Sbas 2016 Annual Scientific Meeting MOC Questions
- 1.
A 45 year-old African American male has end-stage liver disease and has been recommended for a transplant. Which of the following statements is true as it relates to African American patients and liver transplantation?
- A.
African Americans have decreased access to the liver transplant waiting list
- B.
Current 1 year patient survival for liver transplantation is 75%
- C.
There are no geographic differences in organ allocation to patients on the liver transplant waiting list
- D.
The short term patient and graft (Liver) survival of African Americans and Caucasians is equivalent
Correct Answer
A. African Americans have decreased access to the liver transplant waiting list -
- 2.
An African American male patient presents with early stage lung cancer. Based upon his race what is his rate for surgery?
- A.
20%
- B.
12.7%
- C.
76.5%
- D.
50%
Correct Answer
B. 12.7% -
- 3.
As it relates to disparities in the application of therapies for cardiovascular care which of the following statements is false?
- A.
African Americans are more likely to receive AICD implantation when indicated than whites
- B.
African Americans are less likely to undergo emergent coronary reperfusion in acute STEMI than whites
- C.
African Americans are less likely to receive complex lower extremity revascularisation procedures than whites
- D.
As it relates to cardiac surgery African Americans have lower access to highly ranked hospitals and more often seek care at poor quality hospitals than whites
Correct Answer
A. African Americans are more likely to receive AICD implantation when indicated than whites -
- 4.
What is the main reason that increasing diversity in the medical profession is expected to improve health equity for all patients?
- A.
White physicians are more likely to care for underserved populations
- B.
Minority physicians are more likely to care for under-served populations
- C.
Minority physicians are more likely to pursue subspecialty care than primary care
- D.
Minority physicians are less concerned about student loan debt than majority physicians
Correct Answer
B. Minority physicians are more likely to care for under-served populations -
- 5.
A 67 year old African American male presents with stage II melanoma. Based upon his race what is his Hazard Ratio for death?
- A.
0.8
- B.
1.4
- C.
2.5
- D.
4.0
Correct Answer
B. 1.4 -
- 6.
Palliative care consultations are more common in :
- A.
African- Americans
- B.
Caucasians
- C.
Asians
- D.
Latinos
- E.
Patients with complications of care
Correct Answer
E. Patients with complications of care -
- 7.
What was the rate of reduction in re-excision procedures associated with the transition from full cavity shavings to directed shavings guided by MarginProbe device?
- A.
6.0%
- B.
57%
- C.
No reduction
- D.
32%
Correct Answer
B. 57% -
- 8.
When is the 68 gallium Dotatate PET CT scan most helpful as part of patient work up?
- A.
In patients with carcinoid symptoms and negative conventional imaging
- B.
In all patients who present with flushing
- C.
Only in patients who are biochemically negative with flushing
- D.
In all patients with known history of cancer
Correct Answer
A. In patients with carcinoid symptoms and negative conventional imaging -
- 9.
A patient presents to your clinic with T1a thyroid cancer. Which of the following factors has a statistically significant association with RAI use?
- A.
Increasing patient age
- B.
Lower income
- C.
Lack of health insurance
- D.
Negative surgical margins
Correct Answer
B. Lower income -
- 10.
With the increased use of minimally invasive distal pancreatectomy (MIDP), what is the association between MIDP and usage of adjuvant chemotherapy?
- A.
The use of adjuvant chemotherapy has increased
- B.
The use of adjuvant chemotherapy has decreased
- C.
The use of adjuvant chemotherapy has remained the same
- D.
There is no statistically significant association between the two
Correct Answer
A. The use of adjuvant chemotherapy has increased -
- 11.
What hospital characteristic is associated with higher DCD rates (>10%)?
- A.
Teaching hospital
- B.
Non-profit hospital
- C.
Level I/II Trauma Center
- D.
Level III/IV/V Trauma Center
- E.
Stroke Center
Correct Answer
C. Level I/II Trauma Center -
- 12.
