Wa/Or Acs 2019 Session II

1. A 93 year old male with complex medical co-morbidities presents with dysphagia, regurgitation, and history of aspiration PNA with a moderate size Zenkers on MBSS. He is interested in surgical intervention. Which option is best in this situation?

No intervention

PEG placement

Endoscopic cricopharyngeal myotomy

Open Zenker's diverticulectomy

About This Quiz

WA/OR ACS Session II, Friday, June 14, 2019

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2. A 65 year old female is found to have a 1.1cm right breast mass on ultrasound. She is diagnosed with invasive lobular carcinoma without lymphovascular invasion by core needle biopsy and scheduled to undergo BCT. Which of the following is true?

IORT is contraindicated in invasive carcinoma with lobular features

IORT in this patient population has decreased survival compared to WBRT

No additional therapy is needed for positive lymph nodes when IORT is applied

Single dose IORT has a similar rate of recurrence compared with adjuvant WBRT

3. A 60 year old female with breast cancer is scheduled to undergo breast conserving surgery using oncoplastic surgery. Compared to standard surgery, oncoplastic surgery:

Is more likely to need additional surgery at 3 year follow up

Is not associated with increased additional imaging

Has higher rate of re-excision

Is more likely to need additional biopsy