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FCPS OBG Part 2 Written- Essential Questions- Surgical Skills and Post Operative Care

FCPS OBG Part 2 Written- Essential Questions- Surgical Skills and Post Operative CareBindu2020-12-15T10:19:08+05:30
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  1. Question 1 of 53
    1. Question
    1. Regarding the use of adhesion prevention agents, which of the following is true?

    Correct

    Incorrect

  2. Question 2 of 53
    2. Question
    1. Which of the following is most appropriate regarding  abdominal incisions and preoperative preparations in a gynaecological surgery

    Correct

    Incorrect

  3. Question 3 of 53
    3. Question

    3. You are performing TAH on a 45 years old woman for a large fibroid uterus. She is found to have a fibroid in broad ligament, you think that her ureter may have been damaged during the difficult surgery. Which of the following is the least possible site of ureteric  injury in this surgery?

    Correct

    Incorrect

  4. Question 4 of 53
    4. Question
    1.  Which of the following statements is correct regarding non absorbable suture materials?

    Correct

    Incorrect

  5. Question 5 of 53
    5. Question

    5.  You have performed an abdominal hysterectomy for HMB not responding to medical treatment.   3 days after surgery she complains of numbness over the skin over the anterior aspect of the upper thigh. Which of the following nerve is damaged most probably?

    Correct

    Incorrect

  6. Question 6 of 53
    6. Question

     6. You are performing a difficult surgery on patient, during surgery you experience massive blood loss,  massive blood transfusion, was performed to save patients life. what is the recommended dose of fresh frozen plasma to be administered to prevent coagulation problems?

    Correct

    Incorrect

  7. Question 7 of 53
    7. Question
    1. In patients with previous abdominal surgery which of the following statements regarding laparoscopic entry is false?

    Correct

    Incorrect

  8. Question 8 of 53
    8. Question
    1. A 24 years old P1 who has had an emergency caesarean section for failure to progress. Her epidural catheter was removed at 8:00 AM today, 6 h after her CS. You have to give her prophylactic LMWH daily, starting today for 10 days. Which of the following times is most appropriate for her to have the LMWH?

    Correct

    Incorrect

  9. Question 9 of 53
    9. Question
    1. A surgical position which involves the patient in supine position of the body with hips flexed at 15° as the basic angle and with a 30° head-down tilt is known as:

    Correct

    Incorrect

  10. Question 10 of 53
    10. Question
    1.  A 35 years old P3 with 2 previous caesarean sections wants permanent contraception. She wants to have a laparoscopic tubal sterilisation procedure. Her BMI is 33. Veress needle was inserted successfully with insufflation. What level of pressure must be obtained before passing the trocar?

    Correct

    Incorrect

  11. Question 11 of 53
    11. Question
    1.  Intraoperative cell salvage is a strategy to reduce the use of banked blood. If IOCS is done for nonsensitised rhesus negative women at the term of a term caesarean section, which of the following statements is true regarding the minimum dose of anti-D to be administered?

    Correct

    Incorrect

  12. Question 12 of 53
    12. Question
    1.  Which one of the following is not true about surgical needles?

    Correct

    Incorrect

  13. Question 13 of 53
    13. Question
    1. The ilioinguinal and iliohypogastric nerves can be injured during a gynaecological surgery. Which of the following describes these nerves the best?

    Correct

    Incorrect

  14. Question 14 of 53
    14. Question
    1. Which of the following is not a known risk factor for nerve injury during a gynaecological surgery?

    Correct

    Incorrect

  15. Question 15 of 53
    15. Question

    15.   The inferior epigastric artery originates from:

    Correct

    Incorrect

  16. Question 16 of 53
    16. Question

    16.  A 30 years old woman had a caesarean section after 24 hours of labour due to secondary arrest of labour and maternal exhaustion. Two hours after LSCS, she complained of acute onset left sided chest pain radiating to the left shoulder and arm along with breathlessness. She had no previous known medical conditions or family history of cardiac disease. Which of the following statements is true regarding investigations planned to rule out acute myocardial infarction?

    Correct

    Incorrect

  17. Question 17 of 53
    17. Question

    17.  While operating on a patient in lithotomy position, the padding between the lateral fibular heads and the stirrup prevents injury to:

    Correct

    Incorrect

  18. Question 18 of 53
    18. Question
    1. A 28 years old P2 is in theatre for repair of a 3C tear. Which suturing technique is most suited for the torn internal anal sphincter?

