EBCOG Part-1 High Yield Questions Core Surgical Skills

1. Which absorbable suture has the greatest tensile strength?

2. What proportion of ureteric injuries are recognised intraoperatively during laparoscopic surgery?

3. Which nerve is particularly susceptible to damage when self- retaining retractors are used in gynaecological surgery?

4. During a primary caesarean section, at what point during the operation is a bladder injury most likely to occur?

5. Taking all surgical procedures into consideration, which organism is most commonly implicated in inpatient surgical- site infections in England?

6. Urinary catheter size is identified by Charrière (Ch) or French gauge (Fg) or French (F).
What does the gauge represent?

7. What proportion of women in the UK have a body mass index (BMI) of >30 kg/m2?

8. For an obese woman with no co- morbidities who has been unsuccessful in reducing her weight with dietary modification and exercise, what is the threshold BMI where bariatric surgery should be considered?

9. What is the overall approximate risk of serious complications from an abdominal hysterectomy?

10. You are about to consent a patient for diagnostic laparoscopy. Her body mass index is 22 kg/m2 and has no history of previous abdominal surgery. The patient wishes to know about the serious complications associated with laparoscopy. She is anxious as her friend required an open operation to repair her bowel followinga laparoscopic sterilisation. In counselling her you should include:

11. You are asked to include the risk of return to theatre’ as one of the complications following hysterectomy in patient information leaflet and consent form. Which one of the following figures should be quoted in the consent form?

12. Which of the following operations is associated with the highest incidence of postoperative fever?

13. Of the following operations which one is associated with the highest incidence of vault haematoma?

14. What is the risk of death as a result of complications during a laparoscopic procedure?

15. Your consultant has asked you to identify and name the blood vessel in the abdominal wall which is most likely to be injured during lateral port insertion during laparoscopy.

16. Hassan’s entry technique or Palmer’s point is not recommended in which of the following?

17. The highest risk of vascular injury during laparoscopy is in which of the following?

18. One of the following statements is true about hysteroscopic distension media?

19. A thin 51-year-old woman undergoes total laparoscopic hysterectomy for dysfunctional uterine bleeding. The procedure is uneventful with minimal blood loss. The patient is fully mobile and is discharged home the next day. How long will you advice postoperative thromboprophylaxis for this patient?

20. An 18-year-old woman, who is 5 weeks pregnant, complains of severe lower abdominal pain and vaginal bleeding. On examination, she is noted to have a blood pressure of 80/60 mmHg and heart rate of 110 bpm. The serum B-hCG level is 600 mIU/mL and the transvaginal ultrasound shows no intrauterine pregnancy and no obvious adnexal masses. There is some anechoic free fluid in the pouch of Douglas. Which of the following is the best management for this patient?