CME Questionaire

of the Kuwait Institute for Medical Specialization

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CME Accredited Articles - Volume 2; Number 2: 2003

Readers who submit answers to the questions that accompany the CME articles become eligible for CME/CPD credits in Category 1. Each article carries 1 CME credit point. To claim credit, the reader has to have registration in the MPC Program of KIMS, the answers should be received by the CME Center before 31st December 2004, and all the questions related to the article should have been attempted. Those who satisfy the above requirements would receive a certificate from the CME Center indicating the credits gained.

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CME Accredited Articles

After you have completed reading the CME/CPD articles, take the test given below. Check T (True) or F (False) to show the correct answer to each question.

Wheezing in infancy: Is it asthma?
Mazen Al-Essa

1.	Infants acquiring wheezing attack after an RSV infection are labeled asthmatics.	True False
2.	In general, around 5-15% of infants who wheezed develop asthma later in life.	True False
3.	Infants with acute moderate to severe attack of asthma have suprasternal retraction more than subcostal one.	True False
4.	Diminished air entry on one side of the chest always suggests foreign body aspiration.	True False
5.	Allergy skin test and levels of specific IgE in serum are very helpful diagnostic tests in asthma of infancy.	True False
6.	Inhaled bronchodilators have faster action than oral preparations.	True False
7.	A crying infant will not benefit fully from the nebulizer.	True False
8.	Systemic corticosteroids can be administered orally as a home treatment in moderate attacks of asthma for three to five days.	True False
9.	The role of sodium chromoglycate as a prophylactic treatment of asthma is diminishing.	True False
10.	Bronchopulmonary dysplasia is defined as the requirement of oxygen or assisted ventilation at two weeks of age.	True False

Management of hypertension: update and review
Enyioma N Obineche

11.	The first line therapeutic agent for the treatment of a hypertensive with diabetic nephropathy is ACE Inhibitors.	True False
12.	Transient ischemic attack is a sign of target organ damage.	True False
13.	Use of thiazide-type diuretics has a favorable effect in the treatment of a patient with gout.	True False
14.	Ambulatory monitoring is NOT useful in the assessment of patients with apparent drug resistance.	True False
15.	Treatment of hypertension reduces the risk of cardiovascular morbidity and mortality.	True False
16.	Blacks have a lower prevalence of hypertension and lower frequency of end organ damage.	True False
17.	More than two thirds of individuals of the age of 65 years suffer from hypertension.	True False
18.	The risk of major cardiovascular events is lowest amongst patients whose blood pressure had been reduced to 138.5/82.6 mmHg.	True False
19.	Monotherapy is effective in about 70% of unselected patients with hypertension.	True False
20.	Most clinical trials confirm that thiazide-type diuretics form the basis of antihypertensive treatment.	True False

Otitis media: a review for the Family physician
Rehab Alwotayan, Khaled Alabdulhadi

21.	Acute otitis media (AOM ) is defined as inflammation of the middle ear that presents with a rapid onset of symptoms and signs up to five weeks’ duration.	True False
22.	Children in group day care have been shown to be more likely to have acute otitis media.	True False
23.	Breast-fed babies are more prone to middle ear disease than bottle-fed babies.	True False
24.	Passive smoke exposure is considered as a risk factor for otitis media.	True False
25.	Crying, cerumen removal, and fever can all cause redness of the tympanic membrane in the absence of any disease.	True False
26.	A red tympanic membrane alone does not indicate a diagnosis of acute otitis media.	True False
27.	Safety, tolerance, eases of administration, cost, and activity of antimicrobial drug against usual otitic pathogens should be considered in choosing an appropriate agent for treatment of acute otitis media.	True False
28.	The first line of medical management of acute otitis media is injectable cephalosporin.	True False
29.	Myringotomy and tube insertion are indicated for children with chronic middle ear effusion that persisted for at least three months when bilateral or six months when unilateral and does not respond to medical treatment.	True False
30.	Antibiotic resistance occurs most frequently in children who attended day care facilities or recently treated for acute otitis media.	True False

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