Self-Assessment Post-Test

SELF-ASSESSMENT POST-TEST There are no fees for participating and receiving CME credit for this activity. During the period of February 2004 through February 28, 2005, participants must: 1) read the learning objectives and faculty disclosures; 2) study the educational activity; 3) complete the post-test by recording the best answer to each question in the answer key on the evaluation form; 4) complete the evaluation form; and 5) mail or fax the evaluation form with answer key to Postgraduate Institute for Medicine. Challenges in the Detection and Diagnosis of Bladder Dysfunction: Optimal Strategies for the Primary Care Physician 1. Which of the following is/are changes that may occur in the bladder as people age? a. Bladder wall fibrosis b. Increased sensitivity to neurotransmitters c. Changes in detrusor muscle function d. All of the above 2. In ___, postvoid residual urine volume (PVR) increases and peak flow rate and bladder capacity diminish with age. a. Men b. Women c. Men and women 3. The difference between the American Urological Association (AUA) symptom score and the International Prostate Symptom Score is that the latter incorporates a question capturing the global impact of lower urinary tract symptoms (LUTS) on quality of life. a. True b. False 4. Which of the following statements is not true? a. The primary objective of the diagnostic evaluation of men with LUTS is to determine the severity of benign prostatic hyperplasia. b. PVR measurement can be performed by noninvasive (ultrasonography) or invasive (catheterization) methods. c. Filling cystometry adds limited information to the evaluation of most men with LUTS and is not recommended in routine cases. d. In an annual exam, if the AUA symptom score is less than 8, annual observation is recommended. 5. The syndrome of overactive bladder ___ exclusive of any underlying metabolic or pathologic condition. a. Is b. Is not 6. Which of the following symptoms is not characteristic of bladder storage symptoms? a. Intermittent urinary stream b. Increased daytime frequency c. Urgency d. Urinary incontinence 7. Biofeedback is never useful in the treatment of impaired bladder emptying. a. True b. False 8. Botulinum toxin injection: a. Is a method of treating refractory sphincter spasticity b. Can avoid the need for lifelong catheterization in patients who are refractory to therapy c. Is a first-line treatment for impaired bladder emptying d. Answers a and b 9. Uroflowmetry alone is insufficient to diagnose bladder outlet obstruction because it cannot distinguish true obstruction from poor bladder contractility. a. True b. False 10. Portable bladder scanners have been shown to be beneficial in: a. Patients with neurologic disease b. Children c. The elderly d. All of the above 11. Which of the following conditions indicate that a primary care physician should refer a patient with overactive bladder symptoms to a specialist? a. Hematuria b. PVR greater than 200 mL c. No response to therapy d. Neurologic conditions e. All of the above 12. Medications that have the potential to cause bladder dysfunction include which of the following? a. Calcium channel blockers b. -Adrenergic blocking agents c. Narcotics, hypnotics, and sedatives d. All of the above EVALUATION FORM Challenges in the Detection and Diagnosis of Bladder Dysfunction: Optimal Strategies for the Primary Care Physician Project ID: 031876 ES 13 Postgraduate Institute for Medicine (PIM) respects and appreciates your opinions. To assist us in evaluating the effectiveness of this activity and to make recommendations for future educational offerings, please take a few minutes to complete this evaluation form. Please note, a statement of participation is issued only upon receipt of your completed evaluation form. Please Print Clearly Name: Address: City: Phone Number: E-mail: State: Specialty: Box/Suite: Zip Code: Fax Number: VOL. 6 SUPPL. 1 2004 REVIEWS IN UROLOGY S45 Answer key: 1. d, 2. c, 3. a, 4. a, 5. a, 6. a, 7. b, 8. d, 9. a, 10. d, 11. e, 12. d Please answer the following questions by circling the appropriate rating: (5 = Outstanding; 4 = Good; 3 = Satisfactory; 2 = Fair; 1 = Poor) EXTENT TO WHICH PROGRAM ACTIVITIES MET THE IDENTIFIED OBJECTIVES Upon completion of this activity, participants should be able to: • Describe the effects of aging on the bladder 5 • Evaluate men with benign prostatic hyperplasia 5 • Understand the role of the primary care physician in the management of bladder dysfunction 5 • Discuss overactive bladder, prostatitis, and bladder outlet obstruction 5 • Understand the diagnosis and treatment of impaired bladder emptying 5 • Discuss the measurement of bladder volume OVERALL EFFECTIVENESS OF THE ACTIVITY • Objectives were related to overall purpose/goal(s) of activity • Related to my practice needs • Will influence how I practice • Will help me improve patient care • Stimulated my intellectual curiosity • Overall quality of material • Overall, the activity met my expectations • Avoided commercial bias or influence 5 5 5 5 5 5 5 5 Will the information presented cause you to make any changes in your practice? If yes, please describe any change(s) you plan to make in your practice as a result of this activity: How committed are you to making these changes? 4 4 3 3 2 2 1 1 4 4 4 3 3 3 2 2 2 1 1 1 4 4 4 4 4 4 4 4 3 3 3 3 3 3 3 3 2 2 2 2 2 2 2 2 1 1 1 1 1 1 1 1 Yes___ No___ 5 4 (Very) 3 2 1 (Not at all) Additional comments about this activity: Do you feel future activities on this subject matter are necessary and/or important to your practice? Please list any other topics that would be of interest to you for future educational activities: Degree: ❒ MD ❒ DO ❒ PharmD ❒ RN Yes___ No___ ❒ PA ❒ BS ❒ Other: To obtain a statement of participation, you must complete the post-test by selecting the best answer to each question, complete the evaluation form, and mail or fax your completed evaluation form to the Postgraduate Institute for Medicine. POST-TEST ANSWER KEY 1___ 2___ 3___ 4___ 5___ 6___ 7___ 8___ 9___ 10___ 11___ 12___ ❒ I completed the entire activity and claim 2.0 credit hours. ❒ I completed only part of the activity and claim credit hours based on ____ hours of participation. Signature: If you wish to receive credit for this activity, please fill in your name and address and mail/fax to: Postgraduate Institute for Medicine P.O. Box 260620 Littleton, CO 80163-0620 Fax: (303) 790-4876 Release date: February 2004 Expiration: Credit will be awarded for required materials postmarked or received no later than February 28, 2005. Certificates will be mailed within 1 month of receipt of these materials. S46 VOL. 6 SUPPL. 1 2004 REVIEWS IN UROLOGY