IPEG 2016 ANNUAL MEETING
SESSION DESIGN FORM
QUESTIONS FOR PARTICIPANTS (Part 2 Self-Assessment credit will be granted to meeting attendees):
Session, Panel & PG Chairs must write 2 questions. The SAGES Program Committee will review and group all
questions into Learning Themes. Participants will answer 4 questions per Learning Theme.
REQUIREMENTS:
a) The question must be clear and succinct (no longer than 2-3 sentences).
b) The question must represent an important patient care recommendation.
c) Questions must be framed as a case (see example).
d) The question must be associated with one of the course objectives.
e) There must be 4 answer options with explanations for why they are correct/incorrect.
f) The answer must be non-controversial.
g) The answer must be supported by high-level literature or SAGES guidelines.
h) A reference must be provided that would help the learner answer the question (for re-tests).
i) The reference should be formatted as required by the Surgical Endoscopy style guide (see page 6 in this document).
EXAMPLE:
A 45 year old female presents with virilizing symptoms and an elevated testosterone level. On CT scanning, she has a
heterogenous 7cm left adrenal mass with irregular borders and an attenuation value of 40 Hounsfield units. The
most likely diagnosis in this patient is:
Answer A: Pheochromocytoma
Explanation A: Incorrect. Pheochromocytomas may be large and are higher attenuation on CT but do not present with
virilizing features and elevated testosterone levels and so would be less likely in this case. However, all adrenal masses
should be screened biochemically to exclude a pheochromocytoma before proceeding with adrenalectomy.
Answer B: Adrenal adenoma
Explanation B: Incorrect. The size, irregular borders, and high attenuation values of this adrenal lesion make a benign
adenoma unlikely. Most cortical adenomas have an abundant amount of intracellular lipid and attenuation values are
typically 10 Hounsfield units or less.
Answer C: Adrenal cortical carcinoma
Explanation C: Correct. The features of this adrenal lesion are highly suggestive of an adrenal cortical carcinoma – large
size, virilizing features and the higher attenuation values on CT imaging.
Answer D: Myelolipoma
Explanation D: Incorrect. Myelolipomas are benign lesions comprised of fat and bone marrow elements. While
myelolipomas may be quite large, they have a characteristic imaging appearance with areas of macroscopic fat and a
smooth rounded border. Such lesions are benign, rarely cause symptoms, and do not typically need to be removed.
Correct Answer:
C
Reference:
Brunt LM. Minimal access adrenal surgery. Surg Endosc 2006;20:351-361.
(Note: ensure reference follows Surgical Endoscopy style guide; see page 6 in this document!)
Question 1:
Answer 1A:
Explanation 1A:
Answer 1B:
Explanation 1B:
Answer 1C:
Explanation 1C:
Answer 1D:
Explanation 1D:
Correct Answer (Please indicate which of the above answer choices should be marked as the correct answer):
Choose an item.
Reference(s) (will be displayed for correct and incorrect answers – must help the learner answer the question):
Question 2:
Answer 2A:
Explanation 2A:
Answer 2B:
Explanation 2B:
Answer 2C:
Explanation 2C:
Answer 2D:
Explanation 2D:
Correct Answer (Please indicate which of the above answer choices should be marked as the correct answer):
Choose an item.
Reference(s) (will be displayed for correct and incorrect answers – must help the learner answer the question):
Question 3:
Answer 3A:
Explanation 3A:
Answer 3B:
Explanation 3B:
Answer 3C:
Explanation 3C:
Answer 3D:
Explanation 3D:
Correct Answer (Please indicate which of the above answer choices should be marked as the correct answer):
Choose an item.
Reference(s) (will be displayed for correct and incorrect answers – must help the learner answer the question):