Self-Assessment Post-Test

SELF-ASSESSMENT POST-TEST There are no fees for participating and receiving CME credit for this activity. During the period March 2005 through March 31, 2006, 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 the Postgraduate Institute for Medicine. A statement of credit will be issued only upon receipt of a completed activity evaluation form and a completed post-test with a score of 70% or better. Your statement of credit will be mailed to you within 4 weeks. Advances in the Management of Post–Radical Prostatectomy Erectile Dysfunction 1. 2. 3. 4. 5. 6. Almost all patients who have had a bilateral nerve-sparing prostatectomy can expect to return to full sexual function. a. True b. False Patient response to phosphodiesterase-5 (PDE-5) inhibitors can improve as post-surgery neurapraxia resolves. a. True b. False Over the last years, the number of surgeries for prostate cancer has increased dramatically because a. prostate biopsies are less painful than previously so more men will accept biopsy. b. prostate-specific antigen as a screening tool has increased early identification of prostate cancer. c. hospitalization is no longer required for a biopsy of the prostate. d. All of the above. In men with macroscopic extracapsular extension of prostate cancer, the nerve-sparing surgery may compromise cancer control. a. True b. False The degree to which radical prostatectomy is “nerve sparing” is related to a. the amount of nerve handling. b. nerve stretching. c. the amount of electrocautery use. d. All of the above. Which of the following is NOT true? When performing a radical prostatectomy, a. leaving positive surgical margins increases the chance of treatment failure. 7. 8. 9. 10. b. wide resection increases the chance of a neurovascular bundle (NVB) removal. c. interruption of the NVB does not increase the likelihood of ED. d. destruction or damage to the NVB can be at least partially remedied through grafting. Which of the following is NOT true? a. In the absence of structural changes, ED from neurapraxia due to injury, compression, or ischemia resolves between 8 and 20+ months after surgery. b. ED from neurapraxia is not likely to be responsive to PDE-5 inhibitor therapy. c. Findings of a study by Zippe and colleagues supported the theory that there is a better response to PDE-5 inhibitor therapy furthest from the time of surgery. d. None of the above. First-line treatment options for ED following a radical prostatectomy include a. intracavernous injections. b. use of a vacuum device. c. Both a and b. An option for treatment of ED is placement of a penile prosthesis at the time of the prostatectomy. a. True b. False Preoperatively, patients should be counseled that the prosthetic erection does not include the glans, and often is shorter than their normal erections. a. True b. False EVALUATION FORM Advances in the Management of Post–Radical Prostatectomy Erectile Dysfunction Project ID: 2357 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. You must complete this evaluation form to receive acknowledgement of participation for this activity. Please print clearly. Name: Address: City/State: Phone Number: E-mail: Specialty: Box/Suite: Zip Code: Fax Number: VOL. 7 SUPPL. 2 2005 REVIEWS IN UROLOGY S59 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 better able to: • Review the history of radical prostatectomy including recent advances in techniques for preserving nerve function. 5 4 • Explain the etiology of erectile dysfunction (ED) associated with radical prostatectomy. 5 4 • Describe the controversies surrounding the use of both intraoperative nerve stimulation to locate the neurovascular bundles and nerve graft interposition. 5 4 • Identify the ways in which the phosphodiesterase-5 (PDE-5) inhibitors may be used to treat men with post–radical prostatectomy ED. 5 4 • Discuss the nonsurgical treatment modalities other than the PDE-5 inhibitors that may be used to treat ED in this patient population. 5 4 • Identify those patients for whom a penile prosthesis implant is the preferred treatment for post–radical prostatectomy ED. 5 4 OVERALL EFFECTIVENESS OF THE ACTIVITY • Was timely and will influence how I practice • Will assist me in improving patient care • Fulfilled my educational needs • Avoided commercial bias or influence 5 5 5 5 4 4 4 4 3 3 2 2 1 1 3 2 1 3 2 1 3 2 1 3 2 1 3 3 3 3 2 2 2 2 1 1 1 1 IMPACT OF THE ACTIVITY The information presented: (check all that apply) ❒ Reinforced my current practice/treatment habits ❒ Provided new ideas or information I expect to use ❒ Will improve my practice/patient outcomes ❒ Enhanced my current knowledge base Will the information presented cause you to make any changes in your practice? ❒ Yes ❒ No 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? (Very committed) 5 4 3 2 1 (Not at all committed) FUTURE ACTIVITIES Do you feel future activities on this subject matter are necessary and/or important to your practice? ❒ Yes ❒ No Please list any other topics that would be of interest to you for future educational activities: FOLLOW-UP As part of our ongoing continuous quality-improvement effort, we conduct post-activity follow-up surveys to assess the impact of our educational interventions on professional practice. Please indicate your willingness to participate in such a survey: ❒ Yes, I would be interested in participating in a follow-up survey ❒ No, I’m not interested in participating in a follow-up survey Additional comments about this activity: POST-TEST ANSWER KEY 1___ 2___ 3___ 4___ 5___ 6___ 7___ 8___ 9___ 10___ I certify my actual time spent to complete this educational activity to be: ❒ I participated in the entire activity and claim 2.0 credits. ❒ I participated in only part of the activity and claim _____ credits. Signature S60 VOL. 7 SUPPL. 2 2005 If you wish to receive acknowledgement of participation for this activity, please complete the post-test by selecting the best answer to each question, complete this evaluation verification of participation, and FAX to: 303-790-4876 or MAIL to: Postgraduate Institute for Medicine, P.O. Box 260620, Littleton, CO, 80163. Date Completed REVIEWS IN UROLOGY