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Self-Assessment Question Submission Form Please consult your author invitation regarding the number of assessment items required for your article.

nephSAP CME Question Guidelines and Submission Form

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Question 1Q1-Does this question have an

associated image or images? ☐Yes ☐No (If YES – upload image(s) separately according nephSAP Author Guide)

Q1-Learning objective associated with this question

Q1-Question Scenario (150 words max)

Q1-Question Stem (there must be one clearly correct

answer)

Q1-Answer Options (correct answer choice plus 3-4

distractors) Answer Correct?

A

B

C

D

E

nephSAP CME Question Guidelines and Submission Form

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Question 1-Answer ExplanationQ1-Correct Answer

(type the correct answer for question 1)

Q1-Correct Answer Explanation

(explain why the correct answer is correct)

Q1-Distractor Explanations

(list each distractor and why it is incorrect)

Q1-References (include 2-5 references

that support the correct and incorrect answer

explanations.)

1.

2.

3.

4.

5.

nephSAP CME Question Guidelines and Submission Form

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Question 2Q2-Does this question have an

associated image or images? ☐Yes ☐No (If YES – upload image(s) separately according nephSAP Author Guide)

Q2-Learning objective associated with this question

Q2-Question Scenario (150 words max)

Q2-Question Stem (there must be one clearly correct

answer)

Q2-Answer Options (correct answer choice plus 3-4

distractors) Answer Correct?

A

B

C

D

E

nephSAP CME Question Guidelines and Submission Form

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Question 2-Answer ExplanationQ2-Correct Answer

(type the correct answer for question 2)

Q2-Correct Answer Explanation

(explain why the correct answer is correct)

Q2-Distractor Explanations

(list each distractor and why it is incorrect)

Q2-References (include 2-5 references

that support the correct and incorrect answer

explanations.)

1.

2.

3.

4.

5.

nephSAP CME Question Guidelines and Submission Form

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Question 3Q3-Does this question have an

associated image or images? ☐Yes ☐No (If YES – upload image(s) separately according nephSAP Author Guide)

Q3-Learning objective associated with this question

Q3-Question Scenario (150 words max)

Q3-Question Stem (there must be one clearly correct

answer)

Q3-Answer Options (correct answer choice plus 3-4

distractors) Answer Correct?

A

B

C

D

E

nephSAP CME Question Guidelines and Submission Form

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Question 3-Answer ExplanationQ3-Correct Answer

(type the correct answer for question 3)

Q3-Correct Answer Explanation

(explain why the correct answer is correct)

Q3-Distractor Explanations

(list each distractor and why it is incorrect)

Q3-References (include 2-5 references

that support the correct and incorrect answer

explanations.)

1.

2.

3.

4.

5.

nephSAP CME Question Guidelines and Submission Form

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Question 4Q4-Does this question have an

associated image or images? ☐Yes ☐No (If YES – upload image(s) separately according nephSAP Author Guide)

Q4-Learning objective associated with this question

Q4-Question Scenario (150 words max)

Q4-Question Stem (there must be one clearly correct

answer)

Q4-Answer Options (correct answer choice plus 3-4

distractors) Answer Correct?

A

B

C

D

E

nephSAP CME Question Guidelines and Submission Form

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Question 4-Answer ExplanationQ4-Correct Answer

(type the correct answer for question 4)

Q4-Correct Answer Explanation

(explain why the correct answer is correct)

Q4-Distractor Explanations

(list each distractor and why it is incorrect)

Q4-References (include 2-5 references

that support the correct and incorrect answer

explanations.)

1.

2.

3.

4.

5.

nephSAP CME Question Guidelines and Submission Form

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Question 5Q5-Does this question have an

associated image or images? ☐Yes ☐No (If YES – upload image(s) separately according nephSAP Author Guide)

Q5-Learning objective associated with this question

Q5-Question Scenario (150 words max)

Q5-Question Stem (there must be one clearly correct

answer)

Q5-Answer Options (correct answer choice plus 3-4

distractors) Answer Correct?

A

B

C

D

E

nephSAP CME Question Guidelines and Submission Form

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Question 5-Answer ExplanationQ5-Correct Answer

(type the correct answer for question 5)

Q5-Correct Answer Explanation

(explain why the correct answer is correct)

Q5-Distractor Explanations

(list each distractor and why it is incorrect)

Q5-References (include 2-5 references

that support the correct and incorrect answer

explanations.)

1.

2.

3.

4.

5.

nephSAP CME Question Guidelines and Submission Form

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Question 6Q6-Does this question have an

associated image or images? ☐Yes ☐No (If YES – upload image(s) separately according nephSAP Author Guide)

Q6-Learning objective associated with this question

Q6-Question Scenario (150 words max)

Q6-Question Stem (there must be one clearly correct

answer)

Q6-Answer Options (correct answer choice plus 3-4

distractors) Answer Correct?

A

B

C

D

E

nephSAP CME Question Guidelines and Submission Form

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Question 6-Answer ExplanationQ6-Correct Answer

(type the correct answer for question 6)

Q6-Correct Answer Explanation

(explain why the correct answer is correct)

Q6-Distractor Explanations

(list each distractor and why it is incorrect)

Q6-References (include 2-5 references

that support the correct and incorrect answer

explanations.)

1.

2.

3.

4.

5.

nephSAP CME Question Guidelines and Submission Form

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Question 7Q7-Does this question have an

associated image or images? ☐Yes ☐No (If YES – upload image(s) separately according nephSAP Author Guide)

Q7-Learning objective associated with this question

Q7-Question Scenario (150 words max)

Q7-Question Stem (there must be one clearly correct

answer)

Q7-Answer Options (correct answer choice plus 3-4

distractors) Answer Correct?

A

B

C

D

E

nephSAP CME Question Guidelines and Submission Form

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Question 7-Answer ExplanationQ7-Correct Answer

(type the correct answer for question 7)

Q7-Correct Answer Explanation

(explain why the correct answer is correct)

Q7-Distractor Explanations

(list each distractor and why it is incorrect)

Q7-References (include 2-5 references

that support the correct and incorrect answer

explanations.)

1.

2.

3.

4.

5.

nephSAP CME Question Guidelines and Submission Form

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Question 8Q8-Does this question have an

associated image or images? ☐Yes ☐No (If YES – upload image(s) separately according nephSAP Author Guide)

Q8-Learning objective associated with this question

Q8-Question Scenario (150 words max)

Q8-Question Stem (there must be one clearly correct

answer)

Q8-Answer Options (correct answer choice plus 3-4

distractors) Answer Correct?

A

B

C

D

E

nephSAP CME Question Guidelines and Submission Form

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Question 8-Answer ExplanationQ8-Correct Answer

(type the correct answer for question 8)

Q8-Correct Answer Explanation

(explain why the correct answer is correct)

Q8-Distractor Explanations

(list each distractor and why it is incorrect)

Q8-References (include 2-5 references

that support the correct and incorrect answer

explanations.)

1.

2.

3.

4.

5.