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Surgeries for Gynecologic Malignacies

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What is the most common complication from a radical abdominal hysterectomy and lymph node dissection?

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a. Lymphocele

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b. Constipation

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c. Urinary retention

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d. Intraoperative hemorrhage

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Which of the following is FALSE regarding type II radical hysterectomy?

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a. Postoperative bladder dysfunction is uncommon.

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b. The uterine vessels are ligated at their origin.

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c. The most common indication is stage IA2 cervical cancer.

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d. Less vaginal tissue is removed compared with a type III radical hysterectomy.

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Which of the following is NOT an advantage of laparoscopic radical hysterectomy compared with an abdominal approach?

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a. Less blood loss

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b. Shorter procedure

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c. Shorter hospital stay

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d. Less postoperative pain

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What steps can be taken during laparoscopy to minimize complications?

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a. Placement of Foley catheter

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b. Placement of nasogastric or orogastric tube

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c. Positioning of the patient flat, not in Trendelenburg position

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d. All of the above

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What is the first step of a radical hysterectomy?

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a. Opening the paravesical and pararectal spaces

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b. Dividing the utero-ovarian ligaments if ovarian preservation is planned

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c. Dissecting the ureters from the peritoneum to the level of the uterine arteries

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d. Opening the rectovaginal septum and dissecting the rectum off the posterior vagina

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What is the most common indication for performing a total pelvic exenteration?

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a. Recurrent vulvar cancer

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b. Stage IVA cervical cancer

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c. Recurrent endometrial cancer

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d. Centrally recurrent cervical ...

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