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 a source cited by Tincani et al, approximately what percentage of minor salivary gland tumors are malignant?

a. 50%

b. 60%

c. 70%

d. 80%

2. Which of the following is not included among the clinical characteristics of polymorphous low-grade adenocarcinoma listed in the article by Tincani et al?

a. male preponderance

b. absence of symptoms

c. manifestation during the seventh decade of life

d. an almost-exclusive occurrence in the oral cavity

3. Pneumosinus dilitans was first described in what year, according to the article by De Riu et al?

a. 1918

b. 1898

c. 1890

d. 1915

4. Based on the Special Topics Clinic in this issue, by Chang et al, which of the following statements regarding pigmented squamous cell carcinoma is true?

a. It can be confused with melanoma.

b. It accounts for 1% of all squamous cell carcinomas.

c. It usually arises in the nasal cavity.

d. Its prognosis is not as favorable as that of squamous cell carcinoma.

5. Which of the following signs and symptoms can be minimal or absent in patients with bilateral peritonsillar abscess, according to Safdar et al?

a. severe sore throat

b. dysphagia

c. "hot potato voice"

d. trismus 

6. Which of the following statements related to cholesteatoma of the maxillary sinus is false, according to Palacios and Robertson in this month's Imaging Clinic?

a. A cholesteatoma is a cystic keratin-filled mass lined with stratified squamous epithelium.

b. Cholesteatomas occurring in the facial bones probably arise from a congenital inclusion rest or a traumatic implantation.

c. Cholesteatomas of the facial sinuses are common.

d. The differential diagnosis should include mucocele and odontogenic keratocyst.

7. Which of these is the most common site of epithelial-myoepithelial carcinoma, according to Avitia et al in this month's Head and Neck Clinic?

a. palate

b. parotid gland

c. base of the tongue

d. submandibular gland

8. Based on this month's Otoscopic Clinic, by Weisskopf and Brackmann, which of the following statements regarding facial nerve schwannomas is false?

a. They account for more than 5% of all intratemporal mass lesions.

b. They tend to grow slowly.

c. They are often asymptomatic until they have reached larger dimensions.

d. They are commonly associated with heating loss and facial paresis.

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