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 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. Holt mentions a number of recommended surgical approaches for exposing the posterior tympanum. Whose method did he seek to augment with his expanded approach?

a. Farrior's anterior transcanal approach

b. Goodhill's anteroposterior approach

c. Lau and Tos's approach through the external auditory canal 

d. Leonetti et al's technique to marsupialize a retraction pocket in the posterior tympanum

2. Holt's expanded view of the posterior tympanum is useful in the operative setting.

True or False?

3. According to a source cited by Matzo et al, approximately what percentage of adults in industrialized nations have experienced tinnitus during their lifetimes?

a. 25%

b. 30%

c. 35%

d. 40%

4. With which of the following statements would Brennan et al disagree?

a. Nasal polyps caused by extramedullary hematopoiesis might be treated more safely with radiation than with surgery.

b. Nasal polyps are common in patients with both epistaxis and nasal obstruction.

c. Extramedullary hematopoiesis of the head and neck is common.

d. Polyps with atypical features warrant evaluation for systemic disease.

5. What percentage of all salivary malignancies do adenoid cystic carcinomas account for, according to a source cited by Lee and colleagues?

a. 10 to 15%

b. 20 to 25%

c. 30 to 35%

d. 40 to 45%

6. According to Belafsky in this month's Esophagology Clinic, which of the following statements regarding glycogenic acanthosis is false?

a. It is found on as many as 3.5% of esophageal endoscopies.

b. It does not require surveillance.

c. It is a benign condition.

d. It is never associated with gastroesophageal reflux.

7. According to this month's Imaging Clinic by Palacios et al, mucoceles of the frontal sinus may be produced by obstruction of the ostium, secondary to:

a. post-traumatic changes

b. osteoma 

c. fibrous dysplasia

d. all of the above

8. Brooklet states in this month's Vestibulology Clinic that the nystagmus velocity values seen on alternate binaural bithermal testing are only estimates.

True or False?

9. With which of the following statements regarding the external rhinoplasty approach would Davis (Facial Plastic Surgery Clinic) disagree?

a. A conspicuous columellar scar is an inevitable consequence.

b. The transcolumellar incision is best located at the narrowest portion of the columella.

c. Notching or inversion of the incision line is usually secondary to an irregular skived incision and/or faulty wound closure.

d. The choice of suture material isn't as important as precise suture placement.

10. A Danish anatomist (Chievitz) discovered the juxtaoral organ (also known as the organ of Chievitz) in what year, according to Pantanowitz and Tschen (Pathology Clinic)?

a. 1785

b. 1885

c. 1765

d. 1865