Continuing Medical Education Exam 1, May 2009

Continuing Medical Education Exam 1, May 2009

GASTROENTEROLOGY 2009;136:1818 –1820 CONTINUING MEDICAL EDUCATION (CME) ACTIVITIES Michael B. Wallace, CME Section Editor CME Credits: The American ...

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GASTROENTEROLOGY 2009;136:1818 –1820

CONTINUING MEDICAL EDUCATION (CME) ACTIVITIES Michael B. Wallace, CME Section Editor

CME Credits: The American Gastroenterological Association Institute (AGA Institute) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AGA Institute designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Faculty Disclosure: In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support of Continuing Medical Education, all faculty and planning partners must disclose any financial relationship(s) or other relationship(s) held within the past 12 months. The AGA Institute implements a mechanism to identify and resolve all conflicts of interest prior to delivering the educational activity to learners.

Instructions: Category 1 credit can be earned by reading the relevant article and taking these CME examinations online at http://www.gastrojournal.org/content/cme. Answers to the questions are provided after taking the exams.

Objectives: See article for specific learning objective.

Exam 1: Decreasing Time-Trends of Colorectal Cancer in a Large Cohort of Patients With Inflammatory Bowel Disease Söderlund S, et al, Authors Test ID No.: gast00097

Contact hours: 1.0

Expiration Date: May 31, 2010

Question 1: According to recent meta-analyses, the risk for colorectal cancer (CRC) in IBD is:

a. Comparable to the general population. b. Increased in both longstanding ulcerative colitis (UC) and Crohn’s colitis. c. Increased in UC but not in Crohn’s colitis. d. Increased in Crohn’s colitis but not in UC. e. Decreased in both UC and Crohn’s colitis.

CME ACTIVITY

Question 2: According to this study of 7607 Swedish patients with IBD, the following is true about the cumulative CRC incidence by time since IBD diagnosis:

a. The risk was increased in UC but not in Crohn’s colitis. b. The risk was most pronounced in UC pancolitis. c. The risk was the same in UC and Crohn’s colitis. d. The risk was increased in Crohn’s colitis but not in UC. e. There was no increased risk regardless of type of IBD.

May 2009

CME ACTIVITY

1819

Question 3: According to this study of 7607 Swedish patients with IBD, the following is true about the relative risk of incident CRC across calendar periods of CRC diagnosis:

a. The risk increased both within the cohort and compared with the general population. b. The risk decreased both within the cohort and compared with the general population. c. The risk increased within the cohort but decreased compared with the general population. d. The risk was unchanged within the cohort but decreased compared with the general population. e. The risk was unchanged both within the cohort and compared with the general population.

Question 4: According to this study of 7607 Swedish patients with IBD, the following is true about the relative risk of mortality from CRC across calendar periods of CRC diagnosis:

a. The risk increased both within the cohort and compared with the general population. b. The risk decreased both within the cohort and compared with the general population. c. The risk increased within the cohort but decreased compared with the general population. d. The risk was unchanged within the cohort but decreased compared with the general population. e. The risk was unchanged both within the cohort and compared with the general population.

Exam 2: Capnographic Monitoring of Respiratory Activity Improves Safety of Sedation for Endoscopic Cholangiopancreatography and Ultrasound Qadeer M, et al, Authors Test ID No.: gast00098

Contact hours: 1.0

Expiration Date: May 31, 2010

Capnography involves which of the following?

a. The measurement of transcutaneous carbon dioxide via a heated sensing electrode. b. The graphic assessment of carbon dioxide levels throughout the respiratory cycle by means of excitatory laser spectroscopy. c. The quantitative measurement of carbon dioxide throughout the respiratory cycle by utilizing the molecule’s absorption in the infrared range of the electromagnetic spectrum. d. The averaging of end-tidal concentrations of carbon dioxide over multiple respiratory cycles. e. The graphic summation of carbon dioxide and oxygen concentrations over the respiratory cycle.

CME ACTIVITY

Question 1: