Npsa 2018 3rd Session
2018 NPSA SELF-ASSESSMENT Test for Saturday, 3rd 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 46 year old woman presents with a digital breast mammography finding of architectural distortion which does not correspond to a lesion on ultrasound. What is an appropriate next step in management?
- A.
Ultrasound-guided biopsy
- B.
Repeat mammogram in one year
- C.
Mastectomy
- D.
Digital breast tomosynthesis-guided biopsy
Correct Answer
D. Digital breast tomosynthesis-guided biopsy -
- 2.
According to the SSO-ASTRO invasive margins guidelines, what would be the suggested management for a woman with a 3 cm, intermediate grade, unifocal breast cancer with close but negative margins following lumpectomy?
- A.
Re-excise margins
- B.
Proceed to mastectomy
- C.
Proceed to adjuvant radiation
- D.
Monitor on imaging for 6 months before proceeding
Correct Answer
C. Proceed to adjuvant radiation -
- 3.
What is the approximate rate of pathologic upgrading of atypical ductal hyperplasia found on core needle biopsy to ductal carcinoma in situ or invasive ductal carcinoma?
- A.
5%
- B.
15%
- C.
30%
- D.
45%
Correct Answer
B. 15% -
- 4.
A 65 year old female is found to have atypical ductal hyperplasia in 5 of 5 cores after biopsy of a palpable breast mass, with residual microcalcifications post-biopsy. Which of the following is the strongest risk factor for occult underlying malignancy?
- A.
Presence of microcalcifications post-biopsy
- B.
Patient age
- C.
Presence of atypical ductal hyperplasia on biopsy
- D.
High proportion of biopsy cores positive for atypical ductal hyperplasia
Correct Answer
C. Presence of atypical ductal hyperplasia on biopsy -
- 5.
Which of the following factors was the strongest predictor of complications after open AAA surgery?
- A.
Postoperative hypotension
- B.
Postoperative hypothermia
- C.
Postoperative hypoglycemia
- D.
Postoperative bradycardia
Correct Answer
B. Postoperative hypothermia -
- 6.
A 66 year old man undergoes elective AAA repair with suprarenal clamp. Intraoperatively he is noted to be hypotensive and hypothermic. His operative time is 5 hours. Which factor is the strongest predictor of postoperative mortality?
- A.
Age
- B.
Operative time
- C.
Intraoperative hypotension
- D.
Intraoperative hypothermia
Correct Answer
C. Intraoperative hypotension -
- 7.
With regards to patient reported outcomes, which of the following surgical options are least optimal, according to the current literature and preliminary results from this study?
- A.
Breast Conserving Therapy (BCT)
- B.
Mastectomy
- C.
Mastectomy with Reconstruction (autologous)
- D.
Mastectomy with Reconstruction (implant)
Correct Answer
B. Mastectomy -
- 8.
In this study of an equal-access, no cost healthcare system, what was the overall compliance with screening breast MRI among women with a ≥20% risk of developing breast cancer?
- A.
12%
- B.
24%
- C.
48%
- D.
72%
Correct Answer
B. 24% -
Quiz Review Timeline +
Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.
-
Current Version
-
Nov 02, 2018Quiz Edited by
ProProfs Editorial Team -
Oct 25, 2018Quiz Created by
Back to top