A 45 year old African American patient is about to undergo a renal transplant. Which of the following is more likely in African American kidney transplant recipients?
- A.
Delayed graft function
- B.
Living donor
- C.
Zero antigen HLA mismatch
- D.
Low panel reactive antibody level
Correct Answer
A. Delayed graft function -
- 13.
Compared to counties with dissimilarity indices less than 40, counties with dissimilarity indices of 60 and above were associated with:
- A.
Lower transplant rates among White and Black residents
- B.
Higher transplant rates among White but not Black among residents
- C.
Higher transplant rates among Black but not among White residents
- D.
Higher transplant rates among White and Black residents
Correct Answer
A. Lower transplant rates among White and Black residents -
- 14.
A 21 year old patient presents to the emergency department with a displaced fracture. A team of residents will reduce the fracture. Which of the following statements is true?
- A.
Less experienced residents have a higher satisfactory reduction rate (SRR)
- B.
More experienced residents have a higher satisfactory reduction rate (SRR)
- C.
Only attending orthopedic surgeons should reduce fractures
- D.
First year residents on pediatric rotation have a higher satisfactory reduction rate (SRR)
Correct Answer
B. More experienced residents have a higher satisfactory reduction rate (SRR) -
- 15.
What region of the 5th metatarsal does a Jones Fracture occur in?
- A.
Base
- B.
Tuberosity
- C.
Metaphyseal-diaphyseal
- D.
Diaphyseal
Correct Answer
C. Metaphyseal-diaphyseal -
- 16.
How is E-Learning being effectively utilized to train medical students and residents in orthopedic surgery?
- A.
As a substitute for surgical training
- B.
As a replacement for anatomy laboratory sessions
- C.
As a tool used in didactic lecture teaching
- D.
As a substitute orthopedic pathology training
Correct Answer
C. As a tool used in didactic lecture teaching -
- 17.
In accordance with the scale of this study, while BerbereX is demonstrated to be an effective anecdote to improve healing efficiency of chronic foot and ankle insults, a finding relating to the use of BerbereX in diabetic study participants most closely corresponds to which of the following statements?
- A.
The use of Berberex illustrates similar healing among both diabetic and non-diabetic patients, showing that BerbereX decreases the length of healing of chronic foot and ankle insults independent of the presence of diabetes
- B.
The use of BerbereX prolongs chronic foot and ankle insults in non-diabetic patients.
- C.
The use of BerbereX between diabetic and non-diabetic individuals is inconsequential because even within the scope of this study, healing of chronic foot and ankle insults in diabetic patients will always be prolonged.
- D.
The use of BerbereX causes the healing of chronic foot and ankle insults in diabetic patients to be prolonged.
Correct Answer
A. The use of Berberex illustrates similar healing among both diabetic and non-diabetic patients, showing that BerbereX decreases the length of healing of chronic foot and ankle insults independent of the presence of diabetes -
- 18.
Which of the following is NOT a benefit of a service line approach to care delivery?
- A.
Improved patient experience
- B.
Shared savings
- C.
Integrated care
- D.
Duplicate ordering of medical diagnostic tests
Correct Answer
D. Duplicate ordering of medical diagnostic tests -
- 19.
The following hospital characteristics are associated with patients being readmitted at non-index hospitals except:
- A.
Bed size less than 200
- B.
Non-trauma center
- C.
Absence of ICU facilities
- D.
Location in rural areas
Correct Answer
C. Absence of ICU facilities -
- 20.
Our pilot study demonstrated an increase in ICU Palliative Medicine referrals by:
- A.
Consulting Palliative Medicine for all ICU patients
- B.
Having Palliative Medicine round daily with the ICU multidisciplinary team
- C.
Utilizing a nurse-initiated screening tool based on specific "triggers"
- D.
Waiting for the patient to ask for a referral
Correct Answer
C. Utilizing a nurse-initiated screening tool based on specific "triggers" -
- 21.
A 55 year old was the unrestrained driver in a motor vehicle accident. What is the most likely cause of death associated with blunt trauma?
