Case Based Webinar 2: Application of CPG in Real-World Settings, CME/MOC 2 Questions

Please complete the following quiz. You can view your score at the end of this quiz. If you do not earn a score of 75% or higher, please review the presentation and submit the quiz again. CME and MOC points will be awarded on a 30-day basis. If you have any questions, please contact obesity@aap.org.

Question Title

* 1. Please provide the following information to receive CME credit, following successful completion of the knowledge change survey.

First and Last Name

AAP ID

Credential (MD, DO, RN)

Email Address

City/Town

State/Province

ZIP/Postal Code

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* 2. American Board of Pediatrics (ABP) ID# (REQUIRED for pediatricians seeking part 2 MOC)

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* 3. Month and date of birth (MM/DD) (REQUIRED for pediatricians seeking part 2 MOC)

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* 4. Were the individual learning objectives of this CME activity achieved?

Yes

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* 5. A 14-year-old adolescent has severe obesity with a BMI 135% of the 95th percentile for age and sex. Comorbidities include hypertension and obstructive sleep apnea. According to the 2023 AAP Clinical Practice Guideline, which of the following is the MOST appropriate next step?

Recommend lifestyle counseling alone for at least 12 months before considering additional treatment

Refer for evaluation at a comprehensive pediatric metabolic and bariatric surgery center

Delay referral until the adolescent reaches 18 years of age

Recommend against bariatric surgery because obstructive sleep apnea increases surgical risk

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* 6. Which of the following BEST describes the role of intensive health behavior and lifestyle treatment (IHBLT) in pediatric obesity management?

IHBLT should only be offered after pharmacotherapy has failed

IHBLT is recommended as a foundational component of treatment for children and adolescents with obesity

IHBLT is ineffective unless delivered in an inpatient setting

IHBLT should be avoided in children with severe obesity

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* 7. According to long-term adolescent metabolic and bariatric surgery outcome studies, including Teen-LABS, which of the following BEST describes expected long-term weight outcomes after bariatric surgery in adolescents?

Average long-term BMI reduction of approximately 3–5%

Average long-term BMI reduction of approximately 10%

Average long-term BMI reduction of approximately 20%

Average long-term BMI reduction of approximately 50%

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* 8. A pediatrician is counseling a family about metabolic and bariatric surgery for an adolescent with severe obesity. Which of the following statements is MOST accurate regarding postoperative care?

Long-term laboratory monitoring is unnecessary if weight loss goals are achieved

Micronutrient deficiencies may occur and require ongoing monitoring after surgery

Bariatric surgery eliminates the need for future obesity treatment

Major complications occur in more than 50% of adolescents undergoing surgery

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* 9. Which of the following obesity-related comorbidities has been shown to improve following adolescent metabolic and bariatric surgery?

Type 2 diabetes mellitus and hypertension

Seasonal allergies and scoliosis

Attention-deficit/hyperactivity disorder and eczema

Autism spectrum disorder and migraine headaches

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* 10. Based on what you learned in this activity, do you plan to change:
The strategies you implement in practice (e.g., how you diagnose/manage patients, coordinate care, etc.)?

Yes

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* 11. Based on what you learned in this activity, do you plan to change:
What you do in practice (e.g., how you perform exams, instruct, counsel patients/families, etc.)?

Yes

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* 12. If YES to either of the above questions, please identify any changes in practice that you plan to make:

Question Title

* 13. If NO and you do not plan to make changes in practice, other than lack of time and resources, why not? (select all
that apply)

Systems-related barriers internal to your organization

The activity reinforced what I am already doing in practice

No practice changes were recommended

Other (please specify)

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* 14. Do you feel the educational content contributed to stereotypes and/or biases which could negatively impact patients, colleagues, or trainees?

Yes - if yes, please comment

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* 15. Do you feel a commercial product, device, or service was inappropriately promoted in the educational content?

Yes - If yes, please comment

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* 16. On a scale of 1 to 7, what was the return on your investment of time/effort for participating in this activity?

	1 - Low Return	2	3	4 - Medium Return	5	6	7 - High Return
Scale	Scale 1 - Low Return	Scale 2	Scale 3	Scale 4 - Medium Return	Scale 5	Scale 6	Scale 7 - High Return

Question Title

* 1. Please provide the following information to receive CME credit, following successful completion of the knowledge change survey.

Question Title

* 2. American Board of Pediatrics (ABP) ID# (REQUIRED for pediatricians seeking part 2 MOC)

Question Title

* 3. Month and date of birth (MM/DD) (REQUIRED for pediatricians seeking part 2 MOC)

Question Title

* 4. Were the individual learning objectives of this CME activity achieved?

Question Title

* 5. A 14-year-old adolescent has severe obesity with a BMI 135% of the 95th percentile for age and sex. Comorbidities include hypertension and obstructive sleep apnea. According to the 2023 AAP Clinical Practice Guideline, which of the following is the MOST appropriate next step?

Question Title

* 6. Which of the following BEST describes the role of intensive health behavior and lifestyle treatment (IHBLT) in pediatric obesity management?

Question Title

* 7. According to long-term adolescent metabolic and bariatric surgery outcome studies, including Teen-LABS, which of the following BEST describes expected long-term weight outcomes after bariatric surgery in adolescents?

Question Title

* 8. A pediatrician is counseling a family about metabolic and bariatric surgery for an adolescent with severe obesity. Which of the following statements is MOST accurate regarding postoperative care?

Question Title

* 9. Which of the following obesity-related comorbidities has been shown to improve following adolescent metabolic and bariatric surgery?

Question Title

* 10. Based on what you learned in this activity, do you plan to change:The strategies you implement in practice (e.g., how you diagnose/manage patients, coordinate care, etc.)?

Question Title

* 11. Based on what you learned in this activity, do you plan to change:What you do in practice (e.g., how you perform exams, instruct, counsel patients/families, etc.)?

Question Title

* 12. If YES to either of the above questions, please identify any changes in practice that you plan to make:

Question Title

* 13. If NO and you do not plan to make changes in practice, other than lack of time and resources, why not? (select all that apply)

Question Title

* 14. Do you feel the educational content contributed to stereotypes and/or biases which could negatively impact patients, colleagues, or trainees?

Question Title

* 15. Do you feel a commercial product, device, or service was inappropriately promoted in the educational content?

Question Title

* 16. On a scale of 1 to 7, what was the return on your investment of time/effort for participating in this activity?

* 10. Based on what you learned in this activity, do you plan to change:
The strategies you implement in practice (e.g., how you diagnose/manage patients, coordinate care, etc.)?

* 11. Based on what you learned in this activity, do you plan to change:
What you do in practice (e.g., how you perform exams, instruct, counsel patients/families, etc.)?

* 13. If NO and you do not plan to make changes in practice, other than lack of time and resources, why not? (select all
that apply)