmus

Answer 16

Uterine Artery Ligation

Question 17

A ‘commonly used alternative to uterine artery’ or internal iliac artery ligation is ‘angiographic arterial embolization of the hypogastric vessel with small pledgets of gelfoam’

Answer 17

Uterine Artery Embolization

Question 18

Packing of the uterine cavity can be considered in women with refractory PPH due to the uterine atony

Answer 18

Uterine Packing

Question 19

It acts as a ‘selective occluding agent’ which dissolves within 2-3 weeks

Answer 19

Gelfoam