Journal of Pediatric Ophthalmology and Strabismus

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CME quiz

Abstract

INSTRUCTIONS

1. Review the stated learning objectives above the abstract of the CME article and determine if these objectives match your individual teaming needs.

2. Read the article carefully. Do not neglect the tables and other illustrative materials, as they have been selected to enhance your knowledge and understanding.

3. The following quiz questions have been designed to provide a useful link between the CME article in the issue and your everyday practice. Read each question, choose the correct answer, and record your answer on the CME REGISTRATION FORM at the end of the quiz. Retain a copy of your answers so that they can be compared with the correct answers that will be published later.

4. Type or print your full name and address and your date of birth in the space provided on the CME REGISTRATION FORM.

5. Complete the Evaluation portion of the CME Registration Form. Forms and quizzes cannot be processed if the Evaluation portion is incomplete. The Evaluation portion of the CME Registration Form will be separated from the quiz upon receipt at JOURNAL OF PEDIATRIC OPHTHALMOLOGY & STRABISMUS. Your evaluation of this activity will in no way affect the scoring of your quiz.

6. Send the completed form, with your $15 payment (check, money order, or credit card information) to: JOURNAL OF PEDIATRIC OPHTHALMOLOGY & STRABISMUS CME Quiz. PO Box 36, Thorofare NJ 08086.

7. Your answers will be graded, and you will be advised whether you have passed or failed. Unanswered questions will be considered incorrect. A score of at least 80% is required to pass. Answers to the quiz will be published 3 months after the article appears. You should review your answers at that time, noting your incorrect answers, and referring to the article and its supplemental bibliography for additional information and clarification.

8. Be sure to mail the CME Registration Form on or before the deadline listed. After that date, the quiz will dose and correct answers will appear in the Journal. CME Registration Forms received after the date listed will not be processed.

CME ACCREDITATION

SLACK Incorporated, publisher of JOURNAL OF PEDIATRlC OPHTHALMOLOGY & STRABISMUS, is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. SLACK Incorporated designates this educational activity for a maximum of one (1) hour in category 1 toward the AMA Physician's Recognition Award. Each physician should only claim those hours of credit that he/she actually spent in the educational activity.

Diagnosis and Surgical Management of Strabismus Associated With Thyroid-related Orbitopathy

1. With regard to patients with thyroid-related restrictive strabismus, which one of the following statements is incorrect?

A. Many of these patients require thyroxine supplement.

B. A euthyroid state is not unusual.

C. Restrictive strabismus appears shortly after onset of Graves' disease.

D. Their average age is about 50.

2. It is recommended to wait for stabilization of endocrine function and ocular alignment before proceeding with strabismus surgery. How long after stabilization should the surgery be performed?

A. Endocrine stability, 6 months; alignment stability, 3 months.

B. Endocrine and alignment stability, 6 months.

C. Endocrine stability, 3 months; alignment stability, 3 months.

D. Endocrine stability, 3 months; alignment stability, 6 months.

3. Which one of the following statements about the orthoptic assessment of restrictive thyroid-related strabismus is incorrect?

A. There are inconsistencies applying to Hering's law.

B. BiMaddox rods provide useful information.

C. Ductions are less informative than versions.

D. Prismatic neutralization is done monocularly.

4. The least common pattern of extraocular muscle restriction is:

A. Bilateral medial rectus.

B. lpsilateral inferior rectus-contralateral superior rectus.

C. Bilateral inferior…

INSTRUCTIONS

1. Review the stated learning objectives above the abstract of the CME article and determine if these objectives match your individual teaming needs.

2. Read the article carefully. Do not neglect the tables and other illustrative materials, as they have been selected to enhance your knowledge and understanding.

3. The following quiz questions have been designed to provide a useful link between the CME article in the issue and your everyday practice. Read each question, choose the correct answer, and record your answer on the CME REGISTRATION FORM at the end of the quiz. Retain a copy of your answers so that they can be compared with the correct answers that will be published later.

4. Type or print your full name and address and your date of birth in the space provided on the CME REGISTRATION FORM.

5. Complete the Evaluation portion of the CME Registration Form. Forms and quizzes cannot be processed if the Evaluation portion is incomplete. The Evaluation portion of the CME Registration Form will be separated from the quiz upon receipt at JOURNAL OF PEDIATRIC OPHTHALMOLOGY & STRABISMUS. Your evaluation of this activity will in no way affect the scoring of your quiz.

