CME Post-Test Answer Sheet and Evaluation For - Global Academy ...
CME Post-Test Answer Sheet and Evaluation For - Global Academy ...
CME Post-Test Answer Sheet and Evaluation For - Global Academy ...
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<strong>For</strong> Reference only—Must be Completed Online<br />
A <strong>CME</strong>-CERTIFIED Supplement to<br />
Rheumatology News®<br />
Biologic Therapies in RA:<br />
Improving Patient Outcomes<br />
conference highlights<br />
<strong>CME</strong> <strong>Post</strong>-<strong>Test</strong> <strong>Answer</strong> <strong>Sheet</strong> <strong>and</strong> <strong>Evaluation</strong> <strong>For</strong>m<br />
Release Date of Activity: October 2011 • Expiration Date of Activity for AMA PRA Credit: September 30, 2012<br />
Estimated Time to Complete This Activity: 1.0 hour<br />
To get instant <strong>CME</strong> credit online, go to http://uofl.me/rheum11. Upon successful completion of the online test <strong>and</strong> evaluation form,<br />
you will be directed to a Web page that will allow you to receive your certificate of credit via e-mail. Please add chse@louisville.edu to<br />
your e-mail “safe” list.<br />
Type the above address into your address bar in Internet Explorer. If you are unfamiliar with what an address bar is or how to access<br />
yours, open Internet Explorer, then hold down the control key <strong>and</strong> press the “O” key on your keyboard. A dialogue box will open—this<br />
is where you will type the above address. After you have typed the address, click “OK” to go to the evaluation.<br />
Once you have completed the evaluation, you will be given a password. Please be sure to write it down; you will then be able to access<br />
your certificate. Please note, certificates will not be mailed, so be sure to print a copy for your records. If you have any questions or<br />
difficulties, please contact the University of Louisville School of Medicine Continuing Health Sciences Education office at (502) 852-5329.<br />
<strong>CME</strong> Questions<br />
Instructions: <strong>For</strong> each question or incomplete statement, choose the answer or completion that is correct.<br />
Circle the most appropriate response.<br />
1. According to the information presented, patients who discontinue a TNF inhibitor:<br />
A. May benefit from switching to a different TNF inhibitor<br />
B. Do not benefit from switching to a different TNF inhibitor<br />
C. Should not be treated with another anti-TNF agent<br />
D. Should be switched to a different biologic agent<br />
2. A Dutch study of treatment withdrawal showed that more patients were able to discontinue therapy when treatment was<br />
initiated with:<br />
A. Single-agent methotrexate<br />
B. Combination conventional-DMARD therapy<br />
C. Combination therapy including a TNF inhibitor<br />
D. Combination therapy with delayed start of anti-TNF therapy<br />
3. A study of patients with moderate disease activity at baseline showed that treatment with certolizumab pegol versus placebo:<br />
A. Led to similar 52-week outcomes regardless of treatment<br />
B. Was associated with a significantly higher rate of low-disease activity<br />
C. Resulted in paradoxical acceleration of the disease process<br />
D. Was associated with unacceptable toxicity for patients with less than severe RA<br />
4. A comparison of two strategies to achieve RA remission showed that:<br />
A. A TNF inhibitor achieved a significantly higher remission rates compared with intravenous steroids<br />
B. IV steroids were superior to a TNF inhibitor at all time points<br />
C. Remission rates did not differ significantly between the two strategies<br />
D. Patients preferred treatment with the TNF inhibitor<br />
5. A comparison of four different DAS-driven treatment strategies showed that:<br />
A. Treatment to target using DAS criteria is not feasible<br />
B. Regimens that achieve <strong>and</strong> maintain remission or low-disease activity have unacceptable toxicity<br />
C. Treatment to target was no more effective than empiric treatment with methotrexate<br />
D. No patient in any of the groups had radiologic progression during the study<br />
6. Which DAS28 value assessed at 3 months demonstrated potential for predicting outcomes at 6 months?<br />
A. Lower DAS28 score<br />
B. Change from baseline in DAS28 score<br />
C. DAS28 velocity<br />
D. A & B<br />
Biologic Therapies in RA: Improving Patient Outcomes <strong>CME</strong> <strong>Post</strong>-<strong>Test</strong> <strong>Answer</strong> <strong>Sheet</strong> <strong>and</strong> <strong>Evaluation</strong> <strong>For</strong>m 1
Biologic Therapies in RA: Improving Patient Outcomes<br />
conference highlights<br />
Release Date of Activity: October 2011 • Expiration Date of Activity for AMA PRA Credit: September 30, 2012<br />
Estimated Time to Complete This Activity: 1.0 hour<br />
EVALUATION FORM<br />
We would appreciate your answering the following questions in order to help us plan for other activities of this type. All information is confidential.<br />
Please print.<br />
Name: _____________________________________________________________________________________________________<br />
Specialty: ____________________________________________________________________________________________________<br />
