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Continuing Medical Education Exam 2, April 2009
April 2009
CME ACTIVITY
1445
Question 3: In this study, how did smoking modify the association between alcohol and esophageal cancer?
a. Smoking had no effect on the risks of either adenocarcinoma or squamous cell carcinoma associated with alcohol. b. Smoking increased the risks of adenocarcinoma associated with alcohol. c. Smoking increased the risks of squamous cell carcinoma associated with alcohol. d. Smoking decreased the risks of adenocarcinoma associated with alcohol. e. Smoking decreased the risks of squamous cell carcinoma associated with alcohol.
Question 4: Was there a dose effect of wine consumption on adenocarcinoma of the esophagus?
a. No. b. Yes, there was a significantly decreased risk with wine consumption. c. Yes, there was a significantly increased risk with wine consumption. d. Yes, there was a significantly decreased risk below a threshold level. e. Yes, there was a significantly increased risk above a threshold level.
Question 5: The dose– effect patterns of beer and wine consumption on squamous cell carcinoma
a. b. c. d. e.
Were Were Were Were Were
not statistically significant. both nonlinear. nonlinear for beer and linear for wine. both linear. linear for beer and nonlinear for wine.
Test ID No.: gast00096
Contact hours: 1.0
Expiration Date: April 30, 2010
Question 1: A 35-year-old woman presents with persistent epigastric pain, nausea, recurrent vomiting, and severe bloating and fullness after easting for 4 months. She denies fever, chills, and night sweats. She has been diagnosed with type 1 diabetes mellitus (DM) for 20 years, and has suffered with peripheral sensory neuropathy, nonproliferative retinopathy, and nephropathy. What is the most likely cause of this patient’s symptoms?
a. b. c. d. e.
Gastroparesis. Cyclic vomiting syndrome. Chronic idiopathic intestinal pseudo-obstruction. Eosinophilic encephalitis. Chronic pancreatitis.
CME ACTIVITY
Exam 2: The Incidence, Prevalence, and Outcomes of Patients With Gastroparesis in Olmsted County, Minnesota, From 1996 to 2006 Jung H–K, et al, Authors
1446
CME ACTIVITY
GASTROENTEROLOGY Vol. 136, No. 4
Question 2: A 40-year-old woman complains of progressive postprandial nausea and vomiting for 6 months after becoming acutely ill on a cruise ship. She also has noted a 10-pound weight loss over the past 6 months. She has mild abdominal pain, but denies any other gastrointestinal symptoms. Her family history and past medical history were not remarkable. Her diagnostic work up including routine laboratory testing, abdominal computed tomography, and esophagogastroduodenoscopy were all normal. What is the most appropriate next step in establishing a diagnosis?
a. b. c. d. e.
Gastric emptying scintigraphy. Endoscopic ultrasonography. Brain MRI. Esophageal manometry. Colonoscopy and terminal ileal examination.
Question 3: Which of the following most correctly describes the incidence and prevalence of gastroparesis in the general United States population?
Incidence a. b. c. d. e.
6 per 10,000 person-years 3 per 10,000 person-years 6 per 100,000 person-years 6 per 100,000 person-years 50 per 100,000 person-years
Prevalence 15 25 15 24 50
per per per per per
10,000 persons 10,000 persons 100,000 persons 100,000 persons 100,000 persons
Question 4: Which of the following statements is correct?
a. Overall survival in patients with gastroparesis is significantly lower than that of the comparable population. b. The number of gastroparesis-related hospitalizations has been increasing in the United States. c. One third of patients with gastroparesis need medical treatment, hospitalization, or tube feeding. d. Nondiabetic gastroparesis is associated with a better survival than diabetic gastroparesis. e. All statements are correct.
CME ACTIVITY
CME ACTIVITY
1445
Question 3: In this study, how did smoking modify the association between alcohol and esophageal cancer?
a. Smoking had no effect on the risks of either adenocarcinoma or squamous cell carcinoma associated with alcohol. b. Smoking increased the risks of adenocarcinoma associated with alcohol. c. Smoking increased the risks of squamous cell carcinoma associated with alcohol. d. Smoking decreased the risks of adenocarcinoma associated with alcohol. e. Smoking decreased the risks of squamous cell carcinoma associated with alcohol.
Question 4: Was there a dose effect of wine consumption on adenocarcinoma of the esophagus?
a. No. b. Yes, there was a significantly decreased risk with wine consumption. c. Yes, there was a significantly increased risk with wine consumption. d. Yes, there was a significantly decreased risk below a threshold level. e. Yes, there was a significantly increased risk above a threshold level.
Question 5: The dose– effect patterns of beer and wine consumption on squamous cell carcinoma
a. b. c. d. e.
Were Were Were Were Were
not statistically significant. both nonlinear. nonlinear for beer and linear for wine. both linear. linear for beer and nonlinear for wine.
Test ID No.: gast00096
Contact hours: 1.0
Expiration Date: April 30, 2010
Question 1: A 35-year-old woman presents with persistent epigastric pain, nausea, recurrent vomiting, and severe bloating and fullness after easting for 4 months. She denies fever, chills, and night sweats. She has been diagnosed with type 1 diabetes mellitus (DM) for 20 years, and has suffered with peripheral sensory neuropathy, nonproliferative retinopathy, and nephropathy. What is the most likely cause of this patient’s symptoms?
a. b. c. d. e.
Gastroparesis. Cyclic vomiting syndrome. Chronic idiopathic intestinal pseudo-obstruction. Eosinophilic encephalitis. Chronic pancreatitis.
CME ACTIVITY
Exam 2: The Incidence, Prevalence, and Outcomes of Patients With Gastroparesis in Olmsted County, Minnesota, From 1996 to 2006 Jung H–K, et al, Authors
1446
CME ACTIVITY
GASTROENTEROLOGY Vol. 136, No. 4
Question 2: A 40-year-old woman complains of progressive postprandial nausea and vomiting for 6 months after becoming acutely ill on a cruise ship. She also has noted a 10-pound weight loss over the past 6 months. She has mild abdominal pain, but denies any other gastrointestinal symptoms. Her family history and past medical history were not remarkable. Her diagnostic work up including routine laboratory testing, abdominal computed tomography, and esophagogastroduodenoscopy were all normal. What is the most appropriate next step in establishing a diagnosis?
a. b. c. d. e.
Gastric emptying scintigraphy. Endoscopic ultrasonography. Brain MRI. Esophageal manometry. Colonoscopy and terminal ileal examination.
Question 3: Which of the following most correctly describes the incidence and prevalence of gastroparesis in the general United States population?
Incidence a. b. c. d. e.
6 per 10,000 person-years 3 per 10,000 person-years 6 per 100,000 person-years 6 per 100,000 person-years 50 per 100,000 person-years
Prevalence 15 25 15 24 50
per per per per per
10,000 persons 10,000 persons 100,000 persons 100,000 persons 100,000 persons
Question 4: Which of the following statements is correct?
a. Overall survival in patients with gastroparesis is significantly lower than that of the comparable population. b. The number of gastroparesis-related hospitalizations has been increasing in the United States. c. One third of patients with gastroparesis need medical treatment, hospitalization, or tube feeding. d. Nondiabetic gastroparesis is associated with a better survival than diabetic gastroparesis. e. All statements are correct.
CME ACTIVITY