Case Based Webinar 1: 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.

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* 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 female patient presents to your clinic with her parents. They are interested in discussing the option of medication to treat obesity. She has a history of ADHD and anxiety. She has a BMI at 120% of the 95th percentile and dyslipidemia on previous labs. Her parents both have a history of obesity, and her mother has been treated with obesity medication. Which of the following BEST reflects a whole-child, longitudinal approach to care?

Starting pharmacotherapy right away because the patient has severe obesity and mother has experience with obesity pharmacotherapy herself.

Assessing patient and family goals, response to previous treatment, eating behaviors, nutritional status, ongoing health and mental health issues through frequent follow-up.

Referring immediately for bariatric surgery as she meets criteria.

Treating obesity separately from coexisting mental health conditions.

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* 6. An adolescent patient you have been following for obesity has been following her healthy lifestyle goals and has had a 2.5% reduction in BMI at 6 mos. She and her family are proud of the changes they have implemented but would also like to revisit medication options. What is your best next step in advising her in her obesity care?

You celebrate how well she is doing with her lifestyle goals and suggest she “stay the course.”

You express disappointment that despite her progress she and her family want to start medication.

You ensure ample time at either this visit or next to discuss the benefits and potential risks of various medications for obesity.

You tell her that the cost of medication is high and it is unlikely that she will be able to access a GLP-1 medication.

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* 7. Your adolescent patient has been taking obesity medication and has had a 20% BMI reduction. However, upon further evaluation you learn that your patient is skipping meals frequently and not prioritizing a balanced plate or hydration reportedly resulting from extremely low hunger and thirst. It is your clinical judgement that the patient has not met nutritional requirements. What would your next step be?

You congratulate her on her BMI reduction and caution her to pay more attention to her nutrition.

You ask the patient’s mother to help the patient plan and monitor meals and snacks.

You schedule an appointment with a dietician.

You adjust her medication dose to promote adequate hunger and schedule follow up in 1 month to continue assessing her BMI trajectory and nutritional status.

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* 8. Which of the following is considered an obesity related comorbidity?

Family history of Type 2 Diabetes

Depression

Juvenile rheumatoid arthritis

Cholelithiasis due to rapid weight loss

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* 9. Which of the following is true about a Hgb A1C test?

It is not a good diagnostic test for diabetes and prediabetes.

Should not be used in children 10 y and older with overweight (BMI ≥ 85th percentile to <95th percentile to evaluate for abnormal glucose metabolism in the presence of risk factors for T2DM.

It should be confirmed with an oral glucose tolerance test.

Can be used in children 10 y and older to evaluate for abnormal glucose metabolism, in children and adolescents with obesity (BMI ≥ 95th percentile).

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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:

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* 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?

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* 8. Which of the following is considered an obesity related comorbidity?

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* 9. Which of the following is true about a Hgb A1C test?

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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.)?

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.)?

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

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* 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)

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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?

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)