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Intraoperative Considerations

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To achieve adequate blockade of Frankenhaüser plexus during paracervical blockade, injections should ideally be placed at what sites around the cervical base?

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a. 1 and 6 o'clock

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b. 2 and 10 o'clock

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c. 3 and 9 o'clock

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d. 4 and 8 o'clock

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Classic signs of lidocaine toxicity include all EXCEPT which of the following?

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a. Seizure

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b. Tinnitus

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c. Petechial rash

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d. Perioral tingling

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During the presurgical “time out,” the entire surgical team should routinely reach consensus agreement on all EXCEPT which of the following?

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a. Patient identity

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b. Procedure planned

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c. Patient blood type

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d. Side of patient to be treated

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Correct patient positioning can avert many intraoperative neurologic injuries. All EXCEPT which of the following patient or surgical characteristics is associated with an increased risk of such injury?

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a. Diabetes mellitus

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b. Body mass index (BMI) of 25

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c. 20 pack-year history of smoking

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d. Use of a self-retaining retractor

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Malpositioning of a self-retaining retractor can injure the femoral nerve as it runs near the psoas major muscle, as shown here. Which of the following may be seen classically with a femoral neuropathy?

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Reproduced, with permission, from Hamid CA, Hoffman BL: Intraoperative considerations. In Hoffman BL, Schorge JO, Schaffer JI, et al (eds): Williams Gynecology, 2nd ed. New York, McGraw-Hill, 2012, Figure 40-5.

Graphic Jump Location
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a. Absent patellar reflex

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b. Inability to flex the knee

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c. Inability to extend the hip

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d. Paresthesia over the posterior thigh

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All EXCEPT which of the following procedures places ...

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