Wacs 2017 Session 2
WA/OR ACS Session II - Friday, June 16, 2017
- 1.
50 Pheos – An Evolving Approach to Preoperative Alpha Blockate Over 15 yearsA 62-year-old male with severe hypertension is diagnosed with a pheochromocytoma.Benefits of phenoxybenzamine over prazosin for preoperative alpha blockade include:
- A.
Less frequent dosing
- B.
Less expensive
- C.
More readily available in pharmacies
- D.
Less postoperative hypotension
Correct Answer
A. Less frequent dosing -
- 2.
Lessons Learned: How to Foster Meaningful Mentor Relationships through a Structured Mentorship Program in General Surgery ResidencyWhat was NOT identified as an opportunity for improving the mentorship program?
- A.
Expanding mentors to alumni or community surgeons
- B.
Improving mentor-mentee pairing
- C.
Providing meeting guidelines
- D.
Making the program voluntary
Correct Answer
D. Making the program voluntary -
- 3.
Paraesophageal Hernia Repair with Synthetic Mesh: A Single Institutional ExperienceRetrospective, institutional data from OHSU regarding the use of current-generation synthetic mesh in hiatal hernia repair revealed:
- A.
High rates of recurrence and erosion
- B.
High rates of recurrence, low rates of erosion
- C.
Low rates of recurrence and erosion
- D.
Low rates of recurrence, high rates of erosion
Correct Answer
C. Low rates of recurrence and erosion -
- 4.
Outcomes following Acute vs. Elective Paraesophageal Hernia Repair: Emergency surgery is only selectively required in patients with acute presentationA 80-year old woman presents to the emergency department with acute symptomatic paraesophageal hernia Type IV. After the insertion of a nasogastric tube and administration of non-opioid analgesics, she is symptom free. What should be the next steps?
- A.
Hospital admission and emergent surgical repair within 48 hours.
- B.
Hospital admission overnight, pureed diet and completion of workup for a semi-elective surgical repair as an outpatient.
- C.
Discharge from the emergency department and follow-up as an outpatient in the department of thoracic surgery.
- D.
Discharge from the emergency department and follow-up with primary care physician.
Correct Answer
B. Hospital admission overnight, pureed diet and completion of workup for a semi-elective surgical repair as an outpatient. -
- 5.
Gastric Ischemic Preconditioning Prior to Esophagectomy is Associated with Decreased Strictures and Overall ComplicationsWhich is NOT and indication for ischemic preconditioning?
- A.
Tobacco Use
- B.
Diabetes
- C.
Elevated BMI
- D.
Preoperative feeding tube
Correct Answer
C. Elevated BMI -
- 6.
Reducing Surgical Complications May Decelerate Rising Esophagectomy CostsAll of the following are major predictors of increased esophagectomy cost except?
- A.
Peri-operative Complications
- B.
Hispanic Race
- C.
Private Health Insurance
- D.
Western US Census Region
Correct Answer
C. Private Health Insurance -
- 7.
Human Derived Amniotic Membrane is Associated with Decreased Post-operative Intraperitoneal Adhesions in a Rat ModelA 52 yo M undergoes a right hemicolectomy for CRC. He was found to have a single liver metastasis that is thought to be amendable to resection at a second operation. Based on this study what product could be used to prevent the number of adhesions.
- A.
Human amniotic membrane
- B.
Saline
- C.
Surgical technique
- D.
Talc
Correct Answer
A. Human amniotic membrane -
- 8.
Rethinking the Healthcare Burden of DiverticulitisAverage monthly disease-related healthcare costs per patient with diverticulitis in this study were:
- A.
$7
- B.
$991
- C.
$42
- D.
$316
Correct Answer
B. $991 -
- 9.
DECEASED ORGAN DONOR FACTORS INFLUENCING PANCREATIC GRAFT TRANSPLANTATION AND SURVIVALUsing this study as evidence, which of the following would not predict pancreatic graft survival in an organ recipient?
- A.
Insulin use during donor management
- B.
Meeting DMG Bundle prior to recovery
- C.
Donor vasopresssor use
- D.
Donor BMI
Correct Answer
B. Meeting DMG Bundle prior to recovery -
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