Understanding the Medical Evaluation of Eating Disorders in Children and Adolescents Webinar, 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. In children and young adolescents with a restrictive eating disorder, evaluation of the growth chart is very important during the initial medical evaluation. Providers should look at the growth chart for all of the following except:

Falling off from prior height percentile

Falling off from prior weight percentile

Failure to grow along expect height percentile for predicted mid-parental height

Failure to gain weight at the same percentile as height gain

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* 5. Components of the initial medical evaluation of all youth with a known or suspected eating disorder should include all of the following, except:

Orthostatic heart rates and blood pressures

Laboratory studies including a comprehensive metabolic panel with phosphorous and magnesium levels

Electrocardiogram (ECG)

Abdominal Computed Tomography (CT)

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* 6. A 15-year-old female with a suspected restrictive eating disorder would meet criteria for acute medical stabilization if she had the following set of initial vital signs:

Heart rate 75, Blood pressure 115/75, Temperature 99.0 F

Heart rate 65, Blood pressure 105/65, Temperature 98.0 F

Heart rate 55, Blood pressure 95/55, Temperature 97.0 F

Heart rate 45, Blood pressure 85/45, Temperature 96.0 F

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* 7. Growth and developmental concerns are a unique medical risk in children and young adolescents with restrictive eating disorders. Factors associated with increased risk for poor linear catch-up growth include all of the following except:

Younger age

Longer duration of illness

Lack of weight restoration

Prompt identification of the eating disorder with weight restoration

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* 8. A 13-year-old male with a restrictive eating disorder would be considered at risk for refeeding syndrome if he presents with any one of the following findings except:

A BMI Z-score of -3.5 that is a negative change from his baseline

Weight gain of only one pound in the last year, which is computed to be less than 25% of the norm for his expected weight gain

14 consecutive days prior to presentation of energy intake which was less than half of what is estimated as needed

Meeting expected gains in weight and height and parents observing completing of 100% of meals for the 2 weeks prior to presentation

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* 9. Were the individual learning objectives of this CME activity achieved?

Yes

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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. In children and young adolescents with a restrictive eating disorder, evaluation of the growth chart is very important during the initial medical evaluation. Providers should look at the growth chart for all of the following except:

Question Title

* 5. Components of the initial medical evaluation of all youth with a known or suspected eating disorder should include all of the following, except:

Question Title

* 6. A 15-year-old female with a suspected restrictive eating disorder would meet criteria for acute medical stabilization if she had the following set of initial vital signs:

Question Title

* 7. Growth and developmental concerns are a unique medical risk in children and young adolescents with restrictive eating disorders. Factors associated with increased risk for poor linear catch-up growth include all of the following except:

Question Title

* 8. A 13-year-old male with a restrictive eating disorder would be considered at risk for refeeding syndrome if he presents with any one of the following findings except:

Question Title

* 9. Were the individual learning objectives of this CME activity achieved?

Question Title

* 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.)?

Question Title

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

Question Title

* 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)

Question Title

* 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)