CME Questionaire

of the Kuwait Institute for Medical Specialization

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CME Accredited Articles - Issue 1

Readers who submit answers to the CME Questions that accompany the CME articles become eligible for CME credits in Category 1. Each article carries 2 CME credit points. To claim credit, the reader has to have registration in the CME Program of KIMS, the answers should be received by the CME Center before 31st December 2002, and all the CME Questions related to the article should have been attempted. Those who satisfy the above requirements would receive a certificate from the CME Center indicating the credits gained.

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CME Accredited Articles

After you have completed reading the CME articles, take the test given below. Check T (True) or F (False) in the MCQ Answer Sheet to show the correct answer to each CME Question.

Tight glycemic control and new modalities of treatment of diabetes mellitus
Nabilla Abdella, Monira Al Arouj, Abdullah Ben Nakhi

1.	Based on DCCT results there was a significant reduction of retinopathy	True False
2.	Extrapolation of the DCCT results to adult Type 2 diabetes mellitus is impossible	True False
3.	Based on the UKPDS results Intensive treatment policy achieved reduction of microvascular complications among Type 2 diabetic patients.	True False
4.	Blood pressure control among Type 2 diabetic patients had no effect on risk reduction on diabetic related deaths.	True False
5.	Insulin analogues (Insulin Ilspro and aspart) are more rapidly absorbed after subcutaneous injection and achieving peak plasma concentration twice as high compared to regular insulin.	True False
6.	Insulin glargine has prolonged duration of action and is associated with less nocturnal hypoglycemia.	True False
7.	New suponylurea compounds e.g. Glicazide MR have no effect on cardiac ATP channels.	True False
8.	The meal oriented short lived effect of repaglinide target fasting hyparglycemia	True False
9.	Thiazalidinediones (TZDs) provide a new means of glycemic control by reducing insulin resistance	True False
10.	Thiazalidinediones (TZDs) are contraindicated in diabetic patients with cardiac failure and/or with impaired liver function.	True False

Acute low back pain: diagnosis and management
Diaa Shehab, K. Al-Jarallah

11.	A minority of patients with non-specific back pain recover within one month	True False
12.	Plain lumbosacral X-ray is mandatory in the initial evaluation of all patients with acute low back pain.	True False
13.	Computed tomography and magnetic resonance imaging should be considered in patients with bladder or bowel dysfunction.	True False
14.	The major aim of treatment of patients with acute low back pain is complete relief of pain.	True False
15.	Non-steroidal anti-imflammatory drugs (NSAIDs) have been shown to be effective for the short-term treatment of acute low back pain.	True False
16.	Prolonged bed rest has been shown by studies to be effective in the management of acute low back pain.	True False
17.	Activity modification is the current and the preferred recommendation for patients with non-neurologic pain.	True False
18.	Studies have shown that massage should be included as a standard modality for acute non-specific low back pain.	True False
19.	Applying heat and Transcutaneous Electrical Nerve Stimulation (TENS) has been shown to be beneficial in the initial management of acute low back pain.	True False
20.	The role of lumbosacral orthoses (corsets) in the management of patients with acute low back pain is still controversial	True False

Microcrystaline arthritis and acute gout: current therapy
Adel G. Fam

21.	The majority of first attacks of gout are polyarticular.	True False
22.	Urate-lowering drugs must be started for the first time during an acute attack.	True False
23.	Colchicine acts by inhibition of interleukin (IL)-8, (IL-1) and Leukotlene B4.	True False
24.	Non-salicylate NSAIDs are the drugs of choice in the treatment of acute gout.	True False
25.	Intra-articular corticosteroid injections are useful for the treatment of patients with acute monoarticular arthritis for whom NSAIDs are contraindicated.	True False
26.	The efficacy of newer selective COX-2 inhibitors need to be evaluated in the treatment of acute crystal-induced arthritis.	True False
27.	NSAIDs and colchicine are recommended in the treatment of acute crystal-induced arthritis in transplant patients with renal impairment.	True False
28.	Methylprednisolone acetate 40 mg i.m. repeated every 1-4 days as required is effective in the treatment of severe, polyarticular microcrystalline events.	True False
29.	There is compelling evidence that ACTH therapy is superior to corticosteroids in the treatment of acute crystal-induced arthritis.	True False
30.	Therapeutic doses of oral colchicines in older patients with co-morbid conditions are associated with GI and bone marrow toxicity.	True False

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