- A.
Aortic rupture
- B.
Chest trauma
- C.
Intra-abdominal hemorrhage
- D.
Traumatic Brain Injury
Correct Answer
D. Traumatic Brain Injury -
- 22.
Decentralized cardiovascular care in Rwanda appears to yield or optimize:
- A.
Social and economic benefit among patients who have undergone cardiac surgery
- B.
Psychological and spiritual well- being among patients who have undergone cardiac surgery
- C.
Medication compliance among patients who have undergone cardiac surgery
- D.
Higher educational value among patients who have undergone open cardiac surgery
Correct Answer
A. Social and economic benefit among patients who have undergone cardiac surgery -
- 23.
When adjusting for type II diabetes mellitus, hypertension, obesity, and hypercholesterolemia, blacks had a higher in-hospital and operative mortality compared to whites for:
- A.
CABG Procedures
- B.
Valve Procedures
- C.
CABG and Valve Procedures
- D.
ECMO Cannulation
- E.
There was no difference appreciated
Correct Answer
B. Valve Procedures -
- 24.
A 65 year old underwent an anatomic pulmonary valve replacement. In comparison to pulmonary valve replacement with a trans-annular patch which of the following post-operative outcomes is not expected to improve?
- A.
Prosthetic Valve Regurgitation
- B.
Ease of cardiac reoperation
- C.
Risk of ventricular arrhythmias
- D.
Right ventricular function
Correct Answer
A. Prosthetic Valve Regurgitation -
- 25.
A 10 year old girl presents to the ED with right lower quadrant pain that is diagnosed as ovarian torsion. Which factor will determine the use of a CT scan during her workup of ovarian torsion?
- A.
Age greater than 14
- B.
BMI over 35
- C.
Public insurance status
- D.
Visit to adult emergency room
Correct Answer
D. Visit to adult emergency room -
- 26.
A 4 day old boy presents to the emergency department with bilious vomiting, a swollen, firm abdomen and lethargy. Imaging shows midgut intestinal obstruction. What is the most likely diagnosis?
- A.
Intussusception
- B.
Pyloric Stenosis
- C.
Malrotation
- D.
Hirschsprung Disease
Correct Answer
C. Malrotation -
- 27.
Lactobacilli strains are thought to be involved in the protection of which intestinal illness?
- A.
Necrotizing enterocolitis of the newborn
- B.
Gastroenteritis
- C.
Gastroesophageal reflux disease
- D.
Colon Cancer
Correct Answer
A. Necrotizing enterocolitis of the newborn -
- 28.
The knockdown of IMP3 protein had what effect on tumor characteristics when knockdown renal cancer cells were injected into the tibia of nude mice and allowed to grow as tumors?
- A.
Increased vascularity compared to wild-type tumor cells
- B.
Decreased vascularity compared to wild-type tumor cells
- C.
Increased tumor growth
- D.
Decreased tumor growth
Correct Answer
B. Decreased vascularity compared to wild-type tumor cells -
- 29.
Urinary Catheterization is infrequently performed by staff and resident physicians. What is one way that physician could safely practice diagnosis and treatment of complex urinary scenarios that would allow development and maintenance of technical and decision making skills?
- A.
Simulation designed to mimic complex urinary catheterization scenarios
- B.
Patients who require catheter placement prior to commencement of an operation
- C.
Patients with known complex urinary anatomy
- D.
Boot camp sessions with Urologists
Correct Answer
A. Simulation designed to mimic complex urinary catheterization scenarios -
- 30.
A 40 yo male presents for bariatric surgery. He reports to his surgeon that he is HIV+. Which of the following statements are true?
- A.
HIV (+) patients undergoing bariatric operations have a higher mortality rate, compared to HIV (-) patients
- B.
Percent excess weight loss is similar between HIV (+) and HIV (-)patients following bariatric surgery
- C.
Measures of HIV disease progression does not worsen with weight loss following bariatric surgery
- D.
