Nwscrs 2016 Thursday

Optimal Closure of the Perineal WoundWhich perineal closure has the most favorable short term and long term complication rate?

• Primary closure

• VRAM flap

• Gracilis Flap

• VAC dressing

Role of Estrogen Therapy in Treating Estrogen Receptor positive Colon Cancer: Study in an Orthotopic Murine ModelThe following hormones are known to have an effect on colorectal cancer tumor growth

• Estrogen

• Progesterone

• Insulin-Like Growth Factor

• Thyroxine

CPG Questions Which of the following is the primary purpose of a Clinical Practice Guideline?

• An algorithmic approach to surgery

• Guidance in all circumstances for patients

• A legal resource

• Improving specific health care outcomes

TAMIS Repair of Rectovaginal FistulaFlap characteristics that may improve post-operative healing of a rectovaginal fistula include all of the following EXCEPT:

• Thickness of flap tissue

• Avoiding tension of tissue used for flap

• Use of a narrow based flap

• Blood supply to the flap

CPG Questions Which of the following will downgrade the quality of evidence from a randomized controlled trial?

• Dose response

• High risk of bias

• Large treatment effect

• Presence of plausible cofounders

Management of Metastatic Rectal CancerOptimal timing of rectal resection after short course radiation therapy is:

• 1-2 weeks following treatment

• 4-6 weeks following treatment

• 8-10 weeks following treatment

• >12 weeks following treatment

Short and Long term outcomes after BioLiftWhat was the most common type of fistula-in-ano in our review?

• Suprasphincteric

• Intersphincteric

• Transsphincteric

• Anovaginal

Prognosis of Small Bowel Adenocarcinoma in Crohn’s Disease Patients Compares Favorably to De Novo Small Bowel AdenocarcinomaWhen should you intervene surgically for obstructing symptoms in Crohn’s patients, which is often the presentation for Crohn’s-associated SBA?

• Immediately, prior to medical treatment

• Failure to improve and/or persistent symptoms after short-term high dose steroids

• Single stricture disease

• During acute inflammatory phase

Is there a role for local excision in patients with large neuroendocrine tumors of the rectum or anus? Results from the National Cancer Database65 year old man presents with a 2-cm rectal mass. Work up is concerning for involvement of surrounding organs and regional nodes. Biopsy reveals high grade rectal neuroendocrine tumor. Which is most strongly associated with a decreased survival?

• Age of the patient

• Local invasion to surrounding structures

• High tumor grade

• Metastasis to regional nodes

20 Years' Experience in a VA SCI Colorectal ClinicA patient C4-5 ASIA A (complete) SCI has bleeding with bowel care and bothersome anal tags, and he displays a full rosette of both internal and external hemorrhoids on exam.  Which of the following is the recommended goal for a ligation procedure?

• One internal hemorrhoid at a time

• Up to 3 internal hemorrhoids at a time

• As many internal hemorrhoids as may be symptomatic

• As many internal and external components as may be symptomatic

Robotic vs. Laparoscopic vs. Open rectopexy: What is the right choice?Which of the following is true about rectal prolapse?

• Can be difficult to differentiate from internal hemorrhoids

• Always treated surgically

• Can only be treated by abdominal approach

• Can only be treated ny perineal approach

CPG Questions Which of the following is the primary difference between a systematic review and a meta analysis?

• Assess risk of bias

• Estimate of effect

• Formulate a question using PICO

• Summary of the evidence

Please choose the correct answer below. YOU MUST RECEIVE A PASSING SCORE OF 75% OR MORE TO RECEIVE SELF-ASSESSMENT CREDITS FOR THIS SESSION. You may retake the test as many times as you need to achieve the passing score.