AVAS 2019 Session II

1. What is the most common diagnoses associated with extremely high risk surgery in the NSQIP database?

Cholecystitis

Appendicitis

Mesenteric Ischemia

Diverticulitis

2. A 55 yo man presents for elective colectomy after recurrent episodes of diverticulitis. In such patients, which type of bowel preparation is associated with the greatest reduction in the risk of postoperative surgical site infection?

NBP

ABP alone

MBP alone

MBP+ABP

3. Target vessel size and quality impact which short-term outcome?

Mortality

Prolonged ventilation

Bleeding

Acute kidney injury

4. A 42yo woman presents with a history of diagnostic work-up consistent with primary hyperparathyroidism. Which VA facilities have a higher likelihood of performing parathyroidectomy for primary hyperparathyroidism in this patient?

There is no significant difference in parathyroidectomy utilization between all VA facilities

Facilities located in the Midwest

Highest complexity VA facilities

Facilities checking less frequently parathyroid hormone levels for hypercalcemia

5. What variable does NOT influence operating room performance?

Surgical Delays

Surgical Start Time

Case Complexity

Anchored Case Score

6. How does treatment of pancreatic ductal adenocarcinoma differ between patients of Caucasian and African ancestries?

Stage for stage of disease, African Americans receive delayed treatment.

Caucasians are treated more often at academic cancer centers.

African Americans are treated less frequently with surgical resection at resectable disease stages.

Stage for stage of disease, Caucasians receive are treated less frequently with chemoradiation.

7. Following an adrenalectomy for a 59 year old male, what are 3 risk factors associated with readmission to a different hospital?

Index admission to a nonprofit hospital, private hospital, and discharge to a skilled nursing facility

Index admission to a for profit hospital, private hospital, and discharge to a skilled nursing facility

Index admission to a for profit hospital, small hospital and public hospital

Index admission to a for profit hospital, large hospital and public hospital

8. In the setting of adult traumatic brain injuries, concomitant fibrinolytic shutdown

Was independently associated with increased mortality in adults

Does not occur

Was protective against mortality in adults

Did not have an effect on mortality in adults

Avas 2019 Session II