Degree: m MD m DO m PharmD m RPh m NP m RN m BS m PA m Other:_ ___________________________________________<br />
Affiliation:____________________________________________________________________________________________________<br />
Address:_ ____________________________________________________________________________________________________<br />
City:_____________________________________________________________State: ________________________ Zip: ____________________<br />
Telephone:_______________________________________________________Fax:_______________________________________________<br />
E-mail: _____________________________________________________________________________________________________<br />
Signature:_ ___________________________________________________________________________________________________<br />
<strong>CME</strong> Credit Verification<br />
I verify that I have spent _______ hour(s)/_______ minutes of actual time working on this <strong>CME</strong> activity. No more than 1.0 <strong>CME</strong> credit will be<br />
issued for this activity.<br />
COURSE EVALUATION: Gaps<br />
This activity was created to address the professional practice gaps<br />
listed below, please respond regarding how much you agree or disagree<br />
that the following gaps were met:<br />
• Current information from basic science research <strong>and</strong> clinical trials<br />
to determine the optimal choice of disease-modifying antirheumatic<br />
drugs (DMARDs) for patients with rheumatoid arthritis (RA) <strong>and</strong><br />
psoriatic arthritis (PsA).<br />
• Clinical expertise in diagnosing RA early.<br />
• The inflammatory mechanisms that are involved in the<br />
pathophysiology of rheumatic diseases, including RA <strong>and</strong> PsA.<br />
• Diagnosing <strong>and</strong> treating patients with RA promptly enough to avoid<br />
structural joint damage.<br />
• Optimal treatment choices for their patients with RA, PsA, <strong>and</strong><br />
other rheumatic diseases.<br />
Did participating in this educational activity improve your KNOWLEDGE<br />
in the professional practice gaps that are listed above?<br />
Strongly Agree Agree Somewhat Agree Disagree Strongly Disagree<br />
1 2 3 4 5<br />
Please elaborate on your answer.____________________________<br />
____________________________________________________<br />
____________________________________________________<br />
____________________________________________________<br />
Did participating in this educational activity improve your COMPETENCE<br />
in the professional practice gaps that are listed above?<br />
Strongly Agree Agree Somewhat Agree Disagree Strongly Disagree<br />
1 2 3 4 5<br />
Please elaborate on your answer.____________________________<br />
____________________________________________________<br />
____________________________________________________<br />
Did participating in this educational activity improve your<br />
PERFORMANCE in the professional practice gaps that are<br />
listed on the left?<br />
Strongly Agree Agree Somewhat Agree Disagree Strongly Disagree<br />
1 2 3 4 5<br />
Please elaborate on your answer.____________________________<br />
____________________________________________________<br />
____________________________________________________<br />
Please identify a change that you will implement into practice<br />
as a result of participating in this educational activity (new<br />
protocols, different medications, etc)_______________________<br />
____________________________________________________<br />
____________________________________________________<br />
How certain are you that you will implement this change?<br />
Strongly Agree Agree Somewhat Agree Disagree Strongly Disagree<br />
1 2 3 4 5<br />
What topics do you want to hear more about, <strong>and</strong> what issue(s) in<br />
your practice will they address?___________________________<br />
____________________________________________________<br />
____________________________________________________<br />
Were the patient recommendations based on acceptable practices<br />
in medicine? m Yes m No<br />
If no, please explain which recommendation(s) were not based on<br />
acceptable practices in medicine?____________________________<br />
____________________________________________________<br />
____________________________________________________<br />
Do you think the articles were without commercial bias?<br />
m Yes m No<br />
If no, please list the article(s) that were biased._________________<br />
____________________________________________________<br />
____________________________________________________ ____________________________________________________<br />
The University of Louisville thanks you for your participation in this <strong>CME</strong> activity. All information provided improves the scope <strong>and</strong> purpose of our programs <strong>and</strong> your patients’ care.<br />
<strong>CME</strong> INSTRUCTIONS: This educational supplement provides 1.0 free AMA PRA Category 1 Credit. Access http://uofl.me/rheum11 <strong>and</strong> print your certificate online.<br />
Biologic Therapies in RA: Improving Patient Outcomes <strong>CME</strong> <strong>Post</strong>-<strong>Test</strong> <strong>Answer</strong> <strong>Sheet</strong> <strong>and</strong> <strong>Evaluation</strong> <strong>For</strong>m Copyright © 2011 Elsevier Inc. 2