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Intraoperative Considerations

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

a. 1 and 6 o’clock

b. 2 and 10 o’clock

c. 3 and 9 o’clock

d. 4 and 8 o’clock

Classic signs of lidocaine toxicity include all of the following EXCEPT:

a. Seizure

b. Tinnitus

c. Petechial rash

d. Perioral tingling

The Joint Commission’s Universal Protocol for Preventing Wrong Site, Wrong Procedure, and Wrong Person Surgery published in 2009 encompasses which of the following components?

a. Marking the operative site

b. Preprocedural verification of all relevant documents

c. Completion of a “time out” prior to procedure initiation

d. All of the above

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

a. Patient’s identity

b. Procedure planned

c. Patient’s blood type

d. Side of the patient to be treated

Correct patient positioning can avert many intraoperative neurologic injuries. All of the following patient’s or surgical characteristics are associated with an increased risk of such injury EXCEPT:

a. Diabetes mellitus

b. A body mass index (BMI) of 25

c. A 20-pack-year history of smoking

d. Use of a self-retaining retractor

On the second postoperative day, a patient who has undergone a technically challenging abdominal hysterectomy complains of right leg numbness above the knee and some difficulty walking due to weakness. 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 ...

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