EXCERPTA MEDICA
Office of Continuing Medical Education
Self-study Program including materials from an approved satellite symposium of the 33rd Annual American Society of Nephrology entitled "Evidence-Based Treatment Directives: Correction of Anemia in Early Renal Insufficiency"

POST-TEST

This program has a release date of March 18, 2001, and an expiration date of March 18, 2002. To receive continuing medical education credit you must complete this form and return it prior to the expiration date, along with a check for $15 (payable to Excerpta Medica Office of CME) and the completed evaluation form, to:

Excerpta Medica
Office of Continuing Medical Education
Attn: Steven Weinman
105 Raider Boulevard
Hillsborough, New Jersey, 08844
(908)281-3658,  Fax (908) 874-5633

1. The 10-year trend toward rising hematocrit levels in patients with end-stage renal disease (ESRD) in the United States has begun to confer benefit in
a.
mortality rates
b. hospitalization
c. costs
d. all of the above
 
2. The rise in average hematocrit levels in patients with ESRD is fully attributable to treatment with erythropoietin.
a.
True
b. False
 
3. At the initiation of dialysis treatment, the highest hematocrit levels are seen in
a.
older patients (aged ³ 65 years)
b. middle-aged patients (aged 45 to 64)
c. younger patients (aged £ 44 years)
d. equal across age-groups
 
4. In a patient with a creatinine clearance of 60 mL/min and a serum creatinine of 1.6 mg/dL, the degree of renal impairment is likely to be
a.
none
b. mild
c. moderate
d. severe
 
5. What percentage of patients with moderate renal impairment in the general population can be expected to have anemia?
a.
15%
b. 20%
c. 25%
d. 30%
e. 35%
 
6. The effect of anemia on quality of life is negligible in patients with early renal insufficiency (ERI).
a.
True
b. False
 
7. Animal data demonstrate that systemically administered erythropoietin protects against
a.
neurologic injury
b. neurodegenerative disease
c. cognitive dysfunction
d. all of the above
 
8. From a Canadian cohort study, what percentage of patients starting dialysis had peripheral vascular disease
?
a. 3%
b. 13%
c. 16%
 
9. Another Canadian cohort study of left ventricular hypertrophy (LVH) found that echocardiography is abnormal in about 16% of patients starting dialysis.
a.
True
b. False
 
10. Patients with chronic renal disease should be stratified to which risk group for subsequent cardiovascular events?
a.
highest
b. high
c. moderate
d. low
e. lowest
 
11. Normalization of the hematocrit in hemodialysis patients with symptomatic heart disease may increase the risk of death.
a.
True
b. False
 
12. The number of white patients and black patients (per million), respectively, with hypertension and diabetes is
a.
1711 and 5121
b. 711 and 1521
c. 171 and 512
 
13. The increased risk of death at 1 year after initiation of dialysis among patients with late versus early referral to a nephrologist is
a.
3%
b. 13%
c. 23%
d. 33%
 
14. In the clinical care of patients with ERI, a useful acronym for remembering critical components of care is
a.
be aware
b. be active
c. act early
d. treat early


After you have completed the post-test, you may look at the answers at this link