Article 1.
Short- and Long-Term Antireflux and Asthma Medication Use in Children After Nissen Fundoplication

Regarding Pediatric Nissen fundoplication for GERD: Which of the following is true?
a. neurologically healthy and impaired children have similar outcomes
b. results in decreased use of asthma medications
c. results in decreased use of antireflux medications
d. is often performed for Barrett’s esophagus or esophageal stricture
e. decreases hosptializations for pneumonia or respiratory distress

Which of the following is NOT true:
a. objective long-term data following Nissen fundoplication in children are not available
b. Nissen fundoplication improves symptoms in the majority of children
c. Nissen fundoplication may be safely performed in infants weighing less than 3 kg
d. the complication rate following Nissen fundoplication is similar in neurologically impaired and healthy children
e. GERD and GERD-related complications may be different based on age and associated neurologic status

Article 2.
An Exploratory Case Study: Effects of a Physician Organizational Socialization (Enculturation) Program

Regarding an effective organizational socialization (enculturation), which one of the following is NOT true:
a. decreased salary requirements
b. increased job satisfaction
c. increased organizational commitment
d. decreased intention to leave

Regarding the Kaiser Permanente Orange County enculturation program, which one is not true:
a. the participants improved communication skills
b. the participants’ intention to leave increased
c. the participants developed a sense of belonging
d. the participants learned skills to be more effective at work and at home

Article 3.
Incidental Gallstones

Which of the following differentiates choledocholithiasis from cholecystitis?
a. biliary colic
b. laboratory abnormalities
c. a dilated common bile duct
d. the need for cholecystectomy

Recent data has demonstrated that performing concurrent cholecystectomy with which of the following types of abdominal operations has been shown to be safe:
a. colorectal
b. thoracic
c. vascular
d. all of the above

Article 4.
An Unusual Presentation and Etiology of Hypotension Seen in Nephrotic Syndrome

The most common type of amyloidosis is:
a. secondary amyloidosis (AA)
b. light chain amyloidosis (AA)
c. familial amyloidosis (AF)
d. heavy chain amyloidosis (AH)

Hypotension occurs in amyloidosis due to all of the following etiologies EXCEPT:
a. anuric acute renal failure
b. vascular infiltration of amyloid
c. autonomic dysfunction
d. cardiomyopathy

Objectives

1) to inculcate the use of evidence based medicine as part of the science of medicine.

2) to stress the art of medicine via enhanced patient physician communication, improved care experience for patients, and more satisfying care giving experience for physicians and staff through better teamwork.

3) to review appropriate updates on the diagnosis and treatment of clinical conditions.

4) to describe infrastructure and systems improvements that lead to improvements in outcomes and patient care experiences.

Referring to the CME articles and the stated objectives,
please choose your level of agreement next to each statement as appropriate

What change(s) (if any) do you plan to make in your practice as a result of reading these articles?

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