Following bariatric surgery, HIV (+) patients experience similar rates of improvement in obesity-related comorbid conditions as HIV (-) patients
Correct Answer
A. HIV (+) patients undergoing bariatric operations have a higher mortality rate, compared to HIV (-) patients -
- 31.
Which group of patients, based on their income bracket, would be expected to have the greatest resolution of diabetes and hypertension post weight loss surgery?
- A.
$38,515-62,434
- B.
$62,435-101,577
- C.
>$101,578
- D.
Equal for each group
Correct Answer
A. $38,515-62,434 -
- 32.
A 40 yo liver transplant recipient uses a mobile phone application to remind him about taking his transplant medications. Adherence to his medication schedule can be determined by the measurement of what lab value?
- A.
Creatinine
- B.
Amylase
- C.
Tacrolimus
- D.
Bilirubin
Correct Answer
C. Tacrolimus -
- 33.
Based on the results in the abstract, in what way is it clear that cystourethroscopy with bladder washout is effective at reducing the incidence of recurrent UTI in kidney transplant recipients?
- A.
Kidney transplant recipients with recurrent UTI never have a UTI after BW within 6 months
- B.
Kidney transplant recipients with recurrent UTI are always cured by BW
- C.
Overall UTIs post-BW is significantly lower than overall UTIs pre-BW when considering kidney transplant recipients with recurrent UTI as a whole
- D.
The Wilcoxon signed rank test indicated a complete reduction to 0 UTIs post-BW, for all participants in the study
Correct Answer
C. Overall UTIs post-BW is significantly lower than overall UTIs pre-BW when considering kidney transplant recipients with recurrent UTI as a whole -
- 34.
A patient with a history of hepatocellular carcinoma who underwent a liver transplant is readmitted into the hospital. Which of the following statements concerning mortality is true?
- A.
The patient will have Increased 90 day mortality
- B.
The patient will have Reduced 30 day mortality
- C.
The patient will have Reduced overall survival
- D.
The admission is Not associated with mortality
Correct Answer
B. The patient will have Reduced 30 day mortality -
- 35.
How can resident assessment of surgical performance be improved?
- A.
It cannot
- B.
It can incorporate error analysis
- C.
Using resident interviews
- D.
Surveying resident perceptions
Correct Answer
B. It can incorporate error analysis -
- 36.
The most significant predictor of readmission in thyroid and parathyroid patients is:
- A.
Black race
- B.
Thyroid Cancer
- C.
Self-Pay Insurance status
- D.
Secondary Hyperparathyroidism
Correct Answer
B. Thyroid Cancer -
- 37.
The abstract states that repeated assessments and modification of scenario difficulty affected perceptions of skills decay and difficulty. Which of the following choices correctly reflects the differences between returning and first time participants in regards to the participants’ confidence levels after urinary catheterization procedure?
- A.
First time participants were more confident than returning participants
- B.
First time participants and returning participants had similar confidence levels
- C.
First time participants were less confident than returning participants
- D.
Both first time participants and returning participants had decrease level of confidence
Correct Answer
A. First time participants were more confident than returning participants -
- 38.
What is the most common free flap utilized for head and neck reconstruction?
- A.
Anterior Lateral Thigh (ALT) flap
- B.
Radial Forearm Free flap
- C.
Rectus free flap
- D.
Gracilis free flap
Correct Answer
A. Anterior Lateral Thigh (ALT) flap -
- 39.
What percentage of students completing the Reach One Each One, 10 week hospital-based, multidisciplinary youth mentoring and medical exposure program enrolled in college as Pre-Med majors?
- A.
Less than 10%
- B.
20%
- C.
40%
- D.
Over 60%
Correct Answer
D. Over 60% -
- 40.
Orthopedic summer internship (OSI) for underrepresented minorities resulted in:
- A.
Poor success rate for OSI graduates to match in orthopedic residency
- B.
Mostly female graduates to match in orthopedic residency
- C.
Mostly African-American graduates to match in orthopedic residency
- D.
