Core Surgical Skills (Platinum) – MCQ

1. Safety measures to prevent laparoscopic electrosurgical complications include all of the following except:

2. In electro surgical   procedures  ,  tissue is heated by electric current .
Temperature at Whcih coagulation occurs is

3. An electrosurgical unit (ESU) consists of a generator and a handpiece with one or more electrodes. The device is controlled using a switch on the a foot switch.

4. All are true regarding safe Electrocautery procdures except

5. You are asked to see a 21-year-old para 1 in the early pregnancy assessment unit. She is 9 weeks into her second pregnancy and presents with cramping abdominal pain and vaginal bleeding. Pelvic ultrasound scan shows a picture of incomplete miscarriage. She opts for surgical management of the miscarriage, and you consent her for surgical evacuation.
What is the risk of uterine perforation at the time of surgical evacuation?

6. A 55-year-old  woman  is  due to  come in  for  total abdominal hysterectomy  and  bilateral salpingo-oophorectomy  for  a large  mucinous  ovarian  cyst.  She  takes  sequential HRT  for menopausal symptoms.
What  is  the approximate overall risk  of  serious  complications from  abdominal hysterectomy?

7. You  see a 48-year-old  woman  opting  for  a hysterectomy  for  management  of  her  heavy menstrual bleeding.  While obtaining  her  consent  for  the  operation  you  explain  to  her that  haemorrhage requiring  transfusion  is  a ‘common’  procedural risk.  What  is  the numerical ratio  for  a complication  when  it  is  quoted  as  ‘common’?

8. You have been asked by your consultant to write a patient information lea et on caesarean section. You decide to include information on serious and frequently occurring risks.
What is the incidence of ureteric injury at the time of caesarean section?

9. Which is correct regarding entry technique in laparoscopic surgery?

10. Most common laparoscopic injury reported to National pt insurance Association.

11. Ms. X 50 years old woman is here to discuss consent for Abdominal hysterectomy due to abnormal uterine bleeding, she tried all conservative measures(Mirena, tranexamic acid, ablation ) She is on clopidogrel. If the benefits of stopping clopidogrel outweigh the risks, how long should clopidogrel be stopped prior to surgery?

12. You see a 30 years old pregnant women a for elective repeat cesarean section. While obtaining her consent for the operation you explain to her that persistent wound and abdominal discomfort in the first few months after surgery, is common risk.
What is the numerical ratio for a complication when it is quoted as ‘common’?

13. This instrument is used commonly in cesarean section. What is the name of this instrument ?

14. Mrs. Marsha is diagnosed as Stage 1A endometrial cancer. Her BMI is 40kg/m2, she was posted for TAH with BSO via midline laparotomy. In OT, scrub nurse is asking to prepare suture for abdominal closures, she is worried about burst abdomen as a complication. Which Suture material would you ask her to keep ready for mass closure?

15. 37-year-old P2L2 has been posted for diagnostic laparoscopy for chronic pelvic pain. She has undergone a midline vertical laparotomy for ruptured ectopic pregnancy. The decision of doing a closed-entry technique at the palmer’s point has been made. Which of the following is the correct anatomical description of Palmer’s point?

16. During the insertion of the primary trocar, the intra-abdominal pressure following the veress needle insertion is maintained between 22-25 mm Hg. All are true regarding this, except

17. The incidence of periumbilical adhesion with previous laparoscopy is

18. Your consultant is doing a diagnostic laparoscopy for a 30 year old woman who has presented to you with chronic pelvic vein. Your consultant has asked you to identify the marked structure. Identify the structure.

19. The overall risk of serious complication during a diagnostic hysteroscopy is

20. The first-choice anti-septic unless contraindicated for the surgical site that is next to the mucous membrane is

21. 35-year-old P1L1, is planned for a resection of a sub-mucous fibroid. Hysteroscopy reveals,

What is the ideal distension medium for the resection of the fibroid using a resectoscope?

22. The preferred transverse incision is Joel-Cohen incision because it has

23. All are true regarding bipolar devices and the energy, except

24. The following are good practice points while using a monopolar device, except:

25. 38 year old multiparous woman is undergoing diagnostic laparoscopy for chronic pelvic pain. What is the chance that the bowel injury might be missed at the time of laparoscopy?