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Exams Listed by Category
Each Journal Watch Online CME exam contains 4 questions. Each question is drawn from a single original article summary: To review the full text of the relevant summary for each question, please click on the "view summary" hyperlink that follows the question. All questions must be answered correctly before CME credit is issued, but you'll have unlimited chances to answer the questions correctly. Choose the best answer for each question before clicking "SUBMIT."
The correct answers are highlighted
in this sample exam.
Category: Women's Health
JW (General): Hormone therapy, Obesity, Tamoxifen, Birth size
QUESTION 1
Investigators have analyzed data from the Women's Health Initiative to
determine whether women who receive continuous estrogen/progestin (E/P)
therapy experience an improvement in quality of life. Based on the findings,
which statement is false?
View
summary
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A. |
At 1 year, users of E/P experienced significant benefit
in terms of less sleep disturbance, better physical
functioning, and less pain.
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B. |
At 1 year, younger women who used E/P reported benefit
only for vasomotor symptoms and sleep disturbances.
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C.
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Findings from this study support the long-term use
of E/P in asymptomatic postmenopausal women. |
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D. |
Younger symptomatic women might benefit from short-term
E/P therapy to ease their transition through menopause. |
QUESTION
2
In a prospective study, researchers followed about 900,000 Americans for
16 years and collected information on cancer mortality. Height and weight
information were recorded at baseline. All of the following statements
are true EXCEPT:
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summary
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A. |
Higher baseline body-mass index was associated with
higher risk for cancer mortality.
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B.
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Higher death rates from cancer were not associated
with marked obesity.
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C. |
Weight loss protected against cancer mortality. |
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D. |
The analysis accounted for many potential confounders, such
as smoking and diet. |
QUESTION
3
In a North American study, researchers evaluated 3 treatment regimens
for preventing ipsilateral recurrence of breast cancer after lumpectomy
of lesions measuring 1 cm or smaller. Which treatment regimen was most
effective?
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summary
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A.
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Radiation plus tamoxifen
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B. |
Radiation plus placebo
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C. |
All 3 regimens were equally effective |
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D. |
Tamoxifen alone |
QUESTION
4
In a retrospective study, Swedish investigators evaluated the association
between birth size and premenopausal breast cancer among more than 5000
Swedish women. Which statement is true?
View
summary
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A. |
Rates of breast cancer were 5 times higher in women
whose birth lengths and head circumferences were in
the highest quintile.
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B. |
Larger size for gestational age was not associated
with increased risk for premenopausal breast cancer.
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C. |
A large proportion of breast cancers in a given population
can be attributed to birth size. |
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D.
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Size at birth was associated positively with rate of breast
cancer in premenopausal women. |
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