- Email: [email protected]
CME questions
The Sexuality, Reproduction & Menopause continuing medical education program DESIGNATED ARTICLES, VOL. 2, NO. 1, MARCH 2004 Lesson 1
Men at Risk: Occupation and Male Infertility Paul Claman Sexuality, Reproduction & Menopause 2004;2(1): 19
Lesson 2
The Use of Black Cohosh to Treat Symptoms of Menopause Adapted from M. Blumenthal Sexuality, Reproduction & Menopause 2004;2(1): 27
Lesson 3
Antidepressants and Sexual Dysfunction Mara Brill Sexuality, Reproduction & Menopause 2004;2(1): 35
Lesson 4
Protect Yourself From Malpractice Suits Mary Jane Minkin Sexuality, Reproduction & Menopause 2004;2(1): 41
INSTRUCTIONS LEARNING OBJECTIVES: After reading the designated articles published in Sexuality, Reproduction & Menopause, participants of the Sexuality, Reproduction & Menopause Continuing Medical Education (CME) Program should be able to: 1. 2.
Demonstrate an increased knowledge of reproductive medicine. Evaluate the clinical data and apply it to the care of their patients.
TARGET AUDIENCE: This activity is designed for all physicians with a fundamental interest and knowledge in reproductive medicine and women’s health, residents, researchers, clinicians, and educators alike. NEEDS ASSESSMENT: As healthcare and technology continue to advance, there is a need to provide physicians and other health care professionals with opportunities to access and review information of relevance to their practice in new ways. This activity is designed to allow professionals to study alone at the time of their choice. CREDIT/ACCREDITATION INFORMATION: The American Society for Reproductive Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education to physicians.
The American Society for Reproductive Medicine designates this educational activity for a maximum of 6 (1.5 each quarter) category 1 credits toward the AMA Physician’s Recognition Award per year. Each physician should claim only those credits that he/she actually spent in the educational activity. The American Medical Association has determined that physicians not licensed in the US who participate in this CME activity are eligible for AMA PRA category 1 credit. Program participants should answer the questions on the exam answer sheet found at ASRM’s website: www.asrm.org. The program is provided at a cost of $5 per exam for members and $10 per exam for non-members. The participant should retain a copy of the examination. A 70% passing score must be achieved. Documentation of satisfactory completion, the correct answers, and a course evaluation form will be mailed within 2 months of receipt of tests. For additional information, contact the CME Department at the American Society for Reproductive Medicine, 1209 Montgomery Highway, Birmingham, Alabama 35216 (Telephone: 205-978-5000; Fax 205-978-5005; email: [email protected]). Visit the ASRM website: www.asrm.org.
CME QUESTIONS To obtain the 1.5 CME credits for Volume 2, please follow these instructions: 1. 2. 3. 4. 5. 6. 7. 8.
Read the articles listed for CME credit in Sexuality, Reproduction & Menopause. Visit www.asrm.org and click on SRM EXAMS. Print out the exam page. Make a copy of your completed exam before sending to ASRM for your records. Fax completed exam with credit card information. OR Mail completed exam with check. You must achieve at least a 70% passing score. Your corrected exam and documentation will be mailed to you. Your exam must be received by ASRM by August 31, 2004. CME Department/SRM Exam American Society for Reproductive Medicine 1209 Montgomery Highway Birmingham, AL 35216 Please choose the one best answer for each question.
Lesson 1
a. b. c. d.
Men at Risk: Occupation and Male Infertility Paul Claman, M.D. Objective: To examine the effects of workplace toxin exposure on male reproductive function and strategies to minimize risk. 1.
Toxins may result in decreased sperm counts by acting on which of the following components of the male reproductive system? a. b. c. d.
2.
2.
testis hypothalamus pituitary any of the above
Exposure to occupational/environmental toxins have been reported to cause which of the following: a. b. c. d.
decreased sperm counts pregnancy loss/miscarriage congenital fetal anomalies all of the above
The German Commission E has approved the use of black cohosh for the treatment of menopausal symptoms for up to:
isoflavones phenolic acid deoxyacetine esters
Lesson 3 Antidepressants and Sexual Dysfunction Mara Brill Objective: To evaluate the sexual side effects of antidepressant medications and possible treatment strategies. 1.
Which of the following antidepressants is associated with the fewest sexual side effects? a. b. c. d. e.
The Use of Black Cohosh to Treat Symptoms of Menopause M. Blumenthal
1.
months months year years
The commercial herbal preparation Remifemin® is standardized with respect to the content of: a. b. c. d.
Lesson 2
Objective: To examine the safety and efficacy of black cohosh for the treatment of menopausal symptoms.
3 6 1 5
2.
