Obgyn Chapter 26 Sterilization

Front 1

Among the methods used to control fertility in the United States, sterilization is the

Back 1

least frequetly used *

Front 2

Roughly what proportion of married couples in the United States use sterilization for contraception?

Back 2

1 in 3

Front 3

Despite careful counceling, what percent of patients will request sterilization reversal?

Back 3

1%

Front 4

Successful reversal of sterilization is possible in approximately what percent of cases?

Back 4

40 to 60%

Front 5

Vasectomy accounts for approximately what percent of all sterilization?

Back 5

30 to 35%

Front 6

Antibodies against sperm are found in what proportion of men who have undergone vasectomy?

Back 6

50 to 55%

Front 7

When compared with female sterilization, which of the following is NOT an advantage of vasectomy?

Back 7

Lower incidence of postoperative depression

(advantages of vasectomy - greater reversibility, lower cost, lower operative complication rate, and possibility of routine postoperative verification)

Front 8

Which of the following is the LEAST likely complication associated with vasectomy?

Back 8

femoral nerve damage

(likely complications - hematoma formation, wound infection, and continued bleeding at the operation site)

Front 9

The most common reason for pregnancy following a vasectomy is

Back 9

sexual activity too soon after surgery

Front 10

Sterilization after vasectomy usually is complete by

Back 10

4 to 6 weeks

Front 11

Which of the following anethetic methods is NOT used for laparoscopic sterilization procedures?

Back 11

Saddle

(can use local, general, epidural, or spinal)

Front 12

Which of teh following female sterilization methods is most likely to result in future ectopic pregnancy?

Back 12

Electrocautery

Front 13

Which of the following female sterilization metholds is most likely to be successfully reversed?

Back 13

Hulka clip

Front 14

Which of the following female sterlization methods is most likely to result in operative complications?

Back 14

Electrocautery

Front 15

Which of the following female sterilization methods is most likely to result in postoperative pain requiring strong analgesics?

Back 15

Falope ring

Front 16

Which of the following best describes Madlener tubal ligation?

Back 16

Tube elevated, base crushed in clamp, crushed area ligated with nonabsorbable suture

Front 17

Which of the following best describes Pomeroy tubal ligation?

Back 17

Loop of tube from middle third of tube elevated, ligated with plain gut and excised

Front 18

Which of the following best describes Irving tubal ligation?

Back 18

Tube divided, proximal stump buried in uterine wall, distal stump buried in leaves of broad ligament

Front 19

Which of the following best describes Cook tubal ligation?

Back 19

Tube divided, proximal stump buried in round ligament, distal stump buried in leaves of broad ligament

Front 20

Which of the following best describes Kroener tubal ligation?

Back 20

Fimbriated end of tube excised

Front 21

Which of the following best describes Aldridge tubal ligation?

Back 21

Fimbriated end of tube buried in broad ligament

Front 22

Compared with electrocautery, the Hulka clip has a

Back 22

higher failure rate

Front 23

Which of the following is NOT required as part of vaginal tubal sterilization procedures?

Back 23

Specialized equipment

(Required for vaginal tube sterilization - prophylactic antibiotics, restrictions on intercourse, and restrictions on douching)

Front 24

The term "interval sterilization" refers to procedures that

Back 24

are performed after the immediate postpartum period

Front 25

Compared with tubal ligation, vasectomy is

Back 25

more easily reversed

Front 26

A woman who becomes pregnant 3 months after tubal ligation most likely has

Back 26

an intrauterine pregnancy

Front 27

A patient who has undergone reversal of a tubal ligation and then exhibits signs of pregnancy should initially be presumed to have

Back 27

an ectopic pregnancy

Front 28

Which of the following statements about surgical sterilization is INCORRECT?

Back 28

Approximately equal numbers of men and women request surgical sterilization

Front 29

Postoperative complications of vasectomy such as bleeding, hematoma formation, and local skin infection occur in about what percent of cases?

Back 29

3 to 5%

Front 30

Post-tubal ligation syndrome is considered to include

Back 30

all of the above (menstrual dysfunction, dysmenorrhea, and disruption of blood flow in the area of the fallopian tubes)

Front 31

What is the failure rate in the Pomeroy method of tubal ligation?

Back 31

1 in 500

Front 32

The fatality rate in women from steriliation is what percent of the rate from childbearing?

Back 32

10%

Front 33

Compared with countries with a low vasectomy rate, teh incidence of prostate cancer in countries where there is a high rate of vasectomy is

Back 33

the same

Front 34

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?

Back 34

Vaginal tubeal cautery