Amedco - Quiz
September JPGN Article
1 - Based on this study, which of the following apply to diagnostic testing for CMPA and its gastrointestinal manifestations?
A - The DBPCFC is the gold?standard test, but impractical in the clinical setting.
B - Confounding factors causing placebo symptoms are easy to recognize and accounted for when analyzing results in open challenges.
2 - Which of the following statements regarding the diagnostic tests for CMPA is true based on this study?
A - Levels of cow’s milk specific IgE are elevated in CMPA, regardless of presenting symptoms.
B - Gastrointestinal manifestations of CMPA have various etiologies (most of which are still unproven), but IgE is nearly always negative.
C - Positive skin prick tests always make performing the DBPCFC unnecessary.
D - Elevated levels of cow’s milk specific IgG and IgA could indicate CMPA.
3 - The suspicion of gastrointestinally manifested CMPA is often based on unspecific symptoms. Which of the following is true based on this study?
A - Vomiting and reflux symptoms can be reliably interpreted even when performing an open food challenge.
B - Constipation is a typical CMPA symptom.
C - Excessive crying and fussing, when connected to feeding as perceived by the parents, is a likely to be caused by CMPA.
D - Diarrhea is a typical CMPA symptom.
4 - Which statement regarding the management of gastrointestinally manifested CMPA is true, according to reviewed literature and present study findings?
A - Extensively hydrolyzed formulas are well tolerated in gastrointestinally manifested (DBPCFC proven) non-IgE mediated CMPA.
5 - he most helpful radiology modality to help evaluate and plan appropriate perianal disease management is:
A - CT scan of the Pelvis
B - Endoscopic Anorectal Ultrasound
6 - Which of the following is the recommended primary surgical procedure for patients with complex perianal fistulae?
A - Exam under anesthesia and placement of non?cutting setons
B - Exam under anesthesia and fistulectomy.
C - Exam under anesthesia and injection with fibrin glue.
7 - Which class of therapy is not effective in closing or maintaining closure of pediatric perianal fistula?
A - Immunomodulators
B - Antibiotics
C - Biologics (infliximab)
D - Enteral Therapy
8 - What is the primary role of anti?TNF agents in treatment of pediatric perianal Crohn’s disease?
A - Induction of fistula closure
B - Maintenance of fistula closure
C - Adjuvant to surgery
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