1.

These are indications for hysteroscopy except:

a. Abnormal uterine bleeding
b. recent uterine perforation
c. Endometrial polyp
d. submucosal myoma

2. Most frequent problem in performing endometrial sampling and hysteroscopy is

a. bleeding
b. cervical stenosis or spasm
c. infection
d. copious cervical mucus

3. These are relative contraindications laparoscopy except:

a. extensive adhesions
b. active bleeding
c. myoma grade 2
d. cervical and uterine cancers

4. Absolute contraindications to laparoscopy include; except,

a. hemodynamic instability
b. bowel obstruction
c. tuberculous peritonitis
d. extensive adhesions

5. These are the potential complications of the distending media include the following; except.
a. anaphylaxis to dextran
b. circulatory overload with D5W
c. hypernatremia
d. air or gas embolism

6. Long term complications of Endometrial ablation devices except

a. persistent bleeding
b. retrograde bleeding
c. ectopic pregnancy
d. delay in diagnosis of endometrial cancer

7. These are true regarding laparoscopy except.

a. laparoscopy may be performed under local regional or general anesthesia
b. Trendelenburg position needed for gravity to keep the bowels in upper abdomen
c. General anesthesia is recommended for operative laparoscopy
d. The standard diagnostic laparoscope is 20mm in diameter

8. These are true regarding laparoscopy in infertile women except.

a. There are both diagnostic and therapeutic indications for laparoscopy in infertile women
b. Laparoscopy is a more sophisticated and accurate method of diagnosing tubal problems during an
infertility investigation than HSG
c. chromopertubation with an unsterile dye, demonstrates tubal patency during laparoscopy
d. Laparoscopy is able to confirm or rule out intrinsic pelvic disorders

9. True about laparoscopy in ectopic pregnancy; except:

a. Laparoscopic treatment of ectopic pregnancy most often involves salpingotomy
b. HCG titer must be followed after conservative surgery
c. Tubal pregnancy and subsequent pregnancy rates are comparable between laparoscopy
d. HCG titers should be followed up usually 8 weeks to 12 weeks after laparoscopic removal of ectopic
pregnancy

10. Complications directly related to the pneumoperitoneum include; except:

a. pneumothorax
b. diminished venous return
c. cardiac arrythmia
d. electrolyte imbalance

11. These are laparoscopic complications except

a. laceration of blood vessels
b. hypernatremia
c. incisional hernia
d. cardiopulmonary problems

12. The classic violin string adhesions between the liver and the abdominal wall
a. Fitz-Hugh-Curtis syndrome
b. Peutz- Jeghers syndrome
c. Rotterdam
d. Charcot’s syndrome

13. True about laparoscopy in pregnancy; except:

a. In the second and 3rd trimester of pregnancy initial abdominal entry has an increased risk of
inadvertenths injuring the large uterus
b. uterine manipulators should be placed through the cervix
c. Thromboprophylaxis for all pregnant patients undergoing surgery should be recommended
d. Early ambulation should be encouraged post-operatively

14. What is the appropriate position of the pregnant woman in undergoing laparoscopic surgery?
a. supine or lithotomy position
b. left lateral decubitus position
c. right lateral decubitus position
d. prone

15. The best insufflation of intraabdominal pressure of pregnant patient undergoing laparoscopic
surgery is.
a. intraabdominal pressure to be maintained between 8-12 mmHg
b. intraabdominal pressure to be maintained between 12-15 mmHg
c. intraabdominal pressure to be maintained between 15-20 mmHg
d. intraabdominal pressure to be maintained between 10-8 mmHg
16. This should be done in laparoscopic surgery in to pregnant patient reduce compression of the vena
cava; except:
a. Pregnant patients should be positioned in supine or lithotomy position
b. insufflation of the abdomen to pressure above 15mmHg
c. Pregnant patients should be positioned in supine with leftward tilt
d. Insufflation of intraabdominal pressure to be maintained between 8-12 mmHg

17. A rare but life-threatening complication of laparoscopy is

a. hypotension
b. pneumothorax
c. gas embolism
d. cardiac arrythmias

18. These are rare complication of laparoscopy except

a. gas embolism
b. incisional hernia
c. metastasis from ovarian malignancies
d. bleeding

19. These are the possible Hysteroscopic indications except;

a. postmenopausal abnormal uterine bleeding
b. endometrial polyp
c. uterine septum
d. submucosal myoma 2.505 intramural

20. Short term complication of hysteroscopy except;

a. facia overload b. persistent bleeding c. pelvic infection d. bowel injury