NWSCRS 2019 Thursday

1. What is the most common cause of readmission following ileostomy recreation?

Poor stoma care

Dehydration and AKI

50%

UTI

2. The most common side effect of hyoscyamine is?

Diarrhea

Dry mouth

S3

Flushing

3. Which of the following techniques may improve polyp detection rate during colonoscopy?

Standard insufflation

Water exchange

Nitrogen gas

No sedation use4

4. What metric was found to be significantly decreased in the robotic group compared to laparoscopic group?

Operative Time

Length of Stay

Leaks

OR Take Backs

5. What percentage of surgical patients receive narcotics during hospitalization?

30%

50%

3-10%

97%

6. Which of the following is not used to calculate value?

Cost

Quality

Safety

Outcomes

7. In regards to treatment of anal fissures, it has been suggested that there is a trend moving away from which treatment?

Nifedipine or nitroglycerin cream

Chemodenervation of the internal anal sphincter using botulinum toxin A

Advancement flap

Lateral internal sphincterotomy

8. In the literature, compared to laparoscopic TME, transanal TME offers which of the following:

Shorter operative times

Lower rate of operative splenic flexure mobilization

85%-95%

Increased rates of readmission

9. Within your practice, you notice a problem that is an opportunity for quality improvement. You devise a possible solution to this problem, but are unsure of how to implement it. Which of the following is a QI acronym that might guide this process?

PDSA

APHA

Dehydration

QIND

10. With respect to colon surgery, a high volume surgeon is designated as one who does how many colectomies per year?

7-11

11-20

>20

>30

Nwscrs 2019 Thursday