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CME Multiple Choice Questions
Continuing Medical Education CME Multiple Choice Questions
jsm_1953
1. Which of the following statements regarding female sexual dysfunction and pelvic organ prolapse is INCORRECT? a. FSD is correlated with the degree of pelvic organ prolapse. b. Advanced POP is associated with altered body image and poorer QOL. c. Perioperative emotional and psychological factors affect the sexual desire and function after surgery. d. The degree of pelvic organ prolapse is the only predictor of a poor sexual function. e. Menopausal status and hormonal replacement therapy will affect the response to surgery. 2. Which of the following statements regarding surgical repair of pelvic organ prolapse is INCORRECT? a. Surgical repair will commonly improve sexual function. b. The effect of the repair on sexual function is altered by history of prior stressors, anxiety, and depression. c. Anatomical criteria defining the success of a surgical repair is correlated with improvement of sexual function. d. The use of validated questionnaires is crucial to evaluate perioperative sexual functioning. e. Extensive surgical dissection and denervation will negatively affect sexual function. 3. Which of the following statement regarding reconstructive pelvic surgery is CORRECT? a. Lack of improvement in sexual function after an otherwise “successful surgery” may be due to preexisting behavioral–emotive and partner-related factors. b. The use of synthetic and biological materials reinforce and strengthen the repair. c. When using a synthetic mesh, a type 1 monofilament, low-weight, macroporous prolene graft is preferable. d. The average prevalence of de novo dyspareunia after any type of repair can be as high as 15% if the repair is done vaginally and slightly less if done abdominally. e. All of the above. 2318
2318..2319
4. Worsening of sexual function postoperatively is related to all of the following EXCEPT a. The presence of pelvic pain secondary to the repair. b. The occurrence of de novo dyspareunia. c. The new onset of urinary incontinence postoperatively. d. The occurrence of graft infection, extrusion, or contraction/retraction. e. Patients who have conditions suggestive of pelvic floor dysfunction (hyperactive/ hypersensitive disorders) tend to do better after surgery. 5. Which of the following statements regarding the use of synthetic mesh in reconstructive pelvic surgery is INCORRECT? a. Mesh extrusion/exposure is a common complication. b. Up to 50% of patients with extrusions are asymptomatic at their 3-month follow-up. c. “T” formation incision/closure and concomitant hysterectomy increase the risk of extrusion. d. Mesh contraction/retraction is usually a minor complication, treated easily with simple excision. e. When mesh contraction is present, a coexisting mesh extrusion is present in more than 50% of cases. 6. Which of the following regarding the relation between SUI and FSD is INCORRECT? a. Deterioration in sexual function among patients with SUI is correlated to the severity of the UI. b. Patients with MUI have lower QOL scores and FSFI scores compared to patients with SUI alone. c. CUI at penetration/thrusting can be cured by surgery in more than 80% of cases. d. After surgical repair of SUI, improvement in sexual function is independent of the success repairing a concomitant POP. e. The occurrence of de novo postoperative urge incontinence does not affect sexual function. J Sex Med 2010;7:2318–2319
Continuing Medical Education 7. Which of the following statements regarding reconstructive pelvic surgery for POP and SUI is CORRECT? a. First-line therapy is noninvasive methods, which include behavioral changes, pelvic floor rehabilitation, and physical therapy. b. The negative effect that POP or SUI has on sexual function is improved after surgical repair; however, reported results do not always substantiate this goal.
c. Patient’s selection is a crucial determinant of surgical outcome. d. Surgeon’s experience with reconstructive surgery, especially when using graft material to augment the repair, is a strong predictor of surgical outcome. e. All of the above.
Overall evaluation of the activity a. Excellent b. Very good c. Good d. Fair e. Poor
What degree of confidence do you have that you will apply your new learning in your practice? 100% 75% 50% 25% 0%
Was this activity responsive to your needs? Yes No
What one change will you make in your practice based on this new learning?
