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MRCOG Part 2 Exam > Module 5 - Core Surgical Skills > Flashcards

Module 5 - Core Surgical Skills Flashcards

1
Q

What is the risk of bowel injury during laparoscopy?

A - 1 in 1,000

B - 2 in 1,000

C - 0.2 in 1,000

D - 0.4 in 1,000

A

D - 0.4 in 1,000

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2
Q

What is the risk of major vessel injury during laparoscopy?

A - 1 in 1,000

B - 2 in 1,000

C - 0.2 in 1,000

D - 0.4 in 1,000

A

C - 0.2 in 1,000

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3
Q

What is the risk of serious complication during laparoscopy?

A - 1 in 1,000

B - 2 in 1,000

C - 0.2 in 1,000

D - 0.4 in 1,000

A

B - 2 in 1,000

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4
Q

Which instrument is used to dissect the ureter?

A

Lahey forceps

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5
Q

Which instrument is used to minimise blood loss in an open myomectomy by reducing uterine blood flow?

A

Bonney’s myomectomy clamps

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6
Q

Which instrument is used to hold the tips of ovarian cysts?

A

Allis forceps

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7
Q

Which instrument is used to hold bowel or fallopian tubes during laparotomy?

A

Babcock’s forceps

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8
Q

What’s the estimated rate of adhesion formation in women undergoing pelvic surgery?

A

55-100%

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9
Q

What’s the most common cause of death following a laparoscopic procedure?

A

Anaesthetic complications

Followed by major vessel injury

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10
Q

What is the risk of death during laparoscopy?

A

3-8 in 100,000

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11
Q

What is the risk of ureteric injury during laparoscopy?

A

<1 - 2%

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12
Q

What is the risk of retained placenta/POC with surgical management of miscarriage?

A

4%

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13
Q

What are the increased complications from TLH vs tah?

A

1) Urinary tract injury
2) Vaginal cuff dehiscence

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14
Q

What is the risk of hernia with laparoscopy?

A

1 in 100

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15
Q

What proportion of bowel injuries are not recognised at the time of laparoscopy?

A

15%

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16
Q

What is the most common type of ureteric injury at laparosocopy?

A

Transection
60%

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17
Q

Where do the majority of ureteric injuries at laparoscopy occur?

A

Lower 1/3 injuries most common - 50%
At pelvic brim and lateral to the cervix

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18
Q

What proportion of ureteric injuries are not diagnosed intra-operatively?

A

70%

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19
Q

What proportion of ureteric injuries are diagnosed intra-operatively?

A

30%

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20
Q

What proportion of bladder injuries are diagnosed intra-operatively?

A

50%

21
Q

What is the overall risk of serious complications with abdominal hysterectomy?

A

4%

22
Q

What is the risk of haemorrhage requiring transfusion with abdominal hysterectomy?

A

2.3%

23
Q

What is the risk of bladder +/- ureteric injury +/- long-term bladder dysfunction with abdominal hysterectomy?

A

0.7%

24
Q

What is the risk of return to theatre (i.e. bleeding or wound dehiscence, etc.) with abdominal hysterectomy?

A

0.7%

25
Q

What is the risk of VTE with abdominal hysterectomy?

A

0.4%
4 in 1,000

26
Q

What is the risk of pelvic infection/abscess with abdominal hysterectomy?

A

0.2%
2 in 1,000

27
Q

What is the risk of bowel injury with abdominal hysterectomy?

A

0.4 in 1,000
0.04%

28
Q

What is the risk of death in the first 6 weeks with abdominal hysterectomy?

A

32 in 100,000

29
Q

What is the risk of death with CS?

A

24 in 100,000

30
Q

What is the risk of placenta accreta spectrum with CS?

A

1 in 1,000

31
Q

What is the risk of emergency hysterectomy with CS?

A

15 in 10,000

32
Q

What is the risk of uterine rupture after 1 CS?

A

1 in 100

33
Q

What is the average hospital stay after CS?

A

4 days

34
Q

What is the risk of wound infection with CS?

A

2-7 in 100

35
Q

What is the risk of urinary tract injury with CS?

A

1 in 1,000

36
Q

What is the risk of urinary incontinence >1 year after CS?

A

1 in 4

37
Q

What is the risk of faecal incontinence >1 year after CS?

A

1 in 13

38
Q

What is the risk of VTE after CS?

A

4-16 in 10,000

39
Q

What is the overall risk of serious complication in ERPC?

A

6%

40
Q

What is the risk of bleeding (heavy) with ERPC?

A

1-3 in 1,000

41
Q

What is the risk of need for repeat procedure with ERPC?

A

4%

4 in 100

42
Q

What is the risk of pelvic infection with ERPC?

A

4%
4 in 100

43
Q

What is the risk of development of adhesions with ERPC?

A

19%
19 in 100

44
Q

What is the risk of perforation with ERPC?

A

1 in 1,000

45
Q

What is the risk of cervical trauma with ERPC?

A

<0.1 in 1,000

46
Q

What is the risk of serious complications with diagnostic hysteroscopy?

A

2 in 1,000

47
Q

What is the risk of death with diagnostic hysteroscopy?

A

3-8 in 100,000

48
Q

For women undergoing CS for placenta praevia, what is the risk of requiring further laparotomy?

A

7.5%
7.5 in 100

MRCOG Part 2 Exam (18 decks)

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