Nerve injuries, suture materials, incisions -ANC module part 2

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1) CSPO2

Select the single most appropriate statement with reference to abdominal incisions

and preoperative preparations in a gynaecological surgery:

2) While operating on a patient in lithotomy position, the padding between the lateral

fi bular heads and the stirrup prevents injury to:

3) CSPO24

Ms. XY is in theatre for repair of a 3C tear. She has been given spinal anaesthetic

and antibiotics. Which suturing technique is most suited for the torn IAS (internal

anal sphincter)?

4) CSPO18

A downward and inward muscle-splitting incision from the McBurney point that

allows extraperitoneal drainage of abscesses is called:

5) . T e enhanced recovery approach to preoperative, perioperative and

postoperative care has major bene ts for many patients in relation to

quicker recovery following major surgery. It facilitates shorter hospital

stay with no increase in readmission rates. T is has clear bene ts for

patients and their families and for healthcare services.

Which of the following is not a component of the enhanced recovery


6) CSPO19

The ilioinguinal and iliohypogastric nerves can be injured during a gynaecological

surgery. Which of the following describes these nerves the best?

7) CSPO16

All of the following are true about surgical needles except:

8) 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:

9) CSPO4

Regarding nonabsorbable suture materials, which of the following statements is


10) CSPO6

Staples are used for wound closure. Which of the following statements about the use

of staples in a gynaecological surgery is incorrect?

11) CSPO20

Which of the following is not a known risk factor for nerve injury during a gynae-

cological surgery?

12) 20. T e Smead–Jones closure is a mass closure technique of the anterior

abdominal wall using a far–far, near–near approach. T e closure is

performed using a delayed absorbable suture to include all the abdominal

wall structures on the far–far portion and only the anterior fascia on the

near–near portion. T is allows good healing without intervening fat or


Which of the following best describes the rate of fascial dehiscence with

running mass closure of the abdomen?

13) 36. Suture materials have di erent physical properties.

Which of the following is the property by which a suture is capable of

supporting acute angulation without breaking or opposing excessive


14) A 57-year-old para 4 undergoes vaginal hysterectomy and

sacrospinous ligament xation. She complains of postoperative gluteal

pain that worsens in the seated position.

Her symptoms are most likely caused by injury to which of the following?

15) 37. Polydioxanone (PDS) is synthetic, absorbable mono lament surgical

suture material. It is particularly useful when a combination of an

absorbable suture and extended wound support is desirable.

Which of the following best describes the breaking strength retention

(tensile strength) of 3-0 PDS at 6 weeks?

16) CSPO8

Axonotmesis is best described as an iatrogenic nerve injury which involves:

17) 21. You are assisting your consultant in a Burch colposuspension

procedure for urodynamic stress incontinence a er an unsuccessful V


Which of the following transverse skin incisions allows the easiest access

to the space of Retzius?

18) 14. A 31-year-old para 1 undergoes radical vaginal trachelectomy and

laparoscopic bilateral lymph node dissection for early cervical cancer. She

presents with paraesthesia over the mons pubis, labia majora and the

femoral triangle.

Her symptoms are most likely caused by injury to which of the following?

Your score is