March/ April 1999

Vol 6, Supplement CME Pretest

This Supplement provides 1 hour of Category 1 Continuing Medical Education

Complimentary CME Credits

Physicians can earn one credit hour of Category 1 for the Physician's Recognition Award of the American Medical Association by reading the material in this issue and successfully answering the questions in the posttest at the end of this issue. Complete instructions are given on the posttest pages. CME is presented by an unrestricted educational grant from Wyeth-Ayerst Laboratories.

Educational Objectives

After reading this supplement on acute pain control, clinicians will be expected to:

• understand the roles of NSAIDs in managing acute pain
• discuss the side effects of NSAIDs
• recognize the clinical implications of cyclooxygenase enzymes COX-1 and COX-2
• be aware of legal and clinical issues in prescribing controlled substances This program was planned in accordance with ACCME Essentials.
  

Release Date: March 1, 1999

Expiration Date: March 1, 2000

Pretest

1. Meta-analyses suggest that the analgesic efficacy of single-dose NSAIDs is approximately equivalent to what dose of parenteral morphine?

a. 1 - 2 mg

b. 3 - 4 mg

c. 5 - 10 mg

d. 12 - 17 mg

2. Approximately what proportion of hospital admissions for a bleeding peptic ulcer are attributed to NSAIDs or aspirin taken during the week prior to admission?

a. 10%

b. 25%

c. 50%

d. 65%

3. Meta-analyses in patients with chronic arthritis demonstrated that all of the following are risk factors that predict for a higher incidence of side effects from NSAIDs except:

a. age over 60 years

b. history of gastrointestinal events

c. long treatment duration

d. corticosteroid use

e. type of arthritis