CME test

Ear, Nose & Throat Journal, March, 2004

Sponsored by the University of Nebraska Medical Center, Center for Continuing Education

To obtain CME credits, complete the test below, following these guidelines:

1. Read each article carefully.

2. Choose the most appropriate response to each of the following questions and record these on the registration form. Unanswered questions are considered incorrect.

3. Send the completed registration form and your payment (check, money order, VISA, MasterCard, American Express) to the Center for Continuing Education, University of Nebraska Medical Center (UNMC).

4. After your test has been graded, you will receive a receipt, a copy of the correct answers, and a credit statement certifying completion from the UNMC. Questions about the test should be addressed to UNMC Center for Continuing Education (402-559-4152).

Credit: The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Nebraska Medical Center, Center for Continuing Education designates this educational activity for a maximum of 3 hours in category 1 credit towards the AMA Physician's Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity.

This CME activity was planned and produced in accordance with the ACCME Essentials.

1. According to Nayar et al, extrapulmonary
   tuberculosis occurs in what percentage of
   patients with AIDS and tuberculosis?

   a. 15%
   b. 35%
   c. 50%
   d. 70%

2. Which of the following symptoms do Nayar et
   al state is observed most often in patients first
   presenting with nasal tuberculosis?

   a. epistaxis
   b. postnasal discharge
   c. nasal obstruction
   d. recurrent nasal polyps

3. Based on this month's Imaging Clinic, which
   of the following statements regarding lymphoma
   in Sjogren's syndrome is false?

   a. Ten to twenty percent of patients with
      Sjogren's syndrome followed for more than
      10 years will develop lymphoma.
   b. Lymphomas developing in Sj6gren's syndrome
      are classified as MALT (mucosa-associated
      lymphoid tissue) lymphomas.
   c. Lymphoma may appear as a low-density mass
      in a parotid gland that has a punctate or
      nodular appearance representing globular
      collections.
   d. MALT lymphomas are subclassified as either
      low-grade or high-grade.

4. Christmas et al (Rhinoscopic Clinic) state that
   pneumatization most commonly occurs in the
   inferior nasal turbinate.

   True or False?

5. According to Murakami (Facial Plastic
   Surgery Clinic), an internal nasal valve is
   considered to have collapsed if the angle of the
   valve is less than:

   a. 5 to 10[degrees]
   b. 10 to 15[degrees]
   c. 15 to 20[degrees]
   d. 20 to 25[degrees]

6. Gain et al report that in immunohistocbemical
   studies, S-100 protein is positive in virtually
   all neurofibromas and schwannomas.

   True or False?

7. In what percentage of adults with acute
   epiglottitis does epiglottic abscess occur,
   according to Gilbert and Downey (Laryngoscopic
   Clinic)?

   a. 30%
   b. 7%
   c. 4%
   d. 0%

8. With which of the following statements
   regarding Kaposi's sarcoma would
   Pantanowitz and Dezube (Pathology Clinic)
   disagree?

   a. It frequently affects the major salivary glands.
   b. It should be included in the differential
      diagnosis of AIDS-associated salivary gland
      enlargement.
   c. Human herpesvirus 8 is important in its
      development.
   d. It commonly affects the head and neck in
      HIV-infected patients.

9. According to Richmon et al, approximately
   what percentage of parotid tumors are
   benign?

   a. 67%
   b. 73%
   c. 82%
   d. 95%

10. Based on the article by Richmon et al, which
    of the following statements is false?

    a. Schwannomas of the peripheral facial nerve
       are rare.
    b. Schwannomas are encapsulated.
    c. Malignant transformation is more likely to
       occur with a schwannoma than with a
       neurofibroma.
    d. Between 25 and 48% of schwannomas are
       located in the head and neck.

Ear, Nose and     Deadline:
Throat Journal    February 2005
March 2004

Circle the most appropriate answer.

 1. a    b    c    d
 2. a    b    c    d
 3. a    b    c    d
 4. True    False
 5. a    b    c    d
 6. True    False
 7. a    b    c    d
 8. a    b    c    d
 9. a    b    c    d
10. a    b    c    d

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