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34 Cards in this Set

  • Front
  • Back
Among the methods used to control fertility in the United States, sterilization is the
least frequetly used *
Roughly what proportion of married couples in the United States use sterilization for contraception?
1 in 3
Despite careful counceling, what percent of patients will request sterilization reversal?
1%
Successful reversal of sterilization is possible in approximately what percent of cases?
40 to 60%
Vasectomy accounts for approximately what percent of all sterilization?
30 to 35%
Antibodies against sperm are found in what proportion of men who have undergone vasectomy?
50 to 55%
When compared with female sterilization, which of the following is NOT an advantage of vasectomy?
Lower incidence of postoperative depression

(advantages of vasectomy - greater reversibility, lower cost, lower operative complication rate, and possibility of routine postoperative verification)
Which of the following is the LEAST likely complication associated with vasectomy?
femoral nerve damage

(likely complications - hematoma formation, wound infection, and continued bleeding at the operation site)
The most common reason for pregnancy following a vasectomy is
sexual activity too soon after surgery
Sterilization after vasectomy usually is complete by
4 to 6 weeks
Which of the following anethetic methods is NOT used for laparoscopic sterilization procedures?
Saddle

(can use local, general, epidural, or spinal)
Which of teh following female sterilization methods is most likely to result in future ectopic pregnancy?
Electrocautery
Which of the following female sterilization metholds is most likely to be successfully reversed?
Hulka clip
Which of the following female sterlization methods is most likely to result in operative complications?
Electrocautery
Which of the following female sterilization methods is most likely to result in postoperative pain requiring strong analgesics?
Falope ring
Which of the following best describes Madlener tubal ligation?
Tube elevated, base crushed in clamp, crushed area ligated with nonabsorbable suture
Which of the following best describes Pomeroy tubal ligation?
Loop of tube from middle third of tube elevated, ligated with plain gut and excised
Which of the following best describes Irving tubal ligation?
Tube divided, proximal stump buried in uterine wall, distal stump buried in leaves of broad ligament
Which of the following best describes Cook tubal ligation?
Tube divided, proximal stump buried in round ligament, distal stump buried in leaves of broad ligament
Which of the following best describes Kroener tubal ligation?
Fimbriated end of tube excised
Which of the following best describes Aldridge tubal ligation?
Fimbriated end of tube buried in broad ligament
Compared with electrocautery, the Hulka clip has a
higher failure rate
Which of the following is NOT required as part of vaginal tubal sterilization procedures?
Specialized equipment

(Required for vaginal tube sterilization - prophylactic antibiotics, restrictions on intercourse, and restrictions on douching)
The term "interval sterilization" refers to procedures that
are performed after the immediate postpartum period
Compared with tubal ligation, vasectomy is
more easily reversed
A woman who becomes pregnant 3 months after tubal ligation most likely has
an intrauterine pregnancy
A patient who has undergone reversal of a tubal ligation and then exhibits signs of pregnancy should initially be presumed to have
an ectopic pregnancy
Which of the following statements about surgical sterilization is INCORRECT?
Approximately equal numbers of men and women request surgical sterilization
Postoperative complications of vasectomy such as bleeding, hematoma formation, and local skin infection occur in about what percent of cases?
3 to 5%
Post-tubal ligation syndrome is considered to include
all of the above (menstrual dysfunction, dysmenorrhea, and disruption of blood flow in the area of the fallopian tubes)
What is the failure rate in the Pomeroy method of tubal ligation?
1 in 500
The fatality rate in women from steriliation is what percent of the rate from childbearing?
10%
Compared with countries with a low vasectomy rate, teh incidence of prostate cancer in countries where there is a high rate of vasectomy is
the same
During a routine prenatal visit, a 28-year-old G3 P2002 patient tells you that she and her husband of 8 years have decided that their family will be complete with the birth of their next child. They are interested in sterilization options that could be "done right away, if the baby is OK." Which of the following is NOT a possible option for this couple?
Vaginal tubeal cautery