NWSCRS 2016 Friday

1. Avoiding emergent surgery: phenol sclerotherapy for acute inpatient hemorrhoidal bleedingWhat is the substance used for sclerotherapy for hemorrhoids?

Ethanol

Phenol with vegetable oil

Olive oil

Phenol

2. Keep your Colon & Rectal Surgeon Happy: Tattooing of Colonic LesionsA 55 year old male presents with rectal bleeding and has a colonoscopy. A mid rectal mass is seen and highly suspicious for a rectal cancer. The lesion is biopsied and the lesion should be tattooed:

Above or proximal to the rectal lesion

At the inferior margin of the tumor

At the dentate line

It is not necessary to tattoo the rectal mass

3. Let's do it safe and efficient. Nurse-Administered Propofol Sedation for outpatient colonoscopy.The American College of Gastroenterology, American Gastroenterology Association and American Society for Gastrointestinal Endoscopy concluded that administration of Propofol versus standard sedation with benzodiazepines and opioids

Is more effective

Is not safe to use in elderly population

Is similar in efficacy and safety

Is good only for celebrities

4. Fecal Microbiota Tranplant in the Treatment of Clostridium difficile ColitisBased on OHSU's inclusion criteria, which patient with recurrent C difficile colitis would NOT be a good candidate for FMT?

48 yo female with HIV on antiretroviral therapy, CD4 count of 400

14 yo male with ulcerative colitis on azathioprine maintenance therapy

65 yo male with h/o liver transplantation 1 year ago

29 yo pregnant female at 34 weeks gestation

5. What new technologies or tools are driving microbiome research?

Optofluidics, 16S sequencing; bioinformatics

16S sequencing; genomic sequencing; bioinformatics

Bioreactors; 16S sequencing ; genomic sequencing

Bioinformatics; 16S sequencing; bioreactors

6. Endoscopy through Colostomy: a Population-based studyWhat is the current quality assurance goal for percentage of "adequate" (adequate = excellent or good) bowel preparations for outpatient colonoscopies?

75%

80%

85%

90%

7. The gut microbiota provides all of the following vital functions except

Conversion of indigestible food components

Production of essential co-factors and vitamins

Controls of the immune system

Metabolism of medications

8. GUT MICROBIOME: A NEW VIEW OF AN OLD ORGANWhich of the following is true regarding the number human genomes and the number of human microbial genomes?

Human-1 genome; Human microbiome-20 genomes

Human-1 genome; Human microbiome-100 genomes

Human-2 genomes; Human microbiome-20 genomes

Human-2 genomes; Human microbiome-100 genomes

9. The Borne Again Nichols Bowel PrepAccording to recent reports, the best preop bowel prep is (The prep with the least chance of surgical site infection):

None

Mechanical Bowel Prep only

Mechanical Bowel Prep and oral antibiotics

Mechanical Bowel Prep, Oral and parenteral antibiotics

Nwscrs 2016 Friday