Scientific Session #1: Oncologic/Transplant & Other - April 28th, 2017 2:00 PM
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- 1.
NEIGHBORHOOD POVERTY IS ASSOCIATED WITH MORE PRONOUNCED RACIAL-ETHNIC DISPARITIES IN ACCESS TO LIVE DONOR KIDNEY TRANSPLANTATION IN THE USWhich racial-ethnic group has the lowest rates of live donor kidney transplantation (LDKT) in the US?
- A.
White/Caucasian
- B.
Black/African American
- C.
Native American
- D.
Asian
Correct Answer
B. Black/African American -
- 2.
RACIAL DISPARITIES IN LUNG TRANSPLANTATION IN PATIENTS WITH CYSTIC FIBROSISBased on this study, what is the most common cause of early death in this African American Cystic Fibrosis lung transplant recipient population?
- A.
Myocardial Infarction
- B.
Sepsis and chronic rejection
- C.
Malignancy
- D.
Pulmonary embolism
- E.
Bronchial anastomotic dehiscence
Correct Answer
B. Sepsis and chronic rejection -
- 3.
PATTERNS OF CARE AND TRENDS IN POSTOPERATIVE OUTCOMES AMONG PATIENTS RECEIVING HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY (HIPEC)Patients presenting with peritoneal carcinomatosis from gastrointestinal cancers have traditionally been viewed as unsuitable candidates for surgical intervention. Additionally, limited data exist that evaluate the safety of cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (HIPEC-CRS); existing reports from single-center experiences suggest high mortality and morbidity associated with this procedure. How have patterns of care and postoperative clinical outcomes varied with time following HIPEC-CRS?
- A.
The number of HIPEC-CRS procedures performed as well as postoperative outcomes have remained consistent over timewith no improvement in postoperative outcomes.
- B.
Significant improvements in operative time, 30-day postoperative morbidity, length-of-stay and 30-day readmission have been observed over time following HIPEC-CRS.
- C.
While the number of HIPEC-CRS has increased over time, postoperative clinical outcomes have worsened over time.
- D.
The number of HIPEC-CRS procedures performed has decreased over time while postoperative clinical outcomes have remained consistent with no significant improvements.
Correct Answer
B. Significant improvements in operative time, 30-day postoperative morbidity, length-of-stay and 30-day readmission have been observed over time following HIPEC-CRS. -
- 4.
APPENDICEAL ADENOCARCINOMA AND NEUROENDOCRINE TUMORS: A COMPARATIVE ANALYSIS OF SURVIVAL PROFILE AND ITS PREDICTORS Which of the following appendiceal tumors has the worst survival outcome?
- A.
Neuroendocrine carcinoma
- B.
Adenocarcinoma
- C.
Carcinoid tumor
- D.
Goblet cell tumor
Correct Answer
B. Adenocarcinoma -
- 5.
THE EFFECT OF REGIONAL DIAGNOSTIC RATES ON THE TREATMENT AND OUTCOMES OF PATIENTS WITH INVASIVE DUCTAL CARCINOMA OF THE BREASTWhen comparing regions where invasive ductal carcinoma of the breast is diagnosed most often to regions where invasive ductal carcinoma of the breast is diagnosed least often, when are patient outcomes better?
- A.
Better in regions with the highest diagnostic rates
- B.
Better in regions with the lowest diagnostic rates
- C.
Better in regions with the lowest diagnostic rates
- D.
Poor in both regions
- E.
Adequate in both regions
Correct Answer
A. Better in regions with the highest diagnostic rates -
- 6.
ELDERLY AFRICAN AMERICANS HAVE SUPERIOR PATIENT SURVIVAL COMPARED TO WHITES WITH EQUIVALENT GRAFT SURVIVAL: A 10 YEAR REVIEW OF THE UNOS DATABASE What is the outcome of elderly African Americans with transplants?
- A.
Worse outcome
- B.
Same as Caucasian
- C.
Equivalent to Caucasian
- D.
Unknown
- E.
Superior
Correct Answer
E. Superior -
- 7.