Venlafaxine (Effexor) Fluoxetine (Prozac) Bupropion (Wellbutrin) Paroxetine (Paxil) Sertraline (Zoloft)
Strategies for managing sexual dysfunction secondary to antidepressants may include which of the following: a. awaiting spontaneous remission b. lowering the dose
c. a “drug holiday” d. using antidotes eg. sildenafil (Viagra) e. all of the above
Lesson 4 Protect Yourself from Malpractice Suits Mary Jane Minkin Objective: To examine the most common reasons for malpractice and ways to minimize the risk. 1.
The single most common malpractice lawsuit in the U.S. currently involves: a. ureteral injury b. bowel injury
c. shoulder dystocia complication d. failure to diagnose breast cancer e. failure to diagnose cervical cancer 2.
Methods of limiting your risk of malpractice liability include all but one: a. relying on patients to follow up with you regarding abnormal test results b. keeping proper documentation c. thoroughly checking test results d. use of “tickler files” e. evaluation of post-operative complaints promptly f. conducting good preoperative work-ups
CME Program Exam - Volume 2, March 2004 Claman - Lesson 1
Brill - Lesson 3
1.
A 䡬 B 䡬 C 䡬 D 䡬 E 䡬
1.
A 䡬 B 䡬 C 䡬 D 䡬 E 䡬
2.
A 䡬 B 䡬 C 䡬 D 䡬 E 䡬
2
A 䡬 B 䡬 C 䡬 D 䡬 E 䡬
3.
A 䡬 B 䡬 C 䡬 D 䡬 E 䡬
Minkin - Lesson 4
Blumenthal - Lesson 2
1.
1.
A 䡬 B 䡬 C 䡬 D 䡬 E 䡬
A 䡬 B 䡬 C 䡬 D 䡬 E 䡬
2.
2.
A 䡬 B 䡬 C 䡬 D 䡬 E 䡬
A 䡬 B 䡬 C 䡬 D 䡬 E 䡬
3.
A 䡬 B 䡬 C 䡬 D 䡬 E 䡬
Name (please print) (First)
(Initial)
(Last)
(Degree)
Street Address City/State/Zip Daytime phone
Fax
E-mail address Payment options ($5.00 for members, $10.00 for nonmembers for 1.5 credits) □ Check (payable to American Society for Reproductive Medicine) □ Visa □ MasterCard Card no. __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Expiration Date Signature
Return to: CME Coordinator, CME Department, American Society for Reproductive Medicine 1209 Montgomery Highway, Birmingham, AL 35216 Telephone: (205) 978-5000; Fax (205) 978-5005
Men at Risk: Occupation and Male Infertility Paul Claman Sexuality, Reproduction & Menopause 2004;2(1): 19
Lesson 2
The Use of Black Cohosh to Treat Symptoms of Menopause Adapted from M. Blumenthal Sexuality, Reproduction & Menopause 2004;2(1): 27
Lesson 3
Antidepressants and Sexual Dysfunction Mara Brill Sexuality, Reproduction & Menopause 2004;2(1): 35
Lesson 4
Protect Yourself From Malpractice Suits Mary Jane Minkin Sexuality, Reproduction & Menopause 2004;2(1): 41
INSTRUCTIONS LEARNING OBJECTIVES: After reading the designated articles published in Sexuality, Reproduction & Menopause, participants of the Sexuality, Reproduction & Menopause Continuing Medical Education (CME) Program should be able to: 1. 2.
Demonstrate an increased knowledge of reproductive medicine. Evaluate the clinical data and apply it to the care of their patients.
TARGET AUDIENCE: This activity is designed for all physicians with a fundamental interest and knowledge in reproductive medicine and women’s health, residents, researchers, clinicians, and educators alike. NEEDS ASSESSMENT: As healthcare and technology continue to advance, there is a need to provide physicians and other health care professionals with opportunities to access and review information of relevance to their practice in new ways. This activity is designed to allow professionals to study alone at the time of their choice. CREDIT/ACCREDITATION INFORMATION: The American Society for Reproductive Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education to physicians.
The American Society for Reproductive Medicine designates this educational activity for a maximum of 6 (1.5 each quarter) category 1 credits toward the AMA Physician’s Recognition Award per year. Each physician should claim only those credits that he/she actually spent in the educational activity. The American Medical Association has determined that physicians not licensed in the US who participate in this CME activity are eligible for AMA PRA category 1 credit. Program participants should answer the questions on the exam answer sheet found at ASRM’s website: www.asrm.org. The program is provided at a cost of $5 per exam for members and $10 per exam for non-members. The participant should retain a copy of the examination. A 70% passing score must be achieved. Documentation of satisfactory completion, the correct answers, and a course evaluation form will be mailed within 2 months of receipt of tests. For additional information, contact the CME Department at the American Society for Reproductive Medicine, 1209 Montgomery Highway, Birmingham, Alabama 35216 (Telephone: 205-978-5000; Fax 205-978-5005; email: [email protected]). Visit the ASRM website: www.asrm.org.
