Scientific Session #2: Poster Presentations- April 28th, 2017 3:45 PM
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- 1.
THE IMPACT OF A NEW SURGICAL RESIDENCY ON THE OPERATIVE TIMES OF ESTABLISHED COMMUNITY SURGEONSSurgeon's operative times:
- A.
Are static
- B.
Fluctuate wildly
- C.
Are impacted by the presence of a General Surgery program
- D.
Are minimally impacted by the presence of a General Surgery program
- E.
None of the above
Correct Answer
C. Are impacted by the presence of a General Surgery program -
- 2.
GENERAL SURGERY RESIDENTS’ PERSPECTIVES ON PREOPERATIVE INTERACTIONS WITH ATTENDINGS: THE NECESSITY OF THE “SURGICAL FLIGHT PLAN”In general, residents prior to surgery do not discuss the following with their attendings:
- A.
Indications
- B.
Operative plans
- C.
Potential difficulties
- D.
Personal learning goals
- E.
Patient management
Correct Answer
D. Personal learning goals -
- 3.
PERCEPTIONS OF MAINTENANCE OF CERTIFICATION (MOC) OF PHYSICIAN LEADERS IN MULTIPLE SPECIALTIESWhich part of the MOC requirements focuses on quality improvement projects, but respondents felt did not always provide useful information on improving patient outcomes?
- A.
Part 1
- B.
Part 2
- C.
Part 3
- D.
Part 4
Correct Answer
D. Part 4 -
- 4.
RISK FOR DEVELOPMENT OF ACUTE INVASIVE FUNGAL SINUSITIS: A CASE-CONTROL STUDYNo significant mortality or morbidity differences between ARP and GPR were found at:The study points out several risk factors for the development of Acute Invasive Fungal Sinusitis (AIFS) to be considered in the screening and prophylactic treatment of immunocompromised patients. Which of the following suggests the most aggressive surveillance or treatment plan for immunocompromised patients?
- A.
A history of other fungal infections (ie sinusitis).
- B.
A higher number of bacterial cultures.
- C.
A longer hospitalization stay.
- D.
An increased number of severe neutropenia days, with an increased recovery time for neutropenia counts.
Correct Answer
D. An increased number of severe neutropenia days, with an increased recovery time for neutropenia counts. -
- 5.
ROBOTIC-ASSISTED VERSUS LAPAROSCOPIC & OPEN VENTRAL HERNIA REPAIR; OUTCOMES COMPARISON BASED ON NATIONAL INPATIENT SAMPLE (NIS) DATABASERobotic ventral hernia repair in comparison with laparoscopic and open ventral hernia repair may be associated with ___________postoperative complication?
- A.
Higher
- B.
Lower
- C.
Eaqual
- D.
Not applicable
Correct Answer
B. Lower -
- 6.
A PRODUCTIVITY MODEL TO ASSESS ADVANCED PRACTITIONER UTILIZATION IN THE NEW ERA OF ACGME REQUIREMENTS - THE ONGOING CHALLENGEProductivity measures of Advanced Practitioners can be used to do what?
- A.
Qualitatively assess if more Advanced Practitioners are needed
- B.
Quantitatively assess efficiency of current Practitioner resources
- C.
Justify the need for additional Advanced Practitioners with no additional resources
- D.
Assess cost of adding additional Advanced Practitioners vs. work done
Correct Answer
B. Quantitatively assess efficiency of current Practitioner resources -
- 7.
LUNG TRANSPLANTATION IN AFRICAN AMERICANS WITH CYSTIC FIBROSIS: UNDERSTANDING RARITIES AMONGST THE RAREBased 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 anastomic dehiscence
Correct Answer
B. Sepsis and chronic rejection -
- 8.
COMMUNITY EDUCATION, MEDIA AND MOTIVATIONAL INTERVIEWING: A NEW APPROACH TO COLONOSCOPY SCREENING AMONG AFRICAN-AMERICANS IN BALTIMORE, MDA 58 year-old African America male presents to your clinic after referral for colonoscopy. He is unsure of whether or not he wants to pursue and complete his colonoscopy. Which of the following may be helpful in discussing specificbarriers for this patient?
- A.
Educational pamphlets
- B.
Video messages
- C.
Motivational interviewing
- D.
All of the above
Correct Answer
D. All of the above -
- 9.
