Pediatric Annals

CME Quiz

Abstract

INSTRUCTIONS

Pediatricians may receive three credit hours in Category 1 for the Physician's Recognition Award of the American Medical Association by reading the material in this issue and successfully answering the questions in the quiz below. To obtain credits, follow these instructions.

1. Read each of the articles carefully. Do not neglect the tables and other illustrative materials, as they have been selected to enhance your knowledge and understanding.

2. The following questions have been designed to provide a useful link between the articles 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. Retama copy of your answers so that they can be compared with the correct answers that will be sent to you later.

3. Type or print y ou r ful I name and address and your Social Security number m the spaces provided on the CME Registration Form.

4. Send the completed form, with your check or money order for $10 made out to PEDIATRIC ANNALS CME CENTER. 6900 Grove Road. Thorofare, N.J. 080T6.

5. Your answers will be graded, and you will be advised that you have passed (or failed). An answer sheet containing all correct answers will be mai led to you. Review the parts of the articles dealing with any questions you have missed, and read the supplemental material on this aspect of the subject listed in the references in this issue.

6. Be sure to mail the form on or before the deadline listed on the CME Registration Form, so that credit can be awarded. (After that date, the quiz will close, and correct answers will appear in the magazine.) Unanswered questions will be considered incorrect and so scored. A minimum score of 70 must be obtained in order for credits to be awarded.

CERTIFYING INSTITUTION

As an organization accredited for continuing medical education, the Lenox Hill Hospital of New York designates this continuing medical education activity as meeting the criteria for three credit hours m Category 1 for Educational Materials for the Physician's Recognition Award of the American Medical Association, provided it has been completed according to instructions.

CME QUIZ: FRONTIERS IN PEDIATRIC SURGERY

1. The percentage of children ultimately requiring proctocolectomy for ulcerative colitis is closest to:

A. 5%.

B. 20%.

C. 40%.

D. 60%.

2. Which of the following complications may occur in patients with a continent ileostomy (Kock pouch)?

A. Nipple valve retraction.

B. Reservoir enteritis.

C. Prolonged hospital stay.

D. All of the above.

3. Complications following removal of the rectum for ulcerative colitis may include:

A. Impotence.

B. Bladder dysfunction.

C. All of the above.

D. None of the above.

4. Contraindications to the performance of a continence preserving pullthrough operation include:

A. Long-standing ulcerative colitis.

B. Growth retardation.

C. Crohn's Disease.

D. Previous corticosteroid treatment.

5. Survival rate in State I to II neuroblastoma is closest to:

A. 25%.

B. 45%.

C. 70%.

D. 90%.

6. The following are favorable prognostic indicators in neuroblastoma:

A. Resectable primary.

B, Thoracic primary.

C. Age under one year.

D. All of the above.

7. The peak age lor children with paratesticular, extremity and trunk rhabdomyosarcoma is:

A. Six months.

B. Five years.

C. Fifteen years.

D. Twenty-one years.

8. The histologie type of rhabdomyosarcoma with the best prognosis is:

A. Embryonal.

B. Alveolar.

C. Undifferentiated.

9. Rhabdomyosarcoma of the following sites are associated with a favorable prognosis when treated by multimodal therapy:

A. Bladder.

B. Vagina.

C. Orbit.

D. All of the above.

10. Complications following treatment of Hodgkin's…

INSTRUCTIONS

Pediatricians may receive three credit hours in Category 1 for the Physician's Recognition Award of the American Medical Association by reading the material in this issue and successfully answering the questions in the quiz below. To obtain credits, follow these instructions.

1. Read each of the articles carefully. Do not neglect the tables and other illustrative materials, as they have been selected to enhance your knowledge and understanding.

2. The following questions have been designed to provide a useful link between the articles 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. Retama copy of your answers so that they can be compared with the correct answers that will be sent to you later.

3. Type or print y ou r ful I name and address and your Social Security number m the spaces provided on the CME Registration Form.

4. Send the completed form, with your check or money order for $10 made out to PEDIATRIC ANNALS CME CENTER. 6900 Grove Road. Thorofare, N.J. 080T6.

5. Your answers will be graded, and you will be advised that you have passed (or failed). An answer sheet containing all correct answers will be mai led to you. Review the parts of the articles dealing with any questions you have missed, and read the supplemental material on this aspect of the subject listed in the references in this issue.

