CME Questionaire

of the Kuwait Institute for Medical Specializationj

A Peer-reviewed Journal

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CME Questions - Volume 3; Number 1: 2004

Readers who submit answers to the questions that accompany the CME/CPD articles become eligible for CME/CPD credits in Category 1. To claim credit, the reader has to be registered in the MPC Program, the answers should be received by the CME Center before 31st May 2005, and all questions related to the article should have been attempted. Readers would then receive a certificate from the CME Center indicating the credit data.

The following two articles carry 1 CME/CPD credit point each:
Urinary tract infection in children: review of diagnosis, management and prevention by ST Jamal;
Chronic abdominal pain in children: diagnosis and management by KA Hamadi.

The two articles below carry 0.5 CME/CPD credit point each:
Endodontic treatment of necrotic teeth with immature roots by EI Zaatar;
Skin eruption with myalgia and proximal muscle weakness by N Al-Mutairi, N Osama, and A Joshi.

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

Urinary tract infection in children: review of diagnosis, management and prevention
ST Jamal
(1 CME credit point)

1.	Urinary tract infection is the second most common infection in children.	True False
2.	The count of pathogens is considered significant if there is pure bacterial growth of 105 cfu/ml in clean catch specimen.	True False
3.	Any bacterial count is considered significant in a suprapubic aspirated urine culture.	True False
4.	The most common organisms in urinary tract infection are Pseudomonas and Proteus.	True False
5.	Constipation and voiding dysfunction are important risk factors for UTI.	True False
6.	Positive results of urinalysis are sufficient for considering antibiotic treatment.	True False
7.	Radionucleide cystography gives more radiation to the child than standard voiding cystography.	True False
8.	Children of ages 2 months to 5 years should receive prophylactic antibiotic until imaging studies are completed.	True False
9.	Children with vesico-urinary reflux should be referred for surgical correction if they develop new scarring or are non compliant with prophylaxis.	True False
10.	A 7-day course of oral antibiotic therapy is sufficient for children treated as a case of pyelonephritis.	True False

Chronic abdominal pain in children: diagnosis and management
KA Hamadi
(1 CME credit point)

11.	Functional abdominal pain is considered the most common cause of chronic abdominal pain in children.	True False
12.	An organic cause of chronic abdominal pain is found in less than 10% of school age children.	True False
13.	Chronic abdominal pain is defined as intermittent pain that is unlikely to affect patient activity.	True False
14.	Social stresses, home environment, and emotional disorders play an important role in initiating functional pain.	True False
15.	Chronic abdominal pain that awakens the child from sleep is most likely to be organic pain.	True False
16.	Pain that starts before five years of age is most likely to be organic pain.	True False
17.	Visceral hypersensitivity and hyperalgesia are considered to be mechanisms underlying functional abdominal pain.	True False
18.	Physical and stressful stimuli that trigger the pain suggest an organic etiology.	True False
19.	Chronic constipation associated with recurrent abdominal pain is considered to be an indication for colonoscopy and referral to gastroenterologist.	True False
20.	The patient with chronic abdominal pain associated with raised erythematous, painful papule on the lower limbs is considered to be an indication for colonoscopy and referral to gastroenterologist.	True False

Endodontic treatment of necrotic teeth with immature roots
EI Zaatar
(0.5 CME credit point)

21.	The properties and handling requirements of amalgam make it a suitable material for retrograde filling in endodontic therapy.	True False
22.	Calcium hydroxide dressings done on repeated visits may promote the formation of an effective calcified barrier for condensing the root filling material.	True False
23.	The aim of using MTA (Mineral Trioxide Aggregates) is to form a mechanical seal at root apex.	True False
24.	Apical surgery with reverse seal is an acceptable option for treating necrotic teeth with open apices.	True False
25.	For the use of root filling material in a tooth with immature root, proper debridement can be accomplished in one visit.	True False

Skin eruption with myalgia and proximal muscle weakness
N Al-Mutairi, N Osama, A Joshi
(0.5 CME credit point)

26.	Gottron’s papules are found over bony prominences.	True False
27.	Heliotrope rash is seen in all cases of DM .	True False
28.	Periungual telaniectasia is a specific finding in DM.	True False
29.	Myopathy typically affects distal muscles.	True False
30.	Electromyography (EMG) is a specific test in patients with DM.	True False

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