Hysteroscopy
True or false
Hysterosalpingogram is a better tool for detecting intracavitary lesions than hysteroscopy
False
Which form of energy must course through the patient's body before returning to the generator during laparoscopy?
Monopolar
Which vessels travel down the sacral promontory?
Middle sacral artery/vein
Mechanism of action of plan B
it prevents ovulation
when do you recommend risk reduction surgery in Lynch positive patients
Age 40 or done with child bearing
What is the fluid deficit limit for Dextran?
500 ml
Desiccation requires large or small surface area?
Large
This nerve courses below the ureter and lateral to the uterosacral ligaments
Hypogastric nerve and plexus
how long after unprotected intercourse you can use copper IUD as emergency contraception ?
5 days
the lifetime risk of having ovarian cancer in BRCA 2
10-30 %
This fluid can cause anaphylaxis during hysteroscopy
dextran
True or false
Desiccation provides coagulation
True
It originates from the external iliac artery and we encounter during laparoscopy
The inferior epigastric artery
H/O VTE
Migraines with aura
smoking
breast cancer
uncontrolled HTN
Risk of ovarian and uterine cancer in Lynch Syndrome
Uterine 40-60% and ovarian is 10%
Electrolyte free distending media is required with this type of energy source
Monopolar
Pure cut energy is:
LOW voltage CONTINUOUS current
Name the branches of the anterior division of the internal iliac artery
Umbilical
Superior vesical
Uterine
Superior vaginal
Middle rectal
Pudendal
Obturator
Inferior gluteal
what is the typical VS perfect use failure rate of condoms ?
typical is 21% and perfect is 5%
Name the surgical steps of risk reducing BSO in BRCA positive patients
thorough diagnostic laparoscopy
pelvic washings
Isolate the IP ligament
ligate and transact the IP at the pelvic brim
then ligate the uteroovarian ligament at the cornua
send for SEE-FIM protocol to pathology
What is the risk of hysterectomy in 5 years after an endometrial ablation?
25 %
Pure coagulation energy is:
HIGH voltage Interrupted current
The Branches of the posterior branch of the internal iliac artery
iliolumbar, lumbosacral and superior gluteal
Mechanism of action of Ulipristal
inhibits follicular rupture
Gene mutated in Lynch Syndrome
MLH1, MSH2, MSH6 PMS2, EPCAM