Npsa 2018 2nd Session
2018 NPSA SELF-ASSESSMENT Test for Friday, Second Session
INSTRUCTIONS:
Please choose the correct answer below. YOU MUST RECEIVE A PASSING SCORE OF 75% OR MORE TO RECEIVE SELF-ASSESSMENT CREDIT FOR THIS SESSION. You may retake the test as many times as you need to achieve the passing score.
- 1.
A 69 year old woman with non-metastatic carcinoid tumor of the terminal ileum is undergoing a right hemicolectomy for definitive treatment of her carcinoid and becomes hypotensive intraoperatively. Which pressor is the most appropriate first choice?
- A.
Epinephrine
- B.
Ephedrine
- C.
Dobutamine
- D.
Phenylephrine
Correct Answer
D. Phenylephrine -
- 2.
A patient with carcinoid tumor becomes hypotensive intraoperatively but does not respond to fluids, phenylephrine, or vasopressin. Which of the following is an appropriate next step?
- A.
Ignore the hypotension- it should resolve without intervention
- B.
Administer a beta-adrenergic agonist
- C.
Give 2 units of packed red blood cells, as the hypotension must be secondary to blood loss
- D.
Keep administering phenylephrine until there is a response
Correct Answer
B. Administer a beta-adrenergic agonist -
- 3.
A 60 year old patient presents with a left sided pheochromocytoma. They would like to know if their tumor can be removed laparoscopically. They have no prior history of abdominal surgery. What percent of patients are able to undergo a laparoscopic adrenal
- A.
60%
- B.
70%
- C.
90%
- D.
100%
Correct Answer
C. 90% -
- 4.
A patient has a CT demonstrating mid-jejunal mass consistent with small bowel adenocarcinoma and peritoneal nodules concerning for peritoneal carcinomatosis. What is the median overall survival (OS) you would quote when discussing CRS/HIPEC for treatment?
- A.
Median OS less than 10 months
- B.
Median OS between 10-20 months
- C.
Median OS between 20-30 months
- D.
Median OS beyond 30 months
Correct Answer
C. Median OS between 20-30 months -
- 5.
Changes in coagulation, as a result of cytoreductive surgery and heated intraperitoneal chemotherapy is most pronounced:
- A.
Immediately post cytoreduction
- B.
Immediately after HIPEC
- C.
Day 1-3 inclusive
- D.
Day 3-7 inclusive
Correct Answer
C. Day 1-3 inclusive -
- 6.
Which sociodemographic variable was reported less than 50% of the time in prospective research studies examined?
- A.
Age
- B.
Education Level
- C.
Sex
- D.
Race
Correct Answer
B. Education Level -
- 7.
What factors are associated with intrahepatic recurrence post surgical resection in patients with solitary hepatocellular carcinoma?
- A.
Higher AFP
- B.
Lower AFP
- C.
Higher Prognostic Nutritional Index
- D.
Larger Tumor Size
Correct Answer
A. Higher AFP -
- 8.
A patient undergoes sentinel node biopsy of an axillary node for melanoma and presents on their post op visit with a slightly tender 5 cm swelling under the incision without bruising/cellulitis. US.shows smooth fluid collection. The most likely dx is:
- A.
Seroma
- B.
Hematoma
- C.
Abscess
- D.
Lympocele
Correct Answer
D. Lympocele -
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Nov 02, 2018Quiz Edited by
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