CME Self Test

Credits provided by the American College of Sports Medicine

May, 2021
Expiration Date: May 30, 2021
2 Credits

CME Editor: Edward McFarland, MD


A Special Report: Osteoarthritis of the Knee

Keeping Aging Adults Active


This CME activity was planned and produced in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME). The American College of Sports Medicine (ACSM) is accredited by the ACCME to sponsor continuing medical education for physicians. The ACSM takes responsibility for the content, quality, and scientific integrity of this CME activity.

The ACSM designates this educational activity for a maximum of 2 hours in category 1 credit towards the American Medical Association Physician's Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity.

Instructions
To participate in this program, you must read the material carefully, answer the test questions, obtain a passing grade (a minimum score of 60% must be obtained), and complete the credit evaluation form.

VISA, MasterCard, Discover, and American Express will be accepted for all online self-test registrations. If you prefer to mail your payment and self-test answer form, please print out the mail-in form. Note: All international participants MUST utilitze the mail-in form.

After answering the test questions, go to the end of this test to score your exam. To receive credit verification, fill out the form confirming you have read the materials and obtained a minimum passing score.

After reading the learning objectives, select the best answer for each of the following questions.


Learning Objectives:

Read the article The Osteoarthritic Knee (print, page 6)
and learn to:

  • Understand the basic pathophysiology of osteoarthritis of the knee.
  • Identify risk factors associated with osteoarthritis of the knee.
  • Efficiently and effectively evaluate a patient presenting with osteoarthritis of the knee.
Read the article Nonoperative Management of Osteoarthritis of the Knee (print, page 14)
and learn to:
  • Understand the nonoperative therapies available for treating osteoarthritis of the knee.
  • Understand that all of these modalities modify symptoms only. They do not alter the osteoarthritic disease process.
  • Recognize the role that viscosupplementation can play as the most recent addition to the osteoarthritis treatment armamentarium.
  • Understand the need for development of osteoarthritis treatment algorithms predicated on evidence-based studies.
Read the article Operative Treatment Options for Osteoarthritis of the Knee and Cartilage Defects (print, page 20)
and learn to:
  • Identify the operative therapies available for treating osteoarthritis of the knee.


Online CME Quiz

The Osteoarthritic Knee (print, page 6)

1. Established risk factors for osteoarthritis of the knee include all of the following except
A. All levels of physical activity
B. Obesity
C. Age
D. Previous knee injury or trauma

2. In the general population, joint space narrowing of the osteoarthritic knee has a higher tendency to occur in
A. Lateral tibiofemoral joint
B. Medial tibiofemoral joint
C. Lateral patellofemoral joint
D. Medial patellofemoral joint

3. All of the following are common radiographic findings in osteoarthritis of the knee except
A. Osteophytes ("central" or "marginal")
B. Bone demineralization and marginal erosions
C. Joint space narrowing
D. Subchondral sclerosis

Nonoperative Management of Osteoarthritis of the Knee (print, page 14)

4. Which nonoperative osteoarthritis therapies have been thoroughly validated by evidence-based studies?
A. Nonsteroidal anti-inflammatory drugs (NSAIDs)
B. Intra-articular corticosteroids
C. Viscosupplementation
D. All of these
E. None of these

5. According to the Arthritis, Rheumatism and Aging Medical Information System (ARAMIS) Post-Marketing Surveillance Program, how many arthritis patients die in the United States each year as a result of NSAID-induced gastrointestinal bleeding?
A. 160
B. 1,600
C. 16,500
D. 160,000

6. What are the probable mechanisms whereby viscosupplementation can afford symptomatic relief in osteoarthritis of the knee?
A. "Normalization" of hyaluronan synthesis
B. Restoration of viscoelastic properties in synovial fluid
C. Anti-inflammatory properties
D. Antinociceptive properties
E. All of these

7. If proper aspiration and injection techniques are used, what is the incidence of local inflammatory reactions after each viscosupplementation injection?
A. 0.3%
B. 3%
C. 10%
D. 30%

Operative Treatment Options for Osteoarthritis of the Knee and Cartilage Defects (print, page 20)

8. All of the following are good prognostic indicators for arthroscopic debridement except
A. Defect of short duration
B. Normal alignment, ligamentous stability
C. Osteophyte at symptom site
D. Significant Fairbank's changes

9. What is the most common problem associated with both tibial osteotomy and distal femoral osteotomy?
A. Undercorrection
B. Intra-articular fracture
C. Thromboembolic events
D. Patella contracture with motion loss

10. All of the following techniques are standard treatment for isolated focal chondral defects except
A. Abrasion arthroplasty
B. Autologous chondrocyte implantation
C. Lavage
D. Mosaicplasty

11. What is the relationship between normal hyaline cartilage and fibrocartilage or "scar cartilage"?
A. Both are composed of type I collagen
B. Fibrocartilage is mechanically superior to hyaline cartilage
C. Fibrocartilage is biochemically inferior to hyaline cartilage
D. Both are composed of type II collagen

When you have chosen all of your answers, please click the grading button below:

  


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