“DOCTOR FOR A DAY” PIPELINE PROGRAM AS A MODEL TO ATTRACT DISADVANTAGED MINORITY STUDENTS TO HEALTH PROFESSIONS AND SURGERY SPECIALTIESWhat percentage of African American physicians comprise the U.S. physician workforce?
- A.
12.5%
- B.
10 %
- C.
7.5%
- D.
4%
- E.
2%
Correct Answer
D. 4% -
- 10.
SOCIOECONOMIC BARRIERS TO PEDIATRIC OBESITY TREATMENTWhen assessing perception of obesity-related behaviors we can expect to find discrepancies between adolescents and their caretakers in which of the following aspects:
- A.
Correlation of food intake with mental health issues
- B.
Screen time (use of TV, phone, tablet, computer)
- C.
Eating in front of the TV
- D.
Alcohol use
Correct Answer
A. Correlation of food intake with mental health issues -
- 11.
CREATING A LOW PROFILE ANCHOR TO ELIMINATE HIGH PROFILE SUTURE KNOTSWhat characteristics of the designed suture anchor were demonstrated as superior to a large suture knot?
- A.
Higher profile, increased monotonic failure load, decreased cyclic failure load
- B.
Lower profile, decreased monotonic failure load, decreased cyclic failure load
- C.
Lower profile, increased monotonic failure load, decreased cyclic failure load
- D.
Lower profile, increased monotonic failure load, increased cyclic failure load
Correct Answer
D. Lower profile, increased monotonic failure load, increased cyclic failure load -
- 12.
IMPLICATIONS OF TRAUMATIC BRAIN INJURY AND ALTERATIONS IN COAGULATION AND INFLAMMATION ON SECONDARY ORGAN INJURY AND CAUSE OF DEATH IN TRAUMA PATIENTSAlterations in systemic coagulation and inflammation may result in:
- A.
Higher incidence of secondary organ injury in patients with trauma associated with traumatic brain injury in comparison to patients with trauma without associated traumatic brain injury.
- B.
Higher incidence of secondary organ injury in patients with trauma without associated traumatic brain injury in comparison to patients with trauma with associated traumatic brain injury.
- C.
Decreased rate of deep vein thrombosis in trauma patients without associated traumatic brain injury in comparison to patients with trauma with associated traumatic brain injury.
- D.
Increased rates of renal failure in patients with trauma associated with traumatic brain injury in comparison to patients with trauma without associated traumatic brain injury.
- E.
Minimal differences in rates of pneumonia, renal failure, and sepsis when comparing patients with trauma associated with traumatic brain injury in to patients with trauma without associated traumatic brain injury.
Correct Answer
B. Higher incidence of secondary organ injury in patients with trauma without associated traumatic brain injury in comparison to patients with trauma with associated traumatic brain injury. -
- 13.
ICU LIBERATION: IMPLEMENTING THE ABCDEF BUNDLE IN THE SURGICAL/TRAUMA INTENSIVE CARE UNIT OF AN URBAN, SAFETY-NET HOSPITALBased on the 2013 Guidelines from the Society of Critical Care Medicine, improving outcomes in survivors of critical illness requires an integrated approach to managing:
- A.
Pain, Agitation and Delirium
- B.
Shock, Mobility, and Respiratory Failure
- C.
Infectious Disease, Nutrition, Respiratory Toilet
- D.
Renal failure, Central venous lines, Indwelling catheters
Correct Answer
A. Pain, Agitation and Delirium -
- 14.
PEDIATRIC TRAUMA AND COMORBIDITIES: THE PARAMETERS THAT DETERMINE THEIR OUTCOMESHow might we further optimize the care of our pediatric trauma patients?
- A.
Development of guidelines
- B.
Long term follow-up after discharge
- C.
Both A & B
- D.
Neither A or B
Correct Answer
C. Both A & B -
- 15.
SELECTIVE SEROTONIN REUPTAKE INHIBITORS (SERTRALINE) IMPROVES TIME TO AROUSAL IN TBI- PATIENTS WITH REFRACTORY COMAWhat percentage of TBI-induced refractory coma patients emerged to a GCS > 9 after initiation of sertraline (SSRI) therapy prior to hospital discharge?
- A.
25%
- B.
50%
- C.
65%
- D.
85%
- E.
