Urogynaecology and Pelvic Floor: SBA Questions

and Janesh Gupta2



(1)
Fetal Medicine, Rainbow Hospitals, Hyderabad, Telangana, India

(2)
University of Birmingham Birmingham Women’s Hospital, Birmingham, UK

 




UGN1


Q1. The nerve that is susceptible to entrapment injuries during sacrospinous ligament fixation as it runs behind the lateral aspect of the sacrospinous ligament is the:

A.

Genitofemoral nerve

 

B.

Obturator nerve

 

C.

Peroneal nerve

 

D.

Pudendal nerve

 

E.

Sciatic nerve

 


UGN2


The main complication of mesh repair in vaginal prolapse:

A.

Bladder injury

 

B.

Bowel injury

 

C.

Mesh erosion

 

D.

Infection

 

E.

Recurrence of prolapse

 


UGN3


Painful bladder syndrome is characterised by all of the below except:

A.

Increased frequency

 

B.

Increased night-time frequency

 

C.

Pain related to bladder filling

 

D.

Positive urine cultures

 

E.

Urgency

 


UGN4


In the female pelvis, the ureter forms an important relation with the ovaries and lies:

A.

Anterior to ovary

 

B.

Inferior to ovary

 

C.

Medial to ovary

 

D.

Lateral to ovary

 

E.

Posterior to ovary

 


UGN5


Which of the following is not true about postpartum voiding dysfunction?

A.

It is defined as failure to pass urine spontaneously within 6 h of vaginal delivery or catheter removal after delivery.

 

B.

It is seen in 0.7–4 % deliveries.

 

C.

Epidural anaesthesia is a risk factor.

 

D.

All postpartum patients’ measurement of residual urine volume helps identifying women with voiding dysfunction.

 

E.

If a patient does not void within 6 h of delivery and if the residual urine volume is >500 ml, then it is advisable to keep an indwelling catheter for 24 h.

 


UGN6


Vault prolapse can be prevented at the time of vaginal hysterectomy by:

A.

Cruikshank’s closure

 

B.

DeLancey’s procedure

 

C.

McCall culdoplasty

 

D.

Moschcowitz procedure

 

E.

Simple peritoneal closure

 


UGN7


Ms. XY is 60 years old. She presents with a picture of mixed incontinence with stress as a predominant feature. A urinary tract infection has been ruled out. She does not smoke or consume caffeine. A grade 1 cystocele is noted on examination. Which of the following treatment options are best suited to her?

A.

Anticholinergics

 

B.

Gel horn pessary

 

C.

Pelvic floor muscle training

 

D.

TVT

 

E.

Urodynamic studies

 


UGN8


Ms. XY is 60 years old. She presents with symptoms suggestive of an overactive bladder. Urine dip is negative for leucocytes and nitrites. She does not smoke or consume caffeine. Examination reveals no prolapse. Which of the following is the most appropriate advice?
May 5, 2017 | Posted by in GYNECOLOGY | Comments Off on Urogynaecology and Pelvic Floor: SBA Questions

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