NPSA 2019 1st Session

1. What is the approximate half-life of parathyroid hormone?

30 seconds

1 minute

5 minutes

15 minutes

2. Synoptic operative reports increase the reporting of surgical details:

For surgeons doing 1-10 cases per year

For surgeons doing fewer than 50 cases per year

For surgeons doing more than 50 cases per year

For all surgeons

3. A 50 year old female has a lumpectomy and sentinel node biopsy perfomed. Her pathology shows 20 mm of grade 2 DCIS with a 0.5 mm margin anteriorly. When she is seen for assessment for radiation the radiation oncologist will want to know

Whether pectoralis fascia removed

Blood loss during procedure

Type of suture closure

Whether any anterior breast tissue remains

4. Among patients referred for sentinel node biopsy for clinically node negative melanoma, which of the folowing factors does NOT increase with increasing patient age:

Mean tumor thickness

Tumor ulceration rates

Sentinel node positivity rates

Tumor relapse rates

5. In patients receiving neoadjuvant chemotherapy for node positive breast cancer, what number of harvested sentinel lymph nodes is associated with acceptably low false negative rates (<10%)?

1

2

3

4

6. Recent research suggests which of the following is not predictive of phyllodes local recurrence

Margin status

Margin width

Tumour border type (eg. pushing, intermediate, invasive)

Tumour size

7. Which of the following patients would be included in this study? Prediction of the Need for Lymphadenectomy in Melanoma Patients: A Retrospective Study

A 45 year old man who underwent a therapeutic lymph node dissection years after a negative SLNB

A 65 year old man who had a positive SLNB, and underwent a therapeutic lymph node dissection 9 months later

A 30 year old woman who had a positive SLNB, and negative CLND 3 months later.

A 85 year old woman with a melanoma of breslow thickness of >10mm, but elected to not undergo a SLNB.

8. What is the most significant predictor of postoperative wound complications following neoadjuvant chemotherapy for breast cancer?

Patient race

Patient age

Time from last dose of chemotherapy

Extent of breast and axilla-directed surgery

Npsa 2019 1st Session