AVAS Session 4

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1. #33. Inception and Design of the TOP Trial; Transfusion Triggers after Operative Interventions in High Cardiac Risk Patients.What is the patient population of the TOP trial?

General Surgery patients

Vascular Surgery patients

Both General and Vascular Surgery patients

ICU patients

About This Quiz

AVAS Session IV, Tuesday, May 9, 2017

2. What first name or nickname would you like us to use?

You may optionally provide this to label your report, leaderboard, or certificate.

2. #36. Age at Diagnosis for Non-Melanoma Skin Cancer Should be Considered a Relative Contraindication for InterventionA 40-year old veteran presents to your office for routine annual skin monitoring. He has no prior skin lesions but has a history of melanoma in his father and a brother. As an office worker he does not have routine occupational skin exposure, but recalls several severe sunburns as a teenager, as well as extensive sun exposure during his military service. Physical examination shows a suspicious skin lesion, 1.4 x 1.8 cm, on the upper back. Excisional biopsy shows a squamous cell carcinoma; margins are negative. The rate of death two years after non melanoma skin cancer excision in the 40 year old is

10%

20%

3. #38. No ostomy left behind: Excellent rates of temporary ostomy reversal over a 5 year period at a tertiary VA hospitalWhich is true about VA ostomy reversal?

Reversal rates compares favorably with published literature

Reversal rates are far lower than published literature

All ostomies can be reversed

All ostomies are created electively

4. #32. Veterans Affairs Hospital: What is the Public seeing on YouTube?News outlets presented YouTube videos that were:

Positive in nature

Negative in nature

Similar bias

Was not calculated in this study

5. #31. Using Surgical Triggers to Develop an Adverse Event Surveillance Model for Outpatient Surgery in the Veterans Health AdministrationA 62yo man undergoes an uncomplicated laparoscopic cholecystectomy and is discharged. Which of the following is NOT associated with an adverse event after outpatient surgery?

Postoperative emergency room (ER) visit within 0-14 days

Postoperative hospitalization within 1-14 days

3+ postoperative visits to a surgery clinic within 30 days

Postoperative triage hotline call within 0-7 days

6. #39. Mortality in patients with isolated rib fractures at trauma versus non-trauma centersAn 80-year old veteran was driving, with his seat belt on, at approximately 25 mph while he was T-boned by a truck. His airbag deployed. Due to extensive vehicle damage the extrication time was approximately 1 hour. There was no loss of conscienceness. Upon on arrival to the trauma bay, he complains of chest pain, worse with inspiration. Trauma primary survey shows chest bruising and fractures of left ribs 6 through 10 without other injuries. There is no pneumothorax. He has a history of atrial fibrillation for which he takes warfarin.What is the overall mortality of isolated rib fractures?

10-20%

20-30%

30-40%

7. #34. On-line Mapping Tool for Tracking Resident Surgical Procedures.Factors determining resident competency include:

Ability to perform all steps of the procedure

Meeting community standard complication rates

Requires significant verbal instruction to complete a procedure

A & B only

8. #40. Planning Post-Discharge Destination for Gastrointestinal Surgery Patients: Room for Improvement?Compared to patients discharged to skilled nursing facilities, 30-day readmissions for individuals discharged to inpatient rehabilitation hospitals is

Higher

Lower

Similar

Can't be determined

9. #35. Stochastic Analysis of Add-on Cases on an Elective Schedule With Dedicated Block TimeThe reason add-ons are a burden on OR schedules is due to their:

Random nature

Urgency

Resource demand

Predictability

10. #37. Utilizing Statistical Process Control (SPC) to Study the Progression of Institutional Situational Awareness Through Self Reporting of Errors___ represents variation that is natural or innate to a process.

Common Cause Variation

Special Cause Variation

Standard Deviation

Standard Error of the Mean

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Avas Session 4