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CME Questions - Volume 4; Number 1: 2005

Readers who submit answers to the questions that accompany the CME/CPD articles become eligible for CME/CPD credits in Category 1. To claim credit, the reader has to be registered in the MPC Program, the answers should be received by the CME Center before 31st May 2006, and all questions related to the article should have been attempted. Readers would then receive a certificate from the CME Center indicating the credit data.

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After you have completed reading the CME/CPD articles, take the test given. Check T (True) or F (False) to show the correct answer to each question.
Constipation in infants and children: evaluation and management
KA Hamadi, T Hamadi
(1 CME credit point)
1. At the age of six months the average number of stools per day is two. True False
2. Encopresis is a voluntary leakage of liquid or semi-formed stools around the fecal mass in patients with spinal cord lesions. True False
3. Intentional or subconscious withholding of defecation is considered to be one of the main causes of constipation in children. True False
4. Organic causes account for at least 40% of cases of constipation in children. True False
5. Enterocolitis is one of the complications that may occur in patients with functional constipation. True False
6. Constipation is one of the clinical manifestations in the infant who has cystic fibrosis. True False
7. The onset of constipation early in infancy with failure to thrive is suggestive of an organic etiology. True False
8. Anorectal manometery and rectal biopsy are indicated for older children with constipation who do not respond to treatment. True False
9. Plain abdominal X-ray is one of the basic investigations that need to be done for all patients with constipation. True False
10. The presence of a tuft of hair or skin dimple in the sacral region is an indication for doing plain lumbar and sacral x-ray investigations and spinal MRI. True False

Oral candidosis: a brief overview
ANB Ellepola
(1 CME credit point)
11. Organisms other than C. albicans are NOT of major concern as pathogens in candidal infection in humans. True False
12. The classical clinical presentation of pseudomembranous candidosis is a recurrent infection in HIV-infected individuals, immunocompromized patients and the terminally ill. True False
13. The majority of patients who present with hyperplastic candidosis can be successfully treated with iron and folate supplements. True False
14. Allergic reaction to denture base materials or chemical irritation by incompletely processed denture materials is the primary cause of denture stomatitis. True False
15. Disseminated candidosis is a clinical presentation often observed in immunocompromized patients. True False
16. The resistance developed by the infecting organisms to the common antifungal preparations has made topical delivery of the therapeutic agent ineffective in the treatment of candidosis. True False
17. The degree to which Amphotericin B is absorbed through the intestinal tract is adequate for the satisfactory management of oral candidosis. True False
18. Nystatin in the form of suspensions or oral rinses produces adequate therapeutic levels of the therapeutic agent for treating patients with oral candidosis. True False
19. Newer antifungal agents have largely replaced fluoconazole as a drug of choice in the treatment of oropharyngeal candidosis. True False
20. Ketoconazole is readily absorbed following oral administration, thus making it useful for treating a variety of clinical presentations of oral candidosis. True False

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