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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

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