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CME test.

To obtain CME credits, complete the test below following these guidelines:

1. Read each article carefully.

2. Choose the most appropriate response for 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) 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 Mediated Instruction at UNMC (402-559-4152).

Credit: Sponsored by the University of Nebraska Medical Center, in cooperation with the Center for Continuing Education. The University of Nebraska College of Medicine designates this educational activity for a maximum of 3 hours in category I 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 offering. The University of Nebraska Medical Center is accredited by the Accreditation Council fi)r Continuing Medical Education (ACCME) to sponsor continuing medical education for physicians. This CME activity was planned and produced in accordance with the ACCME Essentials.

1. Fattori et al report that all of the following have been considered possible causes of sudden hypoacusis except:

a. bacterial

b. viral

c. autoimmune disorders

d. parcellar rupture of the labyrinthine membrane

e. vascular

2. In the treatment of sudden hypoacusis, hyperbaric oxygen therapy (HOT) works, in part, by:

a. modifying hydrostatic pressure of the perilymph

b. creating an osmotic gradient between plasma and perilymph

c. oxygenating the perilymph and cortilymph

d. creating a hypervolemic hemodilution

e. creating a normovolemic hemodilution

3. According to Hasbini et al, the most common type of developmental odontogenic cyst is:

a. ameloblastoma

b. interosseous mucoepidermoid carcinoma

c. dentigerous cyst

d. squamous cell carcinoma

e. odontoma

4. Maxillary third molars have been reported to have migrated to all of the following locations except:

a. maxillary sinus

b. nose

c. infraorbital area

d. supraorbital area

e. osteomeatal complex

5. According to sources cited in the article by Abdul-Baqi et al, approximately what percentage of cases of otitis media with effusion (OME) resolve spontaneously within two months?

a. 8%

b. 20%

c. 50%

d. 75%

e. 85%

6. Based on their findings, Abdul-Baqi et al recommend that first-line surgical therapy for chronic otitis media with effusion in children who have not responded to repeated medical therapy should be:

a. insertion of myringotomy tubes

b. myringotomy tube insertion and adenoidectomy

c. either adenoidectomy or adenotosillectomy

d. adenotonsillectomy

e. myringotomy tube insertion with adenotonsillectomy

7. In the study conducted by Abdul-Baqi et al, what was the success rate for resolution of chronic OME with adenoidectomy?

a. 30.0%

b. 42.9%

c. 55.0%

d. 62.7%

e. 82.6%

8. Abdul-Baqi and colleagues recommend what duration of medical therapy before performing surgery in children with chronic OME?

a. 1 to 2 months

b. 2 to 3 months

c. 3 to 4 months

d. 4 to 5 months

e. 5 to 6 months

9. Which of the following statements regarding the patients in Nelson's study is true?

a. Patients who only had retroglossal obstruction (Fujita type III) were not included in the study.

b. Patients with severe obstructive sleep apnea syndrome were excluded.

c. The study population was divided into three groups.

d. The majority of patients enrolled in the study had primarily single-level velopharyngeal obstruction (Fujita type I or IIa).

e. The patients lost to followup were all in group 1.

10. According to a report cited by Nelson, the uvulopalatopharyngoplasty (UPPP) response rate in patients with a retrolingual narrowing or collapse, with or without a retropalatal component, is:

a. 1.3%

b. 5.3%

c. 10.3%

d. 15.3%

e. 52.3%

11. Which of the following statements regarding temperature-controlled radiofrequency (TCRF) tongue reduction is false, according to Nelson?

a. Its addition to UPPP does not appear to significantly increase the degree of pain and morbidity, when compared with UPPP alone.

b. Adding this procedure to UPPP provides maximal use of the hospital stay.

c. It is minimally invasive and well tolerated.

d. It is a straightforward procedure that can be easily mastered by otolaryngologists with the necessary instruction.

e. The combination of UPPP and TCRF was associated with a higher rate of postsurgical complications than UPPP alone.

12. According to a source cited in the article by Clark and Weissler, what is the five-year survival rate for systemic forms of amyloidosis?

a. <5%

b. <20%

c. 40-50%

d. 75%

e. >90%

13. Based on the article by Clark and Weissler, which of the following statements is false?

a. Amyloid depositions can occur in the eye and in the major and minor salivary glands.

b. Laryngeal involvement is less common in systemic amyloidosis than in localized disease.

c. Most patients with localized laryngotracheobronchial amyloidosis are Caucasian.

d. It is uncommon for localized amyloid depositions to occur in both the upper and lower respiratory tracts.

e. In patients with amyloid depositions within the larynx, the most common sites of involvement are the true vocal folds.

14. Clark and Weissler report that most cases of localized laryngotracheobronchial amyloidosis occur in patients who are:

a. >40 years of age

b. 30-40 years of age

c. <20 years of age

d. 15-20 years of age

e. < 12 years of age

15. Management of combined upper and lower respiratory tract amyloidosis involves:

a. chemotherapy

b. radiation and chemotherapy

c. surgery and radiation

d. surgery only

e. radiation only
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Title Annotation:continuing medical education
Publication:Ear, Nose and Throat Journal
Geographic Code:1U4NE
Date:Sep 1, 2001
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