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CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 2012;10:e47–e49
CME Activities–Exams 1 and 2Shyam S. Varadarajulu, MD, Editor, CME Section
CME Credits:The AGA Institute is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medicaleducation for physicians.The AGA Institute designates this journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicianshould only claim credit commensurate with the extent of their participation in the activity.
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Objectives:See article for specific learning objective.
e48 CME ACTIVITIES CLINICAL GASTROENTEROLOGY AND HEPATOLOGY Vol. 10, No. 5
Exam 1: Identification of Cholangiocarcinoma by Using theSpyglass Spyscope System for Peroral Cholangioscopy andBiopsy Collection
Test ID No.: 0153 Contact Hours: 1.0 Expiration Date: May 31, 2013
Question 1:
In what percentage of patients with biliary lesions doescholangioscopy establish a tissue diagnosis following failedendoscopic ultrasound– guided fine-needle aspiration and en-doscopic retrograde cholangiopancreatography– guided brush-
ings?Question 2:
the yield of cholangioscopy-guided biopsy?
Question 3:
Question 4:
a. 100%b. 77%c. 54%d. 25%
Does the location of stricture in the biliary system influence
a. Yes b. NoIn this study, what was the median number of cholangios-copy-guided biopsies that were performed to achieve a diagnos-tic accuracy of 77%?
a. 5b. 4c. 6
d. 7What was the most common appearance of a biliary strictureon cholangioscopic examination?
a. Papillary polypoid massb. Localized ulcerative massc. Circumferential fibrostenotic ulcerative mass
d. Friable stricture with dilated tortuous vasculature