6. Send the completed form, with your $15 payment (check, money order, or credit card information) to: JOURNAL OF PEDIATRIC OPHTHALMOLOGY & STRABISMUS CME Quiz. PO Box 36, Thorofare NJ 08086.

7. Your answers will be graded, and you will be advised whether you have passed or failed. Unanswered questions will be considered incorrect. A score of at least 80% is required to pass. Answers to the quiz will be published 3 months after the article appears. You should review your answers at that time, noting your incorrect answers, and referring to the article and its supplemental bibliography for additional information and clarification.

8. Be sure to mail the CME Registration Form on or before the deadline listed. After that date, the quiz will dose and correct answers will appear in the Journal. CME Registration Forms received after the date listed will not be processed.

CME ACCREDITATION

SLACK Incorporated, publisher of JOURNAL OF PEDIATRlC OPHTHALMOLOGY & STRABISMUS, is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. SLACK Incorporated designates this educational activity for a maximum of one (1) hour in category 1 toward the AMA Physician's Recognition Award. Each physician should only claim those hours of credit that he/she actually spent in the educational activity.

Diagnosis and Surgical Management of Strabismus Associated With Thyroid-related Orbitopathy

1. With regard to patients with thyroid-related restrictive strabismus, which one of the following statements is incorrect?

A. Many of these patients require thyroxine supplement.

B. A euthyroid state is not unusual.

C. Restrictive strabismus appears shortly after onset of Graves' disease.

D. Their average age is about 50.

2. It is recommended to wait for stabilization of endocrine function and ocular alignment before proceeding with strabismus surgery. How long after stabilization should the surgery be performed?

A. Endocrine stability, 6 months; alignment stability, 3 months.

B. Endocrine and alignment stability, 6 months.

C. Endocrine stability, 3 months; alignment stability, 3 months.

D. Endocrine stability, 3 months; alignment stability, 6 months.

3. Which one of the following statements about the orthoptic assessment of restrictive thyroid-related strabismus is incorrect?

A. There are inconsistencies applying to Hering's law.

B. BiMaddox rods provide useful information.

C. Ductions are less informative than versions.

D. Prismatic neutralization is done monocularly.

4. The least common pattern of extraocular muscle restriction is:

A. Bilateral medial rectus.

B. lpsilateral inferior rectus-contralateral superior rectus.

C. Bilateral inferior rectus.

D. Bilateral inferior rectus-medial rectus.

5. A large vertical measurement in primary posh tion is likely to be found in all of the following patterns of extraocular muscle restriction except:

A. Unilateral inferior rectus.

B. Bilateral inferior rectus.

C. Unilateral superior rectus.

D. lpsilateral inferior rectus-contralateral superior rectus.

6. In thyroid-related strabismus, which pattern of restriction is most likely to cause torsion?

A. Superior reclus.

B. Bilateral medial rectus.

C. lpsilateral inferior rectus-contralateral superior rectus.

D. Bilateral inferior rectus.

7. A pseudocomitant vertical deviation Is seen in which pattern of muscle restriction?

A. Asymmetric bilateral inferior rectus.

B. lpsilateral inferior rectus-contralateral superior rectus.

C. Symmetric bilateral inferior rectus.

D. Inferior rectus ipsilateral medial rectus.

8. In patients with thyroid-related orbitopathy, surgical interventions should be performed in which order?

A. Orbit-lids-extraocular muscles.

B. Extraocular muscles-orbit-lids.

C. Lids-extraocular muscles-orbit.

D. Orbit-extraocular muscles-lids.

9. A postoperative "A" pattern exotropia is most likely to occur after surgery on:

A. Both medial recti.

B. Both superior and both medial recti.

C. Both inferior and one medial rectus.

D. Both medial and both inferior recti.

10. Reoperation is least common when:

A. Orbital decompression was performed in the past.

B. Surgery is done for an isolated, markedly restricted inferior rectus.

C. Bilateral surgery is done on asymmetrically restricted inferior recti.

D. Mildly restricted muscles are excluded in the surgical plan.

10.3928/0191-3913-19971101-10

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