100%
Correct Answer
D. 85% -
- 16.
EXPERIENCE WITH COMBINED ACUPUNCTURE AND MINDFULNESS THERAPY IN TRAUMA PATIENTS: A PILOT STUDYWhich of the following statements regarding Combined Acupuncture and Mindfulness is true?
- A.
Combined Acupuncture and Mindfulness Therapy can only be used to treat post-traumatic stress symptoms in conjunction with psychotropic medications
- B.
Acupuncture cannot be performed on patients with penetrating trauma as it increases the risk of infection
- C.
Acupuncture and Mindfulness Therapy can both be employed to treat chronic pain and psychological stress but should not be done in the same 24 hour period
- D.
In a pilot study, Combined Acupuncture and Mindfulness Therapy appeared to confer at least an initial benefit in terms of pain and stress symptom control in patients with penetrating trauma
Correct Answer
D. In a pilot study, Combined Acupuncture and Mindfulness Therapy appeared to confer at least an initial benefit in terms of pain and stress symptom control in patients with penetrating trauma -
- 17.
CHARACTERIZING THE BURDEN OF RETAINED BULLETS AFTER GUNSHOT WOUNDWhat percentage of nonfatal gunshot wound victims have retained bullets or bullet fragments?
- A.
Less than 1%
- B.
~5%
- C.
~10%
- D.
Over 50%
- E.
~25%
Correct Answer
D. Over 50% -
- 18.
BLUNT SPLENIC INJURY DURING COLONOSCOPY: IS IT AS RARE AS WE THINK?Based on this study, which of the following is true regarding the presentation of blunt splenic injury following colonoscopy:
- A.
Grade II splenic injuries are rare
- B.
Left pleural effusion is a possible finding
- C.
All cases present with hemoperitoneum on CT scan
- D.
It occurs at least 48 hours after the procedure
Correct Answer
B. Left pleural effusion is a possible finding -
- 19.
IMPROVING DIAGNOSIS IN HEALTHCARE: LOCAL VERSUS NATIONAL ADOPTION OF RECOMMENDED GUIDELINES FOR THE CLINICAL BREAST EXAMINATIONWhat is an effective intervention to improve the performance of physical examinations with current national guidelines?
- A.
A hands-on, structured curriculum that is based on national guidelines, taught at the medical student level.
- B.
Encouraging senior level physicians to teach physical examination to medical students on the wards.
- C.
Sending out monthly newsletters to physicians and medical students that encourage appropriate physical examination techniques.
- D.
Mandatory video review of clinician performance, emphasizing correct and incorrect technique.
Correct Answer
A. A hands-on, structured curriculum that is based on national guidelines, taught at the medical student level. -
- 20.
THE EPIDEMIOLOGY OF TOTAL ELBOW ARTHROPLASTY IN NEW YORK STATEThe most common indication for total elbow arthroplasty in New York State is:
- A.
Primary osteoarthritis
- B.
Traumatic injuries
- C.
Cancer
- D.
Congenital deformities
Correct Answer
B. Traumatic injuries -
- 21.
COMPUTED TOMOGRAPHY DENSITY ANALYSIS OF THE DISTAL TIBIAAccording to this study, at 3 cm above the tibial plafond, the densest region of bone is found:
- A.
Antero-medially
- B.
Antero-laterally
- C.
Postero-medially
- D.
Postero-laterally
- E.
Antero-centrally
Correct Answer
C. Postero-medially -
- 22.
AN EVALUATION OF COMPLICATION RATES: IMMEDIATE VS. DELAYED WEIGHTBEARING AFTER 1ST MTPJ ARTHRODESISBenefits of early weight bearing include all of the following, EXCEPT:
- A.
Reduced risk of infection
- B.
Decreased convalescence period
- C.
Gait stability w/o assistive devices
- D.
Negligible risk of nonunion/hardware failure as compared to non-weightbearing.
- E.
None of the above
Correct Answer
A. Reduced risk of infection -
- 23.
IMPLANT COST AS A COMPONENT OF THE REVISION TOTAL KNEE ARTHROPLASTY EPISODE OF CAREWhat percentage of the total hospital bill is attributed to implants alone in a revision total knee arthroplasty episode of care?
- A.
0-5%
- B.
5-15%
- C.
15-25%
- D.
25-35%
Correct Answer
D. 25-35% -
- 24.
