and Janesh Gupta2
(1)
Fetal Medicine, Rainbow Hospitals, Hyderabad, Telangana, India
(2)
University of Birmingham Birmingham Women’s Hospital, Birmingham, UK
CSPO1
Regarding the use of adhesion prevention agents, which of the following is true?
A.
Steroids must be used in fertility-conserving surgery for prevention of adhesions.
B.
Dextran when used as an anti-adhesive agent can cause anaphylaxis.
C.
The use of Adept in gynaecological surgeries has not shown significant reduction in de novo adhesions.
D.
Seprafilm is oxidised regenerated cellulose.
E.
Evidence shows definite benefit of using adhesion prevention agents in caesarean section.
CSPO2
Select the single most appropriate statement with reference to abdominal incisions and preoperative preparations in a gynaecological surgery:
A.
Horizontal incisions cause minimum nerve damage.
B.
Preoperative showering with antiseptics reduces the infection rate to almost half.
C.
A scalpel should be changed after superficial incision for a deep incision.
D.
Vertical skin incisions have better cosmetic results and greater strength.
E.
Wound infection rates are less if no hair is removed as compared to depilatory preparation.
CSPO3
A 45-year-old woman undergoes an abdominal hysterectomy for a large fibroid uterus. She is found to have a fibroid in broad ligament, and there is a concern 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?
A.
At the level of the uterosacral ligament
B.
Lateral to the uterine vessels
C.
Renal pelviureteric junction
D.
The area of the ureterovesical junction close to the cardinal ligaments
E.
The base of the infundibulopelvic ligament as the ureters cross the pelvic brim at the ovarian fossa
CSPO4
Regarding nonabsorbable suture materials, which of the following statements is correct?
A.
All nonabsorbable sutures are monofilamentous and have lower incidence of wound infection.
B.
Polypropylene has higher tissue reactivity than polytetrafluoroethylene.
C.
Surgical silk has higher tensile strength than nylon.
D.
The incidence of wound dehiscence and hernia is lower for nonabsorbable than slowly absorbable sutures.
E.
The incidence of prolonged wound pain and suture sinus is significantly higher with a nonabsorbable suture.
CSPO5
A patient who underwent an abdominal hysterectomy a few days ago complains of numbness over the skin over the anterior aspect of the upper thigh. This could be attributed to neuropathy of the:
A.
Femoral nerve
B.
Obturator nerve
C.
Peroneal nerve
D.
Pudendal nerve
E.
Sciatic nerve
CSPO6
Staples are used for wound closure. Which of the following statements about the use of staples in a gynaecological surgery is incorrect?
A.
A nonabsorbable staple made of stainless steel has the highest tensile strength of any wound closure material.
B.
Contaminated wounds closed with staples have a lower incidence of infection compared with those closed with sutures.
C.
Disadvantages of staples include the potential for staple track formation, bacterial migration into the wound bed and discomfort during staple removal.
D.
Prior to stapling, it is useful to grasp the wound edges with forceps to evert the tissue so as to prevent inverted skin edges.
E.
Staples have a high tissue reactivity.
CSPO7
Following massive blood transfusion, what is the recommended dose of fresh frozen plasma to be administered to prevent coagulation problems?
A.
10–12 ml/kg for every 4 units of red cells
B.
12–15 ml/kg for every 4 units of red cells
C.
15–18 ml/kg for every 4 units of red cells
D.
12–15 ml/kg for every 6 units of red cells
E.
15–18 ml/kg for every 8 units of red cells
CSPO8
Axonotmesis is best described as an iatrogenic nerve injury which involves:
A.
Axon transection injury related to incorrect incision sites
B.
Damage occurring to the axon with preservation of the supporting Schwann cells
C.
Long recovery period usually extending to few years
D.
Need for restorative surgery in most cases
E.
Poor chances of regeneration despite restorative surgery
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