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 category 1 credits toward the AMA Physician's Recognition Award. Each physician should claim only those credits that he/she actually spent in the activity.

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

1. According to Pontius and Williams in this month's Facial Plastic Surgery Clinic, when an endonasal spreader graft is being placed during rhinoplasty, the pocket created for the spreader graft should only be--wider than the Freer elevator used to create the pocket.

a. 0.5 to 1 mm

b. 1 to 2 mm

c. 2.5 to 3.5 mm

d. none of the above

2. With which of the following statements regarding antrochoanal polyps would Rojas and Palacios (Imaging Clinic) disagree?

a. They occur most frequently in older adults.

b. They arise in the lumen of the maxillary sinus.

c. They are rare inflammatory lesions.

d. On TS-weighted MRI, they appear as high-intensity masses.

3. According to House and Fayad in this month's Otoscopic Clinic, small squamous cell carcinomas occurring in the external auditory canal warrant aggressive surgical resection.

True or False?

4. Based on this month's Pathology Clinic, by Penner and Thompson, approximately what percentage of cases of canalicular adenomas occur in the upper lip?

a. 1%

b. 20%

c. 50%

d. 80%

5. According to Gelfand, the mean age at onset of allergic rhinitis is approximately:

a. 2 years

b. 5 years

c. 10 years

d. 13 years

6. Of the following adverse effects associated with first-generation antihistamines, which does Gelfand state is the most common?

a. CNS impairment

b. anticholinergic effects

c. cardiovascular effects

d. sedation

7. According to Ghaffar and Salahuddin, the presenting symptoms of olfactory neuroblastomas mimic those of benign tumors of the nose.

True or False?

8. Ghaffar and Salahuddin cite a source stating that, currently, the gold standard for the management of olfactory neuroblastoma is:

a. craniofacial resection combined with radiotherapy

b. radical surgery of early lesions

c. endoscopic resection of the tumor combined with stereotactic irradiation of the frontal skull base with a gamma-ray knife

d. neck dissection

9. Olfactory neuroblastomas account for what percentage of malignant tumors of the nasal cavity, according to a source cited by Ghaffar and Salahuddin?

a. 2%

b. 4%

c. 6%

a. 8%

10. Bergson and Sataloff conclude that computerized dynamic posturography is a valuable prognostic indicator for predicting subjective postoperative balance function in patients who are about to undergo surgery for the removal of an acoustic neuroma.

True or False?