    Correct

    Incorrect

  19. Question 19 of 53
    19. Question
    1. A 30 years old P1 is in scheduled for repair of a 3C tear. What structures are torn in a 3C tear?

    Correct

    Incorrect

  20. Question 20 of 53
    20. Question

    20.  Which of following is is not a Safety measures to prevent laparoscopic electrosurgical complications?

    Correct

    Incorrect

  21. Question 21 of 53
    21. Question

    21.  Which of the following statements regarding energy sources in endoscopy is not true?

    Correct

    Incorrect

  22. Question 22 of 53
    22. Question

    22.  Which of the following is not a risk factor for diagnostic hysteroscopy?

    Correct

    Incorrect

  23. Question 23 of 53
    23. Question
    1. A 35 years old who is Para 3 with two previous caesarean sections presented to you for permanent contraception.  She has opted to have a laparoscopic tubal occlusion/sterilisation procedure.  Her BMI is 33.  She has had two failed attempts  at  Veress needle insertion through the umbilical route. Which of the following treatment options are best suited to her?

    Correct

    Incorrect

  24. Question 24 of 53
    24. Question
    1. Which of following is not safe surgical practice during placement of a primary trocar in laparoscopic surgery?

    Correct

    Incorrect

  25. Question 25 of 53
    25. Question
    1.  The best route to perform a hysterectomy (if technically feasible) is:

    Correct

    Incorrect

  26. Question 26 of 53
    26. Question
    1. Which of the following statements is correct about defibulation?

    Correct

    Incorrect

  27. Question 27 of 53
    27. Question
    1. T he most effective method of preventing enterocele formation after vaginal hysterectomy is:

    Correct

    Incorrect

  28. Question 28 of 53
    28. Question
    1. Which of the following is least likely to be a complication of lower segment caesarean section?

    Correct

    Incorrect

  29. Question 29 of 53
    29. Question
    1. You are performing a total abdominal hysterectomy. It was a difficult case with adhesions and a right broad ligament fibroid. While doing the dissection of the right side and before clamping the uterine artery, you suspected ureteric injury. What is your first reaction?

    Correct

    Incorrect

  30. Question 30 of 53
    30. Question

    30.  You are performing TAH on an obese 44years old patient for HMB. She has previous 3 C/S. procedure is difficult due to limited approach and adhesions. You  call the urologist because you suspected ureteric injury. He diagnosed a transection injury distally, below the pelvic brim, 5 cm from the ureterovesicular junction. What is the best management for this injury?

    Correct

    Incorrect

  31. Question 31 of 53
    31. Question
    1. A 60 years old woman presented with compliant of  vaginal vault prolapse. H/O vaginal hysterectomy 5 years back for 3rddegree prolapsed.  There was some difficulty dissecting the bladder and opening the vesicovaginal pouch. At the end of the surgery, there was clear urine in the drainage catheter. Two weeks later, the patient presented with complaint of continuous leaking of urine vaginally. On examination and the methylene blue test, you noticed a vesicovaginal  fistula of <5 mm diameter. What is your first-line management?

    Correct

    Incorrect

  32. Question 32 of 53
    32. Question

    32.   You have performed TAH+BSO on a 43years old obese patient  6 days back. Now she has presented with surgical site infection. What will you tell her about the most common cause of SSI?

    Correct

    Incorrect

  33. Question 33 of 53
    33. Question
    1. You have operated a morbidly obese patient 2 days back, she complains of deep tissue pain in the buttocks with dark urine. What is your provisional diagnosis?

    Correct

    Incorrect

  34. Question 34 of 53
    34. Question

    34.  You have booked a 42 years old obese patientfor TAH+BSO (BMI 40). She is healthy with no medical disorders or other comorbidity. What is the most important specific risk-screening question in pre-operative assessment you should ask?

    Correct

    Incorrect

  35. Question 35 of 53
    35. Question
    1. You plan laparoscopic sterilization for a 42 years old P5 who has completed her family.  Her BMI is 45 kg/m2 . She was keen on going home the same day. What is your advice?

    Correct

    Incorrect

  36. Question 36 of 53
    36. Question
    1. While performing  a surgical termination of pregnancy you think you have perforated the uterus before completion of procedure. How will you handle the situation?

    Correct

    Incorrect

  37. Question 37 of 53
    37. Question
    1. While performing a  laparoscopic sterilization procedure, if you discover a suspicious right ovarian cyst. What should you do?

