APSNA Pectus Diagnosis and Management Quiz

QUIZ

Pectus Diagnosis and Management

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1. A 10 yr boy is being evaluated for a pectus excavatum repair. As you consent the family, questions are raised about the complication rates of minimally invasive pectus excavatum repair. Which is true regarding the complications of the Nuss procedure: *

The bar infection rate is less than 1%

The bar will need to be removed if an infection occurs

Pericarditis is evidence of bar infection

The cosmetic result is worse with bars left in for less than two years

Unsuspected nickel allergy requires removal of the bar

2. Surgical treatment of most chest wall deformities is ideally performed at which age? *

Infancy (first year of life)

Toddler (2-4 years)

Teenage years

Adulthood (over 21 years)

After age 65 years

3. True or False: Premature removal of bar may increase risk of recurrence of pectus excavatum: *

True

False

4. Brace treatment for pectus carinatum is an effective therapy. Which is the greatest barrier to successful use of a brace? *

Attaining a good fit

Skin erosion

Breathing difficulties while wearing the brace

Pt preference for surgical treatment

Adherence to treatment regimen

5. A 15 yo M underwent minimally invasive repair of his pectus excavatum. Intercostal cryoanalgesia was used for perioperative pain control. A known complication associated with intercostal cryoanalgesia: *

Persistent neuralgia

Temporary skin ischemia

Hemothorax

Rib atrophy

Pectus bar displacement

6. True or False: Cryoablation is an intraoperative pain modality that also decreases OR time: *

True

False

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