Answers to the CME Quiz for "Robotic Gynecologic Surgery" by Anthony G. Visco, MD, and Arnold P. Advincula, MD (Obstet Gynecol 2008;112:1369-84)

1. The first case report of a laparoscopically assisted vaginal hysterectomy was published:

C. 19 years ago (1989)

2. For which of the following does robotic assistance offer the greatest advantages over laparoscopy?

D. Intracorporeal suturing

3. Which of the following most distinguishes robotic surgery from traditional laparoscopy?

A. Range of instrument motion

4. Most robotic surgical instruments can be reused for how many patients?

C. 10

5. Haptics is the term applied to:

A. Tactile feedback

6.The authors state that robotic surgery has become a standard approach for what surgery?

D. Prostatectomy

7. According to a systematic review and meta-analysis of vaginal, laparoscopic, and abdominal hysterectomies, the odds ratio for the rate of bladder and ureteral injury during laparoscopic surgery was:

E. 2.6

8. According to the author’s review of over 500,000 hysterectomies performed in 2003, laparoscopic hysterectomies accounted for roughly what percent of procedures?

B. 12%

9. When compared to open radical hysterectomy, robotic radical hysterectomy was associated with:

D. Higher lymph node retrieval rate

10. It is estimated that the number of cases that needs to be performed to reach a minimal operating time is:

D. 50

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 "Robotic Gynecologic Surgery" will be available through December 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. Visco is a consultant for Intuitive Surgical (Sunnyvale, CA). Dr. Advincula is a consultant for Intuitive Surgical, Gyrus/ACMI (Southborough, MA), and SurgRx (Redwood City, CA). Any conflicts have been resolved through group and outside review of all content.

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