and Janesh Gupta2
(1)
Fetal Medicine, Rainbow Hospitals, Hyderabad, Telangana, India
(2)
University of Birmingham Birmingham Women’s Hospital, Birmingham, UK
SP1
Q1. Safety measures to prevent laparoscopic electrosurgical complications include all of the following except:
A.
Inspect insulation carefully before use.
B.
Use the highest possible effective power setting.
C.
Use available technology; newer tissue response generators and active electrode monitoring technology eliminate concerns about insulation failure and capacitive coupling.
D.
Use a low-voltage waveform for monopolar diathermy (cut).
E.
Use bipolar electrosurgery when appropriate.
SP2
The following statements regarding energy sources in endoscopy are true except:
A.
The bipolar device avoids risk of burn injury to the patient.
B.
Bipolar circuits form a circuit within the instrument.
C.
Both require non-electrolytic solutions when used in operative hysteroscopy.
D.
Monopolar energy needs the patient to be part of the circuit.
E.
A return electrode is attached to the patient in monopolar circuit.
SP3
All of the following risks can commonly occur with diagnostic hysteroscopy except:
A.
Failure to visualise the cavity
B.
Injury to the bladder
C.
Pelvic infection
D.
Uterine perforation
E.
Vaginal bleeding
SP4
Ms. XY is 35 years old. She is a Para 3 with two previous caesarean sections and desires 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?
A.
Abandon the procedure.
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