CME test: 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 o f 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 ill accordance with the ACCME Essentials.

1. With which of the following statements would Akst et al agree?

a. Germ cell tumors only metastasize to the cervical lymph nodes through lymphatic channels.

b. Seminomas account for approximately 50% of all testicular germ cell tumors.

c. Lymphatic metastases tend to spread from the abdomen into the chest and then into the neck.

d. Cervical metastases from germ cell tumors are found almost exclusively within the right superclavicular fossa.

2. Akst et al state that seminomas tend to be more radiosensitive than nonseminomatous germ cell tumors.

True or False?

3. According to a source cited by Yildirim, what percentage of patients with sialolithiasis have a solitary stone?

a. 40 to 50%

b. 50 to 60%

c. 60 to 70%

d. 70 to 80%

4. Tcheurekdjian et al state that the incidence of mucosa-associated lymphoid tissue lymphomas in the head is:

a. l%

b. 2%

c. 3%

d. unknown

5. Based on the article by Sobol et al, which of these statements regarding actinomycosis is false?

a. It is a chronic suppurative infection caused by an anaerobic, gram-positive bacterium.

b. It is always accompanied by a low-grade fever.

c. It rarely involves the temporal bone region.

d. If prolonged, it results in extensive fibrosis.

6. Dogan et al state that Aspergillus flavus can only colonize nasopharyngeal tissue in immunocompromised patients.

True or False?

7. In what year, according to Christmas et al (Rhinoscopic Clinic), was the Onodi cell first described?

a. 1919

b. 1913

c. 1857

d. 1903

8. Based on this month's Imaging Clinic, by Robertson and Palacios, nasopalatinc duct cysts originate in entrapped epithelium in embryonic fissures during the development of the orofacial region.

True of False?

9. According to Lee and Zimbler (Facial Plastic Surgery Clinic), when did use of the forehead flap in nasal reconstruction surgery become popular?

a. beginning of the 19th century

b. during the Renaissance

c. in the 1990s

d. during the time of Susruta

10. With which of the following statements regarding rhabdomyosarcoma of the middle ear and mastoid would Sautter and Thompson (Pathology Clinic) disagree?

a. It is the most common malignant aural neoplasm in pediatric patients.

b. Its symptoms are generally nonspecific.

c. It accounts for less than 5% of all cases of head and neck rhabdomyosarcoma.

d. It is sometimes mistaken for an aural polyp.