CME QUESTIONS To obtain the 1.5 CME credits for Volume 2, please follow these instructions: 1. 2. 3. 4. 5. 6. 7. 8.
Read the articles listed for CME credit in Sexuality, Reproduction & Menopause. Visit www.asrm.org and click on SRM EXAMS. Print out the exam page. Make a copy of your completed exam before sending to ASRM for your records. Fax completed exam with credit card information. OR Mail completed exam with check. You must achieve at least a 70% passing score. Your corrected exam and documentation will be mailed to you. Your exam must be received by ASRM by August 31, 2004. CME Department/SRM Exam American Society for Reproductive Medicine 1209 Montgomery Highway Birmingham, AL 35216 Please choose the one best answer for each question.
Lesson 1
a. b. c. d.
Men at Risk: Occupation and Male Infertility Paul Claman, M.D. Objective: To examine the effects of workplace toxin exposure on male reproductive function and strategies to minimize risk. 1.
Toxins may result in decreased sperm counts by acting on which of the following components of the male reproductive system? a. b. c. d.
2.
2.
testis hypothalamus pituitary any of the above
Exposure to occupational/environmental toxins have been reported to cause which of the following: a. b. c. d.
decreased sperm counts pregnancy loss/miscarriage congenital fetal anomalies all of the above
The German Commission E has approved the use of black cohosh for the treatment of menopausal symptoms for up to:
isoflavones phenolic acid deoxyacetine esters
Lesson 3 Antidepressants and Sexual Dysfunction Mara Brill Objective: To evaluate the sexual side effects of antidepressant medications and possible treatment strategies. 1.
Which of the following antidepressants is associated with the fewest sexual side effects? a. b. c. d. e.
The Use of Black Cohosh to Treat Symptoms of Menopause M. Blumenthal
1.
months months year years
The commercial herbal preparation Remifemin® is standardized with respect to the content of: a. b. c. d.
Lesson 2
Objective: To examine the safety and efficacy of black cohosh for the treatment of menopausal symptoms.
3 6 1 5
2.
Venlafaxine (Effexor) Fluoxetine (Prozac) Bupropion (Wellbutrin) Paroxetine (Paxil) Sertraline (Zoloft)
Strategies for managing sexual dysfunction secondary to antidepressants may include which of the following: a. awaiting spontaneous remission b. lowering the dose
c. a “drug holiday” d. using antidotes eg. sildenafil (Viagra) e. all of the above
Lesson 4 Protect Yourself from Malpractice Suits Mary Jane Minkin Objective: To examine the most common reasons for malpractice and ways to minimize the risk. 1.
The single most common malpractice lawsuit in the U.S. currently involves: a. ureteral injury b. bowel injury
c. shoulder dystocia complication d. failure to diagnose breast cancer e. failure to diagnose cervical cancer 2.
Methods of limiting your risk of malpractice liability include all but one: a. relying on patients to follow up with you regarding abnormal test results b. keeping proper documentation c. thoroughly checking test results d. use of “tickler files” e. evaluation of post-operative complaints promptly f. conducting good preoperative work-ups
CME Program Exam - Volume 2, March 2004 Claman - Lesson 1
Brill - Lesson 3
1.
A 䡬 B 䡬 C 䡬 D 䡬 E 䡬
1.
A 䡬 B 䡬 C 䡬 D 䡬 E 䡬
2.
A 䡬 B 䡬 C 䡬 D 䡬 E 䡬
2
A 䡬 B 䡬 C 䡬 D 䡬 E 䡬
3.
A 䡬 B 䡬 C 䡬 D 䡬 E 䡬
Minkin - Lesson 4
Blumenthal - Lesson 2
1.
1.
A 䡬 B 䡬 C 䡬 D 䡬 E 䡬
A 䡬 B 䡬 C 䡬 D 䡬 E 䡬
2.
2.
A 䡬 B 䡬 C 䡬 D 䡬 E 䡬
A 䡬 B 䡬 C 䡬 D 䡬 E 䡬
3.
A 䡬 B 䡬 C 䡬 D 䡬 E 䡬
Name (please print) (First)
(Initial)
(Last)
(Degree)
Street Address City/State/Zip Daytime phone
Fax
E-mail address Payment options ($5.00 for members, $10.00 for nonmembers for 1.5 credits) □ Check (payable to American Society for Reproductive Medicine) □ Visa □ MasterCard Card no. __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Expiration Date Signature
Return to: CME Coordinator, CME Department, American Society for Reproductive Medicine 1209 Montgomery Highway, Birmingham, AL 35216 Telephone: (205) 978-5000; Fax (205) 978-5005