Mostly Latino graduates to match in orthopedic residency
Correct Answer
C. Mostly African-American graduates to match in orthopedic residency -
- 41.
Patient X is a 48 year old African American woman who underwent mastectomy. Which of the following statements are false as it relates to immediate breast reconstruction?
- A.
Women >45 have IBR at lower rates
- B.
Non-Caucasian women have IBR at lower rates
- C.
Obese women had a lower risk of surgical complications
- D.
She will have a greater risk of Surgical site wound infection than a Caucasian woman of the same age
Correct Answer
D. She will have a greater risk of Surgical site wound infection than a Caucasian woman of the same age -
- 42.
Which racial/ethnic group is associated with higher odds of undergoing a laparoscopic as opposed to open elective surgery to treat diverticulitis?
- A.
White
- B.
Black
- C.
Hispanic
- D.
Asian
Correct Answer
C. Hispanic -
- 43.
What were the main risk factors associated with a higher rate of SCD (Sequential Compression Devices) noncompliance on an orthopedic unit?
- A.
Admittance to an orthopedic service
- B.
Weekends, afternoons and evenings, elective surgeries, and admittance to a non-orthopedic service
- C.
Length of hospital stay
- D.
Patients admitted for foot and ankle, upper extremity, and spine operations
Correct Answer
B. Weekends, afternoons and evenings, elective surgeries, and admittance to a non-orthopedic service -
- 44.
What are the effects of NFkb signaling on bone?
- A.
Decreased Bone Loss
- B.
Increased Bone Loss
- C.
Bone Neoplasia
- D.
Increased Cartilage Growth
Correct Answer
B. Increased Bone Loss -
- 45.
A 2 year old girl presents to the ED for a non-accidental trauma work-up. On skeletal survey, which structure has the lowest likelihood of being injured?
- A.
Skull
- B.
Cervical Spine
- C.
Ribs
- D.
Pelvis
- E.
Femur
Correct Answer
D. Pelvis -
- 46.
Racial/Ethnic differences in longer-term outcomes among adult and older adult emergency general surgery (EGS) patients were found:
- A.
Concentrated in high-volume centers and those managing the highest percentages of minority patients
- B.
Neither among EGS patients with universal insurance coverage provided by the Department of Defense nor among general population EGS patients in California
- C.
Among adult but not older adult EGS general population patients
- D.
Concentrated in low volume centers and those managing the lowest percentages of minority patients
Correct Answer
D. Concentrated in low volume centers and those managing the lowest percentages of minority patients -
- 47.
Physiologically based, predictive modeling using the sepsis predictive probability index improved the sensitivity early sepsis prediction by which of the following levels?
- A.
No difference
- B.
Twofold
- C.
Threefold
- D.
Fourfold
Correct Answer
B. Twofold -
- 48.
What variables are associated with decreased fall related mortality?
- A.
Elevated BAL
- B.
Previous admission to trauma center
- C.
Black race
- D.
Male sex
Correct Answer
C. Black race -
- 49.
Following blunt traumatic hemorrhagic shock, compared to females, male patients have a higher:
- A.
Length of hospital stay
- B.
Mortality
- C.
Incidence of myocardial infarction
- D.
Incidence of abdominal compartment syndrome
Correct Answer
A. Length of hospital stay -
- 50.
A 78 year old African American male with history of COPD and Diabetes mellitus is brought to the emergency room with severe burns to his face and upper body after lighting a cigarette while on oxygen. The family is at the bedside and wants to know his prognosis. Based on history, which statement is correct?
- A.
The presence of preexisting comorbidities has a positive effect on mortality
- B.
The presence of preexisting comorbidities has a negative effect on mortality regardless of age
- C.
The presence of preexisting comorbidities has a negligible effect due to co-linearity between age and comorbidities for > 65 age group
- D.
The presence of preexisting comorbidities increases mortality
Correct Answer
C. The presence of preexisting comorbidities has a negligible effect due to co-linearity between age and comorbidities for > 65 age group -
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