    Correct

    Incorrect

  38. Question 38 of 53
    38. Question
    1. During performing a total abdominal hysterectomy for a  large right broad ligament fibroid, how best should you avoid ureteric injury?

    Correct

    Incorrect

  39. Question 39 of 53
    39. Question
    1. You are demonstrating a laparoscopic myomectomy procedure to your minimal access surgery module trainee. What is the most serious complication?

    Correct

    Incorrect

  40. Question 40 of 53
    40. Question
    1. You are demonstrating laparoscopic hysterectomy (LH) to one of your trainees. What is the most common surgical complication with this procedure compared to abdominal hysterectomy (AH)?

    Correct

    Incorrect

  41. Question 41 of 53
    41. Question
    1. You are demonstrating laparoscopic hysterectomy (LH) . What is the most common surgical complication with this procedure compared to vaginal hysterectomy (VH)?

    Correct

    Incorrect

  42. Question 42 of 53
    42. Question

    42.  While reviewing the outpatient cases, your junior colleague wants to discuss the management of ovarian cyst in a woman who is 35 years old. What is the cyst size at which laparoscopic management should be a cost-effective procedure?

    Correct

    Incorrect

  43. Question 43 of 53
    43. Question
    1. What is the most common cause of failure to obtain a good view of the cavity while performing an outpatient hysteroscopy in a patient of postmenopausal bleeding?

    Correct

    Incorrect

  44. Question 44 of 53
    44. Question
    1. A 28 years old woman presented at 36 weeks of gestation for plan of delivery. She had a hysteroscopic resection of a uterine septum because of recurrent pregnancy loss 3 years back. All her antenatal visits have been normal. What is your plan for her delivery?

    Correct

    Incorrect

  45. Question 45 of 53
    45. Question

     45.  A 28 years old woman  has presented with secondary infertility. She has H/O previous two Caesarean section and one episode of previous pelvic inflammatory disease (PID). You are going to perform a diagnostic laproscopy. Which one of the following anti-adhesion agents would you like to use to prevent adhesion formation?

    Correct

    Incorrect

  46. Question 46 of 53
    46. Question

    46.  A 24 years old primigravida woman presented for a dating scan, which showed a 6 cm right ovarian cyst.  A follow-up scan at 15 weeks confirms an increase in size up to 14 cm, with radiological and laboratory features suggestive of benign disease. The pregnancy is otherwise progressing normally. Which one of the following options is the most appropriate management?

    Correct

    Incorrect

  47. Question 47 of 53
    47. Question
    1. A 32 years old patient with a subserosal fibroid (6 x 7 cm) is counselled for a laparoscopic myomectomy using a morcellator. What is the most common complication?

    Correct

    Incorrect

  48. Question 48 of 53
    48. Question

    48.  Which one would is recommended for outpatient hysteroscopy?

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    Incorrect

  49. Question 49 of 53
    49. Question

    49. You are performing a diagnostic laparoscopy on a 32yrs old patient. You observe that blood was dripping into the pelvis soon after inserting the lateral secondary trocar, quickly filling the operative field. Which blood vessel is more likely to be injured?

    Correct

    Incorrect

  50. Question 50 of 53
    50. Question

    50.   A 26 years old woman is admitted for diagnostic laparoscopy for assessment of chronic pelvic pain. What is the estimated risk of death associated with this procedure?

    Correct

    Incorrect

  51. Question 51 of 53
    51. Question

    51.   A 42 years old woman presented with  complaint of cyclical cramping with or without menses. She had an endometrial ablation and tubal sterilization two years previously. Review of the operative findings showed an uncomplicated procedure. MRI imaging during times of symptomatic cramping showed blood trapped in the uterine cornua and swollen tubes. The diagnosis of post-ablation tubal sterilization syndrome was made (PATSS). What is the incidence of PATSS after endometrial ablation?

    Correct

    Incorrect

  52. Question 52 of 53
    52. Question
    1. A 65 years old woman presented with 3 episodes  of postmenupausal bleeding in form of spotting. She was not sexually active before her menopause. She suffers from depressive anxiety disorders. An ultrasound scan shows a thickened irregular endometrium of 10 mm. What is the most suitable management?

    Correct

    Incorrect

  53. Question 53 of 53
    53. Question
    1. You are seeing a  44 years old woman in outpatient department. She has presented for hysteroscopic removal of a 2-cm endometrial polyp. You want to use electrosurgery during hysteroscopy for removal of the polyp. Which distention media should be used?

    Correct

    Incorrect

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