EVALUATING IN-HOSPITAL EVENTS AND LENGTH OF STAY IN ESOPHAGEAL CANCER PATIENTS UNDERGOING ESOPHAGOGASTRECTOMY BY PATHOLOGICAL TUMOR AND NODAL STAGE Amongst the STS study population, OSUMC, tumor stage and nodal disease appeared to have:
- A.
Mixed results in patients undergoing esophagogastrectomy for cancer.
- B.
No impact on IHE and LOS in patients undergoing esophagogastrectomy for cancer.
- C.
An impact on IHE but not LOS in patients undergoing esophagogastrectomy for cancer.
- D.
An impact on LOS, but not IHE in patients undergoing esophagogastrectomy for cancer.
- E.
An impact on IHE and LOS in patients undergoing esophagogastrectomy for cancer.
Correct Answer
E. An impact on IHE and LOS in patients undergoing esophagogastrectomy for cancer. -
- 8.
EVALUATING IN-HOSPITAL EVENTS AND LENGTH OF STAY IN LUNG CANCER PATIENTS STAGE-BY STAGEIn lung cancer patients:
- A.
The presence of nodal disease is associated with IHEs and prolonged LOS.
- B.
The presence of nodal disease is associated with IHEs, but not prolonged LOS.
- C.
There was no association of lung cancer, IHE's and prolonged length of stay.
- D.
The results regarding IHEs and prolonged LOS were inconclusive.
- E.
The presence of nodal disease is associated with prolonged LOS, and not IHE's.
Correct Answer
B. The presence of nodal disease is associated with IHEs, but not prolonged LOS. -
- 9.
IS ADJUVANT THERAPY NECESSARY IN PATIENTS WITH LOCALIZED PANCREATIC CANCER TREATED WITH NEOADJUVANT THERAPY?Among patients with pancreatic cancer who have received neoadjuvant therapy and surgery, additional systemic therapy in the adjuvant setting provides the greatest benefit to which subset of patients?
- A.
Patients with a normal postoperative CA19-9 level.
- B.
Patients with an elevated postoperative CA19-9 level.
- C.
The delivery of adjuvant therapy provides no survival benefit to patients with PC after the receipt of neoadjuvant therapy, regardless of postoperative CA19-9 level.
- D.
Systemic therapy has no role in the management of localized pancreatic cancer.
Correct Answer
B. Patients with an elevated postoperative CA19-9 level. -
- 10.
THE ROLE OF RACE AND SOCIOECONOMIC STATUS ON KIDNEY TRANSPLANT OUTCOMES IN BLACK PATIENTSIncreased SES, as demonstrated by a social adaptability index score >=9, has been associated with which of the following among Black KTX recipients:
- A.
Increased deceased donor kidney transplantation rates
- B.
Increased graft survival
- C.
Increased overall survival
- D.
Increased wait time
Correct Answer
B. Increased graft survival -
- 11.
INCREASED VOLUME AND IMPROVED OUTCOMES USING A SPECIALIZED THORACIC ADAPTED RECOVERY (STAR) MODEL FOR HEART TRANSPLANTATIONAccording to the presented study, recovery data obtained from regional Specialized Thoracic Adapted Recovery (STAR) teams demonstrates the greatest benefit of the STAR model is:
- A.
Decreased volume of transplant cases
- B.
Improved outcomes for transplant cases
- C.
Increased volume of transplant cases for centers that use the STAR model
- D.
An increased marginal cost of transplant cases
Correct Answer
C. Increased volume of transplant cases for centers that use the STAR model -
- 12.
THE HIDDEN RISKS OF THYROID SURGERY: POSTOPERATIVE COMPLICATIONS, INPATIENT ADMISSIONS AND EMERGENCY ROOM VISITSThe results of this study suggest that surgeons should plan follow-up within how many days post-op to potentially reduce ED visits?
- A.
1-3 days
- B.
Within the first 7 days
- C.
Within the first 14 days
- D.
Within the first 30 days
Correct Answer
B. Within the first 7 days -
- 13.
THE STATUS OF GENDER AND RACE-BASED DISPARITIES IN BURN MORTALITY: A SINGLE INSTITUTION STUDY FROM 2004 - 2013What factors affect mortality after burn injury?
- A.
Size of burn only
- B.
Inhalation injury only
- C.
Race only
- D.
Gender only
- E.
A, B and D
Correct Answer
E. A, B and D -
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