Chapter·SurgeryGynecologic Surgery

Robotic gynecologic surgeryDownloads

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Sample Questions

1

The surgical equipment used during a craniectomy is sterilized using pressurized steam at 121°C for 15 minutes. Reuse of these instruments can cause transmission of which of the following pathogens?

ANon-enveloped viruses

BSporulating bacteria

CPrions

DEnveloped viruses

EYeasts

2

A 53-year-old multiparous woman is scheduled to undergo elective sling surgery for treatment of stress incontinence. She has frequent loss of small amounts of urine when she coughs or laughs, despite attempts at conservative treatment. The physician inserts trocars in the obturator foramen bilaterally to make the incision and passes a mesh around the pubic bones and underneath the urethra to form a sling. During the procedure, the physician accidentally injures a nerve in the obturator foramen. The function of which of the following muscles is most likely to be affected following the procedure?

AObturator internus

BTensor fascia latae

CAdductor longus

DSemitendinosus

ETransversus abdominis

3

A 26-year-old woman presents to her primary care physician for 5 days of increasing pelvic pain. She says that the pain has been present for the last 2 months; however, it has become increasingly severe recently. She also says that the pain has been accompanied by unusually heavy menstrual periods in the last few months. Physical exam reveals a mass in the right adnexa, and ultrasonography reveals a 9 cm right ovarian mass. If this mass is surgically removed, which of the following structures must be diligently protected?

AExternal iliac artery

BUreter

COvarian ligament

DCardinal ligament of the uterus

EInternal iliac artery

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