NPSA 2018 1st Session

1. Based on this study, factors that influenced level of guidance in the operating room for general surgery residents include all of the following EXCEPT:

PGY level

Case difficulty

FLS task performance

Operative knowledge

2. Which is true of augmented reality surgery?

It is the standard of care for endovascular procedures

It presents unique opportunities for intraoperative teaching

It requires all users to wear special 3D goggles

It can only be used in the simulation lab

3. A chief resident performs an appendectomy with a junior resident, under the teaching assistant role. The attending surgeon is not present in the operative room. Which of the following operative parameters will likely be different due to the TA role?

Operative Time

Estimate Blood Loss

Patient Length of Stay

Complication Rate

4. Which of the following factors were not associated with increased superficial surgical site infection?

BMI

Wound classification

Diabetes

Length of operative time

5. You are taking care of a patient with perforated diverticulitis. Documenting a patient's active co-morbidities may effect which of the following EXCEPT?

The patient's observed to expected mortality ratio

The patient's expected length of stay

The amount you are paid for performing a sigmoid colectomy

How much the hospital is paid for the admission

6. Anorectal abscess recurrence and fistula formation rates are up to _____ at 12 months

10%

20%

40%

70%

7. Inpatient billing on a medicare patient undergoing surgery is based on

The procedure performed

The main admitting diagnosis

The patient's age

Their length of stay

8. You are taking a patient with acute cholecystitis to the OR for a laparoscopic cholecystectomy. Barriers to increasing autonomy for residents in the operating room include all of the following EXCEPT:

Increased simulation activities

Productivity goals

More regulations regarding resident supervision

Resident preparedness

Npsa 2018 1st Session