ABOG Risk Management & Mitigation 3

Question 1

A hospitalized patient with preeclampsia with severe features does not speak English. Which risk management measure is most critical before obtaining informed consent for induction of labor?

Accepted Answer

Use a qualified medical interpreter (in-person or video) to ensure informed consent

Answer

Qualified medical interpreters must be used—not family members—to ensure accurate communication of risks and to obtain legally valid informed consent.

Question 2

Which approach best prevents venous thromboembolism (VTE) after cesarean delivery in a patient with no other risk factors?

Accepted Answer

Early ambulation and pneumatic compression devices intraoperatively and postoperatively

Answer

Early ambulation combined with sequential compression devices (SCDs) is the standard VTE prophylaxis for average-risk patients undergoing cesarean delivery.

Question 3

A resident performs a vaginal delivery without attendingphysician supervision, resulting in a 4th-degree laceration that is misrepaired. Which root cause most represents a systems failure?

Accepted Answer

Absence of a supervision policy and failure of attending availability systems

Answer

Systems failures—such as lack of supervision policies and attending availability failures—are root causes amenable to process improvement in patient safety frameworks.

Question 4

A physician discovers a medication error (incorrect oxytocin dose) after the patient has been discharged without apparent harm. What is the most appropriate next step from a risk management perspective?

Accepted Answer

Complete an incident report, disclose the error to the patient, and conduct a root cause analysis

Answer

Even near-miss medication errors require incident reporting, patient disclosure, and root cause analysis to prevent future harm and fulfill ethical and legal obligations.

Question 5

Which action is most important when managing a patient with abnormal uterine bleeding (AUB) in a clinic setting to mitigate risk of missed endometrial carcinoma?

Accepted Answer

Perform endometrial sampling in women ≥45 years or with risk factors regardless of bleeding pattern

Answer

ACOG guidelines recommend endometrial biopsy in women ≥45 or younger women with risk factors (obesity, chronic anovulation) to exclude endometrial carcinoma.

(ABOG) American Board of Obstetrics & Gynecology Practice Test

(ABOG) American Board of Obstetrics & Gynecology Practice Test

ABOG Risk Management & Mitigation 3