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. Which of the following statements regarding Curvularia fungi is false, based on this month's Imaging Clinic, by Parva et al?

a. They contain melanin in their hyphae.

b. Several species are zoopathologic.

c. They rarely cause infection of the sinonasal area.

d. They have not been found to cause infection in immunocompetent patients.

2. According to Kassam et al, which of the following is not part of the osseous framework of the ventromedial cranial base?

a. the caudal segment of the clivus

b. the lower portion of the dens

c. the medial component of the occipital condyle

d. the superior articular facet and the anterior tubercle of C1

3. With which of the following statements would Kassam et al agree?

a. Lesions affecting the ventromedial cranial base are common.

b. Gaining access to the ventromedial cranial base via the posterolateral approach limits resection of any lateral skull base component.

c. The ventral approach restricts access to the most medial and caudal portions of the ventral skull base.

d. Mobilizing the lower cranial nerves and creating a window between the internal carotid artery and the vertebral artery provides direct controlled access to the ventromedial cranial base.

4. Based on a source cited in this month's Head and Neck Clinic, by Osborne et al, accessory parotid glands are found in approximately what percentage of the population?

a. 50%

b. 26%

c. 74%

d. 21%

5. The rate of malignancy for tumors in the main parotid gland is higher than for tumors in the accessory parotid gland.

True or False?

6. Which of the following statements regarding the surgical approaches used in removing lesions of the tongue and vallecula is true, according to Leu and Ho in this issue's Special Topics Clinic?

a. The transoral approach is associated with a lack of facial scarring but is also associated with malocclusion and chronic aspiration.

b. The transoral approach is associated with an earlier return to a normal diet and is suitable for malignant lesions.

c. The transmandibular approach is suitable for various types of reconstructive procedures and is not associated with any complications.

d. The transpharyngeal approach provides excellent surgical exposure but is associated with impaired articulation and deglutition.

7. According to the article by Miller and Tami, which types of human papillomavirus (HPV) have been isolated from squamous cell carcinoma of the oropharynx?

a. HPV 6 and 11

b. HPV 6 and 16

c. HPV 11 and 16

d. HPV 16 and 18

8. In most cases, oral papillomas must be excised repeatedly.

True or False?