Answers to the CME Quiz for “Hysterectomy for Benign Disease” by Tommaso Falcone, MD, FRCSC, and Mark D. Walters, MD (Obstet Gynecol 2008;111:753–67)

1. The most common benign indication for hysterectomy in the United States is:

C. Leiomyomata

2. Non-steroidal anti-inflammatory drugs should be discontinued prior to elective surgery by approximately what multiple of their drug half-life?

C. 4

3. According to the American College of Obstetricians and Gynecologists Practice Bulletin guidelines for the management of anovulatory bleeding, patients undergoing hysterectomy who have persistent anovulatory bleeding should undergo an endometrial assessment after the age of:

D. 35 years

4. Prospective studies and a Cochrane review suggest that supracervical hysterectomy is associated with:

E. No demonstrable clinical advantages

5. For a patient undergoing a hysterectomy for benign disease who is allergic to cephalosporins, which of the following antibiotics is recommended for antibiotic prophylaxis?

A. Metronidazole

6. When compared to standard laparoscopically performed hysterectomy, robotically performed laparoscopic hysterectomy is associated with an operating time that is:

E. 50% longer

7. The nerve most commonly associated with damage by a Balfour or Bookwalter retractor at the time of hysterectomy is:

B. Femoral

ACCME Accreditation: The American College of Obstetricians and Gynecologists (ACOG) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. (Continuing medical education credit for “Hysterectomy for Benign Disease” will be available through March 2011.)

AMA PRA Category 1 Credit^TM and ACOG Cognate Credit: The American College of Obstetricians and Gynecologists (ACOG) designates this educational activity for a maximum of 2 AMA PRA Category 1 Credits^TM or up to a maximum of 2 Category 1 ACOG cognate credits. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Disclosure Statement: Current guidelines state that continuing medical education (CME) providers must ensure that CME activities are free from the control of any commercial interest. All authors, reviewers, and contributors have disclosed to ACOG all relevant financial relationships with any commercial interests. The authors have made the following disclosures: Dr. Walters is a consultant and speaker for American Medical Systems (Minnetonka, MN). Dr. Falcone has no potential conflicts of interest to disclose. Any conflicts have been resolved through group and outside review of all content.

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