Sexuality, Reproduction & Menopause Continuing Medical Education Program

INSTRUCTIONS

To obtain the 1.5 CME credits for Volume 3 No. 1, May 2005, please follow these instructions.

View Large Image Download to PowerPoint

1.Read the articles listed for CME credit in Sexuality, Reproduction & Menopause.

2.Visit www.asrm.org and click on SRM EXAMS.

3.Print out the exam page.

4.Make a copy of your completed exam before sending to ASRM for your records.

5.Fax completed exam with credit card informationOR

6.Mail completed exam with check to:CME Department/SRM Exam, American Society for Reproductive Medicine1209 Montgomery Highway, Birmingham, AL 35216(205) 978-5000 phone / (205) 978-5005 fax

7.You must achieve at least a 70% passing score. Your corrected exam and documentation will be mailed to you.

8.Your exam must be received by ASRM by August 15, 2005.

Learning Objectives: After reading the designated articles published in Sexuality, Reproduction & Menopause, participants of the Sexuality, Reproduction & Menopause Continuing Medical Education (CME) Program should be able to:

Target Audience: This activity is designed for all physicians with a fundamental interest and knowledge in reproductive medicine and women's health, residents, researchers, clinicians, and educators alike.

Needs Assessment: As healthcare and technology continue to advance, there is a need to provide physicians and other health care professionals with opportunities to access and review information of relevance to their practice in new ways. This activity is designed to allow professionals to study alone at the time of their choice.

Credit/Accreditation Information: The American Society for Reproductive Medicine is accredited by the ACCME to sponsor continuing medical education to physicians.

The American Society for Reproductive Medicine designates the Sexuality, Reproduction & Menopause CME Program for up to 6 (1.5 each issue) category 1 credits toward the AMA Physician's Recognition Award per year. Each physician should claim only those credits that he/she actually spent in the educational activity.

The American Medical Association has determined that non-U.S. licensed physicians who participate in the SRM CME Program are eligible for AMA PRA category 1 credit.

Program participants should answer the questions on the examination answer sheet found at ASRM's website: http://www.asrm.org. The program is provided at a cost of $5 per examination for members and $10 per examination for non-members. The participant should retain a copy of the examination. A 70% passing score must be achieved in order to earn CME credit. Documentation of satisfactory completion, the correct answers, and a course evaluation form will be mailed within 2 months of receipt of tests.

For additional information, contact the CME Department at the American Society for Reproductive Medicine, 1209 Montgomery Highway, Birmingham, Alabama 35216 (Telephone: 205-978-5000; Fax 205-978-5005; email: asrm@asrm.org). Visit the ASRM website: http://www.asrm.org.

LESSON 1 

Aging, androgens, and female sexual desire: Can we restore what time takes away? 

John E. Buster, MD

Lesson 1 Objective

To review changes in androgen levels in women over their lifespan and the evidence for efficacy and safety of androgen replacement in women.

1.The principal cause of declining androgen production in aging women is:

a.Accelerated metabolic clearance of testosterone

b.Adrenal zona reticularis atrophy

c.Ovarian degeneration

d.Increased production of pituitary LH

e.Increased production of pituitary FSH

2.Each of the following has been associated with decreased sexual desire in women except:

a.Menopausal estrogen replacement therapy

b.Oophorectomy

c.Adrenal insufficiency

d.Methyl testosterone therapy

e.Panhypopituitarism

LESSON 2 

Understanding the menopausal transition, and managing its clinical challenges 

Armando Arroyo, MD; John Yeh, MD

Lesson 2 Objective

To review the classification, endocrine changes, and clinical characteristics of the menopause transition.

1.According to the STRAW classification, the early postmenopause is defined as the first _ years since the final menstrual period.

a.3

b.5

c.7

d.10

2.Late postmenopause is characterized by all of the following except

a.elevated FSH levels

b.low estrogen levels

c.high inhibin levels

d.estrone (E1) > estradiol (E2) levels

LESSON 3 

Overactive bladder and stress urinary incontinence: From diagnosis to treatment 

Lisa C. Labin, MD; Abraham N. Morse, MD

Lesson 3 Objective

To review the assessment and treatment of overactive bladder and stress urinary incontinence.

1.Bladder training using timed voiding is a technique most commonly used to treat what type of urinary condition?

a.Stress urinary incontinence

b.Overflow incontinence

c.Overactive bladder

2.What surgical procedure is not typically used to treat stress urinary incontinence?

a.Colposuspension

b.Sacral neuromodulation

c.Pubovaginal sling

3.Some amount of urinary incontinence is part of the normal process of aging.

a.True

b.False

4.The anticholinergic medications used for OAB are contraindicated with which condition or situation?

a.Narrow-angle glaucoma

b.Wide-angle glaucoma

c.Concurrent multi-pharmacy

LESSON 4 

Contrast-enhanced gynecologic ultrasound: When to use it, what it shows 

Jason Min, MD; Paul Claman, MD

Lesson 4 Objective

To describe the advantages, limitations, and clinical indications for contrast-enhanced gynecologic ultrasound compared to other imaging techniques.

1.Advantages of sonohysterography (SHG) and sonohysterosalpingography (SHSG) over laparoscopy/chromopertubation include:

a.less costly

b.less invasive

c.fewer risks & complications

d.all of the above

2.Which of the following has the lowest sensitivity for detection of intrauterine pathology?

a.hysteroscopy

b.SHG

c.transvaginal ultrasound

d.MRI of pelvis

View Large Image Download to PowerPoint