Exam 1: Identification of Cholangiocarcinoma by Using the Spyglass Spyscope System for Peroral...

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CME Activities–Exams 1 and 2 Shyam S. Varadarajulu, MD, Editor, CME Section CME Credits: The AGA Institute is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AGA Institute designates this journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. Faculty Disclosure: In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support of Continu- ing Medical Education, all faculty and planning partners must disclose any relevant financial relationship(s) or other relationship(s) held within the past 12 months. The AGA Institute implements a mechanism to identify and resolve all conflicts of interest prior to delivering the educational activity to learners. Instructions: Category 1 credit can be earned by reading the relevant articles and taking these CME examinations online at http://www.cghjournal. org/content/cme. Answers can be obtained online after completing the exam(s). Objectives: See article for specific learning objective. CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 2012;10:e47– e49

Transcript of Exam 1: Identification of Cholangiocarcinoma by Using the Spyglass Spyscope System for Peroral...

Page 1: Exam 1: Identification of Cholangiocarcinoma by Using the Spyglass Spyscope System for Peroral Cholangioscopy and Biopsy Collection

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CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 2012;10:e47–e49

CME Activities–Exams 1 and 2Shyam S. Varadarajulu, MD, Editor, CME Section

CME Credits:The AGA Institute is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medicaleducation for physicians.The AGA Institute designates this journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicianshould only claim credit commensurate with the extent of their participation in the activity.

Faculty Disclosure:In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support of Continu-ing Medical Education, all faculty and planning partners must disclose any relevant financial relationship(s) or other relationship(s)held within the past 12 months. The AGA Institute implements a mechanism to identify and resolve all conflicts of interest priorto delivering the educational activity to learners.

Instructions:Category 1 credit can be earned by reading the relevant articles and taking these CME examinations online at http://www.cghjournal.org/content/cme. Answers can be obtained online after completing the exam(s).

Objectives:See article for specific learning objective.

Page 2: Exam 1: Identification of Cholangiocarcinoma by Using the Spyglass Spyscope System for Peroral Cholangioscopy and Biopsy Collection

e48 CME ACTIVITIES CLINICAL GASTROENTEROLOGY AND HEPATOLOGY Vol. 10, No. 5

Exam 1: Identification of Cholangiocarcinoma by Using theSpyglass Spyscope System for Peroral Cholangioscopy andBiopsy Collection

Test ID No.: 0153 Contact Hours: 1.0 Expiration Date: May 31, 2013

Question 1:

In what percentage of patients with biliary lesions doescholangioscopy establish a tissue diagnosis following failedendoscopic ultrasound– guided fine-needle aspiration and en-doscopic retrograde cholangiopancreatography– guided brush-

ings?

Question 2:

the yield of cholangioscopy-guided biopsy?

Question 3:

Question 4:

a. 100%b. 77%c. 54%d. 25%

Does the location of stricture in the biliary system influence

a. Yes b. No

In this study, what was the median number of cholangios-copy-guided biopsies that were performed to achieve a diagnos-tic accuracy of 77%?

a. 5b. 4c. 6

d. 7

What was the most common appearance of a biliary strictureon cholangioscopic examination?

a. Papillary polypoid massb. Localized ulcerative massc. Circumferential fibrostenotic ulcerative mass

d. Friable stricture with dilated tortuous vasculature