Was this activity relevant to your practice? Yes No
This activity is designed for a maximum of 1 category 1 credit. You should only claim the number of credits you have earned based on the amount of time needed to complete this activity. How many credits are you claiming for this activity? a. 1 b. 0.75 c. 0.5 d. 0.25
Did this activity increase your knowledge and/or skills in delivering patient care? Yes No Please indicate your current profession: 䊐 Physician 䊐 Nurse 䊐 Physician Assistant 䊐 Other Healthcare Professional 䊐 Nurse Practitioner 䊐 Other Name:
List any topics you would find interesting and professionally relevant for future CME activities:
Address 2: City: State: Postal Code:
Institution:
Country:
Address 1:
Email Address:
An online version of this activity is now available. If you wish to receive credit for this activity, please refer to the website: www.wileyblackwellcme.com. Alternatively, this page can be sent by fax to Blackwell Futura Media Services, at (781)-338-8325. If you do not receive your certificate within 30 days of submission, please contact David Kempe, Editorial Program Coordinator, at dkempe@ wiley.com
J Sex Med 2010;7:2318–2319
2319
jsm_1953
1. Which of the following statements regarding female sexual dysfunction and pelvic organ prolapse is INCORRECT? a. FSD is correlated with the degree of pelvic organ prolapse. b. Advanced POP is associated with altered body image and poorer QOL. c. Perioperative emotional and psychological factors affect the sexual desire and function after surgery. d. The degree of pelvic organ prolapse is the only predictor of a poor sexual function. e. Menopausal status and hormonal replacement therapy will affect the response to surgery. 2. Which of the following statements regarding surgical repair of pelvic organ prolapse is INCORRECT? a. Surgical repair will commonly improve sexual function. b. The effect of the repair on sexual function is altered by history of prior stressors, anxiety, and depression. c. Anatomical criteria defining the success of a surgical repair is correlated with improvement of sexual function. d. The use of validated questionnaires is crucial to evaluate perioperative sexual functioning. e. Extensive surgical dissection and denervation will negatively affect sexual function. 3. Which of the following statement regarding reconstructive pelvic surgery is CORRECT? a. Lack of improvement in sexual function after an otherwise “successful surgery” may be due to preexisting behavioral–emotive and partner-related factors. b. The use of synthetic and biological materials reinforce and strengthen the repair. c. When using a synthetic mesh, a type 1 monofilament, low-weight, macroporous prolene graft is preferable. d. The average prevalence of de novo dyspareunia after any type of repair can be as high as 15% if the repair is done vaginally and slightly less if done abdominally. e. All of the above. 2318
2318..2319
4. Worsening of sexual function postoperatively is related to all of the following EXCEPT a. The presence of pelvic pain secondary to the repair. b. The occurrence of de novo dyspareunia. c. The new onset of urinary incontinence postoperatively. d. The occurrence of graft infection, extrusion, or contraction/retraction. e. Patients who have conditions suggestive of pelvic floor dysfunction (hyperactive/ hypersensitive disorders) tend to do better after surgery. 5. Which of the following statements regarding the use of synthetic mesh in reconstructive pelvic surgery is INCORRECT? a. Mesh extrusion/exposure is a common complication. b. Up to 50% of patients with extrusions are asymptomatic at their 3-month follow-up. c. “T” formation incision/closure and concomitant hysterectomy increase the risk of extrusion. d. Mesh contraction/retraction is usually a minor complication, treated easily with simple excision. e. When mesh contraction is present, a coexisting mesh extrusion is present in more than 50% of cases. 6. Which of the following regarding the relation between SUI and FSD is INCORRECT? a. Deterioration in sexual function among patients with SUI is correlated to the severity of the UI. b. Patients with MUI have lower QOL scores and FSFI scores compared to patients with SUI alone. c. CUI at penetration/thrusting can be cured by surgery in more than 80% of cases. d. After surgical repair of SUI, improvement in sexual function is independent of the success repairing a concomitant POP. e. The occurrence of de novo postoperative urge incontinence does not affect sexual function. J Sex Med 2010;7:2318–2319
Continuing Medical Education 7. Which of the following statements regarding reconstructive pelvic surgery for POP and SUI is CORRECT? a. First-line therapy is noninvasive methods, which include behavioral changes, pelvic floor rehabilitation, and physical therapy. b. The negative effect that POP or SUI has on sexual function is improved after surgical repair; however, reported results do not always substantiate this goal.
c. Patient’s selection is a crucial determinant of surgical outcome. d. Surgeon’s experience with reconstructive surgery, especially when using graft material to augment the repair, is a strong predictor of surgical outcome. e. All of the above.
Overall evaluation of the activity a. Excellent b. Very good c. Good d. Fair e. Poor
What degree of confidence do you have that you will apply your new learning in your practice? 100% 75% 50% 25% 0%
Was this activity responsive to your needs? Yes No
What one change will you make in your practice based on this new learning?
Was this activity relevant to your practice? Yes No
This activity is designed for a maximum of 1 category 1 credit. You should only claim the number of credits you have earned based on the amount of time needed to complete this activity. How many credits are you claiming for this activity? a. 1 b. 0.75 c. 0.5 d. 0.25
Did this activity increase your knowledge and/or skills in delivering patient care? Yes No Please indicate your current profession: 䊐 Physician 䊐 Nurse 䊐 Physician Assistant 䊐 Other Healthcare Professional 䊐 Nurse Practitioner 䊐 Other Name:
List any topics you would find interesting and professionally relevant for future CME activities:
Address 2: City: State: Postal Code:
Institution:
Country:
Address 1:
Email Address:
An online version of this activity is now available. If you wish to receive credit for this activity, please refer to the website: www.wileyblackwellcme.com. Alternatively, this page can be sent by fax to Blackwell Futura Media Services, at (781)-338-8325. If you do not receive your certificate within 30 days of submission, please contact David Kempe, Editorial Program Coordinator, at dkempe@ wiley.com
J Sex Med 2010;7:2318–2319
2319