THREE-DIMENSIONAL TEMPLATING FOR ACETABULAR COMPONENT ALIGNMENT DURING TOTAL HIP ARTHROPLASTYDuring a primary total hip arthroplasty, at an inclination of 40° and anteversion of 20°, what percentage of the time is the acetabular component aligned with the transverse acetabular ligament (TAL)?
- A.
100%
- B.
75%
- C.
50%
- D.
25-%
- E.
0%
Correct Answer
D. 25-% -
- 25.
STUDENTS TRAINING ORTHOPEDIC PATIENTS TO STOP SMOKING (STOPSS)At what minimum time point before surgery should you recommend a patient to stop smoking?
- A.
No need to stop
- B.
2 weeks
- C.
4 weeks
- D.
8 weeks
- E.
20 weeks
Correct Answer
D. 8 weeks -
- 26.
OPTIMIZATION OF ESTRADIOL AND ESTRADIOL SULFATE QUANTIFICATION TO DETECT ESTROGEN SULFOTRANSFERASE ACTIVITY IN HUMAN ADIPOCYTESWhat is the role of hSULT1E1 in adipocyte differentiation and its potential implication for obesity?
- A.
HSULT1E1 inhibition may lead to decreased intracellular levels of estradiol and will not affect hormone homeostasis or the risk of obesity.
- B.
HSULT1E1 inhibition may lead to increased intracellular levels of estradiol thereby altering hormone homeostasis and potentially increasing the risk of obesity.
- C.
HSULT1E1 inhibition will have no affect on intracellular levels of estradiol.
- D.
HSULT1E1 inhibition will not disrupt hormone homeostasis and potentially lead to the development of disease pathologies
Correct Answer
B. HSULT1E1 inhibition may lead to increased intracellular levels of estradiol thereby altering hormone homeostasis and potentially increasing the risk of obesity. -
- 27.
CARDIAC RESCUE MODALITIES FOR SUDDEN PERIOPERATIVE CARDIAC FAILURE IN LIVER TRANSPLANTATIONWhich is a possible rescue modality that can be used in patients suffering cardiac catastrophes peri- or postoperative liver transplantation?
- A.
Echocardiogram
- B.
Venoarterial extracorporeal membrane oxygenation
- C.
Angioplasty
- D.
Emergent cardiac transplantation
Correct Answer
B. Venoarterial extracorporeal membrane oxygenation -
- 28.
STAGED PANCREATICODUODENECTOMY: AN EFFECTIVE STRATEGY FOR TREATMENT OF CHOLANGIOCARCINOMA FOR DISEASE NOT AMENABLE TO OTHER TREATMENT OPTIONS What is the second most common primary liver cancer?
- A.
Hepatocellular carcinoma
- B.
Angiosarcoma
- C.
Cholangiocarcinoma
- D.
Fibrolamellar Carcinoma
Correct Answer
C. Cholangiocarcinoma -
- 29.
ALTERATIONS IN THE HEAT SHOCK PROTEIN 90 INTERACTOME ASSOCIATED WITH MUSCLE INVASIVE BLADDER CANCER Bladder cancer is a heterogeneous disease that is driven by at least 4 major signaling transduction pathways. What is the main role of heat shock protein 90 (HSP90) in this disease?
- A.
Inhibitors of HSP90 are curative in this disease
- B.
HSP90 is a molecular chaperone that controls the function of a number of signal transduction pathways involved in this disease
- C.
No drug resistance mechanisms have been identified for HSP90 inhibitors
- D.
The HSP90 interacting genes network consist of mainly transcription factors
Correct Answer
B. HSP90 is a molecular chaperone that controls the function of a number of signal transduction pathways involved in this disease -
- 30.
INTRAVESICAL INJECTION OF HIGHLY PURIFIED BOTULINUM TOXIN [INCOBOTULINUMTOXIN A (XEOMIN®) What is the main benefit of Incobotulinumtoxin A (Xeomin®) compared to onobotulinumtoxin A (Botox®)?
- A.
Decreased immunogenicity
- B.
Larger complexing proteins
- C.
Easier administration
- D.
Longer storage time
Correct Answer
A. Decreased immunogenicity -
- 31.
