CME Evaluation Form — Winter 2009

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••Winter 2009/Vol. 13, No. 1

CME Evaluation Form — Winter 2009
Complete this form and submit it to earn CME credits online.

Physicians may earn up to 4 AMA PRA Category 1 credits^TM for reading and analyzing the four designated articles. Other clinicians for whom CME is acceptable in meeting educational requirements may report up to four hours of attendance.

You may earn CME credit for reading the four qualifying articles from this issue of The Permanente Journal that are listed below and then taking this online quiz. Select the most appropriate answer to the questions and complete the online evaluation form. You must complete all sections to receive credit.

The Kaiser Permanente National Continuing Medical Education Program (KPNCMEP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The KPNCMEP designates this educational activity for 4 AMA PRA Category 1 credits. Each physician should claim only those hours of credit that s/he actually spent in the educational activity. All authors in this issue report no conflict of interest.

The Permanente Journal has been reviewed and is acceptable for up to 8 Prescribed credits by the American Academy of Family Physicians. AAFP accreditation begins 01/01/08. Term of approval is for one year from this date. This issue is approved for 2 Prescribed credits. Credit may be claimed for one year from the date of this issue.

The Permanente Journal - Vol. 13, No. 1 - Winter 2009

Article 1.
Medical, Surgical, and Endoscopic Management of Gastroesophageal Reflux Disease

Which of the following is not an "alarm symptom" in patients presenting with possible gastroesophageal reflux?
a. Dysphagia
b. Weight loss
c. Regurgitation
d. Hematemesis

Which of the following medications is an appropriate choice for patients with intermittent GERD symptoms?
a. Prilosec
b. Protonix
c. Prevacid
d. Zantac

Article 2.
Recognition of Kawasaki Disease

Which of the following physical findings would point to a diagnosis other than Kawasaki disease?
a. Strawberry tongue
b. Exudative pharyngitis
c. Arthralgias
d. Unilateral cervical lymphadenopathy

Which of the following is the most consistent finding in atypical Kawasaki disease?
a. Peripheral extremity changes
b. Bilateral conjunctivitis
c. Polymorphous rash
d. Mucous membrane changes

Article 3.
The B-SMART Appropriate Medication-Use Process: A Guide for Clinicians to Help Patients—Part 1: Barriers, Solutions, and Motivation

A framework that can help health care professionals to explore and understand a patient's beliefs and negotiate a treatment plan that would take into account both the patient's beliefs and health whenever possible is known as the:
a. BSMART framework
b. LEARN framework
c. The E3 framework
d. The PEARLS framework

Which of the following are motivation tools that can be used to help patients to help themselves?
a. Follow-up phone calls (live or electronic system)
b. Lifestyle coaches and care managers
c. Mail reminders, emails, newsletters and letters
d. Educational tools and self-care resources
e. All of the above

Article 4.
Evaluation of Hypertension with Hypokalemia

Which ratio of plasma aldosterone concentration (PAC) to plasma renin activity (PRA) should be used in the screening of primary hyperaldosteronism?
a. PAC:PRA > 30 with PAC > 1 ng/dL
b. PAC:PRA > 30 with PAC > 15 ng/dL
c. PAC:PRA > 10 with PAC > 1 ng/dL
d. PAC:PRA > 10 with PAC > 15 ng/dL
e. PAC:PRA ratio is not a good screening test for this condition

Which of the following classes of drugs decreases renin levels?
a. ACEI
b. ARB
c. Beta-blockers
d. Diuretics

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

The article covered the stated objectives I learned something new that was important I plan to use this information as appropriate I plan to seek more information on this topic I understood what the author was trying to say

Article 1

Article 2

Article 3

Article 4

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

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Title:*

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CME Forms | Winter 2009 Contents

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