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CME Test Questions: October 2013
CME TEST QUESTIONS: OCTOBER 2013
Examination available at http://learn.sirweb.org/. To take the online JVIR CME tests, please log into the SIR Learning Center with your SIR user name and password. Nonmembers: If you do not already have an SIR username and password, please click on “Create an Account” to gain access to the SIR Learning Center. Once in the Learning Center, click on the “Publication” activity type for a listing of all available JVIR CME Tests. Each test will be available online for 3 years from the month/date of publication. The CME questions in this issue are derived from the article “Correlation of Patient-reported Symptom Outcomes and Treadmill Test Outcomes after Treatment for Aortoiliac Claudication” by Murphy et al. 1. The Claudication: Exercise Vs. Endoluminal Revascularization (CLEVER) study is a single-blinded, multicenter, randomized clinical trial that compares outcomes in individuals with aortoiliac peripheral arterial disease (PAD) treated with a. Optimal medical care or angioplasty b. Angioplasty or stenting c. Optimal medical care or supervised exercise d. Optimal medical care alone, supervised exercise with optimal medical care, or stent revascularization with optimal medical care 2. In the CLEVER study, at 6 months, patients in the stent revascularization group had a better outcome than patients in the supervised exercise group for: a. Peak walking time on a graded treadmill b. Disease-specific quality of life (QOL) c. SF-12 physical QOL d. SF-12 mental QOL 3. In this post hoc analysis, the authors report a statistically stronger correlation between a. Improvement in the disease-specific QOL scores and each minute improvement in the peak walking time for patients treated with stent revascularization
b. Improvement in the disease-specific QOL scores and each minute improvement in the peak walking time for patients treated with supervised exercise c. Improvement in the disease-specific QOL scores and improvement in the community-based step activity in all groups d. Improvement in the disease-specific QOL scores and the claudication onset time in the optimal medical care group 4. The goals of management of claudication due to PAD are both functional improvement as well as subjective symptom relief for the patient. An observation elicited from this post hoc analysis is that a. Improved peak walking time, although highly reproducible, may not reflect improvement in symptom relief across all invasive and noninvasive therapies b. Community-based step activity is as effective as a supervised exercise program c. Optimal medical care is unnecessary when a patient is treated with stent revascularization or supervised exercise d. Generic QOL questionnaires correlate well with disease-specific questionnaires
Examination available at http://learn.sirweb.org/. To take the online JVIR CME tests, please log into the SIR Learning Center with your SIR user name and password. Nonmembers: If you do not already have an SIR username and password, please click on “Create an Account” to gain access to the SIR Learning Center. Once in the Learning Center, click on the “Publication” activity type for a listing of all available JVIR CME Tests. Each test will be available online for 3 years from the month/date of publication. The CME questions in this issue are derived from the article “Correlation of Patient-reported Symptom Outcomes and Treadmill Test Outcomes after Treatment for Aortoiliac Claudication” by Murphy et al. 1. The Claudication: Exercise Vs. Endoluminal Revascularization (CLEVER) study is a single-blinded, multicenter, randomized clinical trial that compares outcomes in individuals with aortoiliac peripheral arterial disease (PAD) treated with a. Optimal medical care or angioplasty b. Angioplasty or stenting c. Optimal medical care or supervised exercise d. Optimal medical care alone, supervised exercise with optimal medical care, or stent revascularization with optimal medical care 2. In the CLEVER study, at 6 months, patients in the stent revascularization group had a better outcome than patients in the supervised exercise group for: a. Peak walking time on a graded treadmill b. Disease-specific quality of life (QOL) c. SF-12 physical QOL d. SF-12 mental QOL 3. In this post hoc analysis, the authors report a statistically stronger correlation between a. Improvement in the disease-specific QOL scores and each minute improvement in the peak walking time for patients treated with stent revascularization
b. Improvement in the disease-specific QOL scores and each minute improvement in the peak walking time for patients treated with supervised exercise c. Improvement in the disease-specific QOL scores and improvement in the community-based step activity in all groups d. Improvement in the disease-specific QOL scores and the claudication onset time in the optimal medical care group 4. The goals of management of claudication due to PAD are both functional improvement as well as subjective symptom relief for the patient. An observation elicited from this post hoc analysis is that a. Improved peak walking time, although highly reproducible, may not reflect improvement in symptom relief across all invasive and noninvasive therapies b. Community-based step activity is as effective as a supervised exercise program c. Optimal medical care is unnecessary when a patient is treated with stent revascularization or supervised exercise d. Generic QOL questionnaires correlate well with disease-specific questionnaires