PROGNOSTIC SIGNIFICANCE OF PAIRED BOX (PAX2 AND PAX8) IMMUNOHISTOCHEMICAL EXPRESSION IN RENAL TUMORS Paired box [PAX-2 &/or PAX-8] immunohistochemical staining in this study was valuable and significant with the following prognostic characteristics of renal cell carcinoma, except:
- A.
T 1 and 2 stage
- B.
Fuhrman grade 1 and 2
- C.
T 3 and 4 Stage
- D.
Fuhrman grade 3 and 4
- E.
Sarcomatoid differentiation
Correct Answer
E. Sarcomatoid differentiation -
- 32.
A SINGLE INSTITUTIONAL EXPERIENCE OF THE SERIAL TRANSVERSE ENTEROPLASTY PROCEDURE ON NUTRITION, LIVER FUNCTION, AND SURVIVAL IN PEDIATRIC INTESTINAL FAILURE The STEP procedure is most beneficial in increasing which of the following:
- A.
Survival
- B.
Enteral nutrition
- C.
Bowel length
- D.
Weight gain
Correct Answer
C. Bowel length -
- 33.
COMPLICATIONS IN PRIMARY CLEFT PALATE REPAIR: A REVIEW OF THE ACS NSQIP PEDIATRIC DATABASE The most common age group for repair of cleft lip and palate is:
- A.
6-24 months
- B.
< 6 months
- C.
24-36 months
- D.
>36 months
Correct Answer
A. 6-24 months -
- 34.
THE EFFECT OF CALIBRATION DEVICE CHOICE ON SLEEVE GASTRECTOMY POUCH CREATION AND SUBSEQUENT WEIGHT LOSS The endoscope has what advantage over the Maloney bougie dilator in sizing the gastric pouch during a sleeve gastrectomy?
- A.
Suction component
- B.
Tapered end
- C.
Non-uniform diameter
- D.
Larger size
Correct Answer
A. Suction component -
- 35.
MINIMALLY INVASIVE MANAGEMENT OF PANCREATIC NECROSIS Video assisted retroperitoneal debridement offers which of the following in management of pancreatic necrosis?
- A.
Shorter recovery times in patients with multiple comorbidities
- B.
Direct visualization allowing for precise debridement of retroperitoneum
- C.
Decreased risk of pancreatic insufficiency and hemorrhage when compared to open retroperitoneal approach
- D.
All of the above
Correct Answer
D. All of the above -
- 36.
SILVER MICRO-PARTICLES PREVENT INCISIONAL HERNIAS IN RATS The medicinal properties of silver have been exploited for several thousand years. By what mechanism does silver aid in preventing incisional hernias?
- A.
Nanoparticles of silver promote DNA synthesis and metalloproteinase activation.
- B.
Ionized silver stabilizes extracellular matrix proteins.
- C.
Silver microparticles induce giant cell formation and increased collagen deposition.
- D.
Silver microparticles increase tensile strength through new muscle formation.
Correct Answer
C. Silver microparticles induce giant cell formation and increased collagen deposition. -
- 37.
AORTOMESENTERIC DISTANCES CAN BE PREDICTIVE OF LEFT RENAL VEIN TRANSPOSITION SUCCESS IN NUTCRACKER SYNDROME PATIENTS In this study, the authors analyzed CT imaging findings in a series of Nutcracker syndrome patients. Which of the following statements are supported based on the results of the study?
- A.
Increased use of Multiplanar reconstruction (MPR) in assessment of CT imaging findings in patients will determine prevalence of NCS.
- B.
There was no overall statistically significant difference between the mean aortomesenteric distances measured in this series of NCS patients.
- C.
This study was adequately powered to detect a statistically significant difference
- D.
LRV transposition is successful in a minority of cases.
Correct Answer
B. There was no overall statistically significant difference between the mean aortomesenteric distances measured in this series of NCS patients. -
- 38.
OBTURATOR BYPASS USING A RETROGRADE APPROACH FOLLOWING THE ADDUCTOR LONGUS SHEATH ALONG WITH FLUOROSCOPIC GUIDANCEThe Modified obturator bypass technique described by the author involves tunneling along what structure to reach the obturator canal?
- A.
Sartorius muscle
- B.
Underneath Adductor muscle
- C.
Anterior surface of Adductor muscle
- D.
Iliacus muscle
- E.
All of the above
Correct Answer
C. Anterior surface of Adductor muscle -
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