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Intraoperative Considerations

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To achieve adequate blockade of Frankenhaüser plexus during paracervical block, injections are ideally 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 of the following EXCEPT:

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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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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?

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a. Marking the operative site

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b. Preprocedural verification of all relevant documents

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

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d. All of the above

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

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a. Patient’s identity

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b. Procedure planned

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c. Patient’s blood type

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d. Side of the patient to be treated

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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:

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a. Diabetes mellitus

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b. A body mass index (BMI) of 25

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c. A 20-pack-year history of smoking

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d. Use of a self-retaining retractor

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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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