6. Be sure to mail the form on or before the deadline listed on the CME Registration Form, so that credit can be awarded. (After that date, the quiz will close, and correct answers will appear in the magazine.) Unanswered questions will be considered incorrect and so scored. A minimum score of 70 must be obtained in order for credits to be awarded.

CERTIFYING INSTITUTION

As an organization accredited for continuing medical education, the Lenox Hill Hospital of New York designates this continuing medical education activity as meeting the criteria for three credit hours m Category 1 for Educational Materials for the Physician's Recognition Award of the American Medical Association, provided it has been completed according to instructions.

CME QUIZ: FRONTIERS IN PEDIATRIC SURGERY

1. The percentage of children ultimately requiring proctocolectomy for ulcerative colitis is closest to:

A. 5%.

B. 20%.

C. 40%.

D. 60%.

2. Which of the following complications may occur in patients with a continent ileostomy (Kock pouch)?

A. Nipple valve retraction.

B. Reservoir enteritis.

C. Prolonged hospital stay.

D. All of the above.

3. Complications following removal of the rectum for ulcerative colitis may include:

A. Impotence.

B. Bladder dysfunction.

C. All of the above.

D. None of the above.

4. Contraindications to the performance of a continence preserving pullthrough operation include:

A. Long-standing ulcerative colitis.

B. Growth retardation.

C. Crohn's Disease.

D. Previous corticosteroid treatment.

5. Survival rate in State I to II neuroblastoma is closest to:

A. 25%.

B. 45%.

C. 70%.

D. 90%.

6. The following are favorable prognostic indicators in neuroblastoma:

A. Resectable primary.

B, Thoracic primary.

C. Age under one year.

D. All of the above.

7. The peak age lor children with paratesticular, extremity and trunk rhabdomyosarcoma is:

A. Six months.

B. Five years.

C. Fifteen years.

D. Twenty-one years.

8. The histologie type of rhabdomyosarcoma with the best prognosis is:

A. Embryonal.

B. Alveolar.

C. Undifferentiated.

9. Rhabdomyosarcoma of the following sites are associated with a favorable prognosis when treated by multimodal therapy:

A. Bladder.

B. Vagina.

C. Orbit.

D. All of the above.

10. Complications following treatment of Hodgkin's Disease in children may include:

A. Growth retardation.

B. Sterility.

C. Secondary malignancies.

D. All of the above.

11. Of the following fetal abnormalities, which can be detected by maternal ultrasound?

A. Cystic hygroma.

B. Urinary tract obstruction.

C. Intestinal atresia.

D. All of the above.

12. Which of the following may improve the success of organ transplantation?

A. Pretransplant transfusions.

B. Cyclosporin A.

C. T-cell monitoring.

D. All of the above.

13. The rate of success of kidney transplantation with living related donors over a two-year period Is currently closest to:

A. 25%.

B. 50%.

C. 70%.

D. 95%.

14. Children with the following disease which results in end stage renal disease should not be transplanted:

A. Membranoproliferative glomerulonephritis.

B. Oxalosis.

C. Dysplasia.

D. Cystinosis.

15. Can a Fontan procedure (right atrial to pulmonary artery or right ventricular connection) be made in a patient with left ventricular failure?

A. Yes.

B. No.

16. Bone marrow transplantation has been therapeutic in which of the following?

A. Aplastic anemia.

B. Congenital combined immunodeficiency.

C. Acute lymphocytic leukemia in second remission.

D. All of the above.

17. Survival of replanted parts in children can be expected in:

A. 10% to 40%.

B. 40% to 60%.

C. 60% to 90%.

D. 90% to 100%.

18. Current treatment of neonatal pulmonary failure includes:

A. Supplemental oxygen.

B. Mechanical ventilation.

C. lnotropic agents.

D. All of the above.

19. ECMO is effective in treating respiratory failure in the newborn in that it directly:

A. Increases cardiac output.

B. Raises vital capacity.

C. Achieves gas exchange and decompresses pulmonary hypertension.

D. Increases blood flow to the lungs.

20. In which of the following conditions has survival been improved by the use of ECMO?

A. Meconium aspiration syndrome.

B. Diaphragmatic hernia.

C. Persistent fetal circulation.

D. All of the above.

ANSWERS TO THE AUGUST CME QUIZ

Alcohol and Drug Abuse

1. C

2. D

3. D

4. A

5. D

6. C

7. B

8. A, C

9. B

10. C

11. A, C

12. B, C

13. B, C, D

14. A, B

15. C

16. D

17. A

18. D

19. A

20. D

10.3928/0090-4481-19821101-16

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