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a b c d a b c d 1 ■ ■ ■ ■ 11 ■ ■ ■ ■ 2 ■ ■ ■ ■ 12 ■ ■ ■ ■ 3 ■ ■ ■ ■ 13 ■ ■ ■ ■ 4 ■ ■ ■ ■ 14 ■ ■ ■ ■ 5 ■ ■ ■ ■ 15 ■ ■ ■ ■ 6 ■ ■ ■ ■ 16 ■ ■ ■ ■ 7 ■ ■ ■ ■ 17 ■ ■ ■ ■ 8 ■ ■ ■ ■ 18 ■ ■ ■ ■ 9 ■ ■ ■ ■ 19 ■ ■ ■ ■ 10 ■ ■ ■ ■ 20 ■ ■ ■ ■ #415   July 2018 1 CE credit $6 b. Women gender c. Ages 50 and younger d. Both a and c 4. Which principles have been widely applied to the operative management of EGS? a. RSCL b. DC c. CC d. SC 5. The primary outcome measure for this study was: a. In-hospital mortality b. Multivariable regression c. Sepsis control d. Overall mortality 6. Overall mortality in the RSCL group was _____ than in the non-RSCL popula- tio n. a. Significantly lower b. About the same c. Significantly higher d. Exactly the same 7. In the emergent operative patients undergoing non-RSCL, multiple vari- ables increased the chances of mortal- ity, including: 1. How many EGS patients underwent emergent laparotomy during the study period? a. 162 b. 53 c. 215 d. 75 2. There were two operative groups in this study: the RSCL cohort and the non-RSCL group. Which of the fol- lowing statements is true: a. There were significant differences in patient characteristics in the two operative groups. b. There were no significant differenc- es in patient characteristics in the two operative groups. c. There were significant differences in patient characteristics especially including gender. d. There were significant differences in patient characteristics especially including gender, race and age. 3. In emergent operative patients undergoing non-RSCL, multiple variables increased the chances of mortality, including: a. Severe sepsis a. Septic shock b. Male gender c. Acidosis d. All of the above 8. This study suggests that emergency operative patients with ______ may benefit from a stage, abbreviated lapa- rotomy. a. Inflammation b. Severe sepsis/septic shock c. Elevated lactate d. Acidosis 9. Use of the staged RSCL can avoid unplanned re-explorations, which occurred in nearly ____ patients with severe sepsis. a. 50% c. 70% b. 65% d. 85% 10. In EGS patients, upregulation of the systemic inflammatory response is a prime contributor to death, with mor- tality rates for severe sepsis/septic shock at ____. a. Over 10% b. Over 20% c. Over 30% d. Over 40% STAGED LAPAROTOMY IN EMERGENCY GENERAL SURGERY # 415   July 2018 1 CE CREDIT $6 NBSTSA Certification No. AST Member No. ■ My address has changed. The address below is the new address. Name Address City State Zip Telephone ■ Check enclosed  ■ Check Number ■ Visa ■ MasterCard  ■ American Express Credit Card Number Expiration Date Make It Easy - Take CE Exams Online Y ou must have a credit card to pur- chase test online. We accept Visa, MasterCard and American Express. Your credit card will only be charged once you pass the test and then your credits will be automati- cally recorded to your account. Log on to your account on the AST homepage to take advantage of this benefit. Staged Laparotomy inEmergencyGeneral Surgery JULY 2018 | The Surgical Technologist | 311