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 boon 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 tests used in diagnosing otitis media with effusion (OME) requires visualization of the tympanic membrane, according to Babb et al?

a. pneumatic otoscopy

b. audiometry

c. acoustic otoscopy

d. acoustic reflectometry

2. Which of the following is not among the disadvantages Babb et al state are associated with the use of tympanometry?

a. It requires an airtight seal in the external auditory canal.

b. It can yield unreliable results when the child being tested is crying.

c. It has lower sensitivity and specificity than does otoscopy.

d. It is time-consuming.

3. Based on this month's Otoscopic Clinic, by Fayad and House, which of the following statements regarding congenital cholesteatomas is false?

a. They are benign tumors.

b. They usually present as a white mass behind an intact tympanic membrane.

c. They typically originate in the posterior quadrant of the tympanic membrane.

d. When they originate in the posterior quadrant, the ossicular chain is usually involved.

4. Congenital cholesteatomas in the antero-superior aspect of the middle ear are asymptomatic.

True or False?

5. With which of the following statements regarding epistaxis would Bhatnagar and Berry disagree?

a. It is one of the most common ENT emergencies.

b. Posterior epistaxis occurs more often in children and young adults than in older patients,

c. It can be of arterial or venous origin,

d. A positive family history for epistaxis is present in 42% of patients.

6. Posterior epistaxis accounts for what percentage of all nosebleeds, according to Bhatnagar and Berry?

a. 10%

b. 12%

c. 14%

d. 16%

7. In what percentage of cases does Thompson (Pathology Clinic) state that chondrosarcomas of the larynx recur after surgical excision?

a. 5%

b. 10%

c. 15%

d. 20%

8. According to Thompson, chondrosareoma of the larynx is one of the least common non-epithelial neoplasms of the larynx.

True or False?