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Continuing Medical Education Questions: May 2023

Continuing Medical Education Questions: May 2023 778 CME QUESTIONS Erik A. Holzwanger, MD, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA. Article Title: Reduced Adenoma Miss Rate with 9-Minute vs 6-Minute Withdrawal Times for Screening Colonoscopy: A Multicenter Randomized Tandem Trial Am J Gastroenterol 2023;118:778. https://doi.org/10.14309/ajg.0000000000002271 LEARNING OBJECTIVE Which of the following statements is correct based on this After this activity, the participant will be able to distinguish study? quality metrics of colonoscopy and understand the importance of these quality metrics. A. Lack of sedation is an independent risk factor for missed adenomas QUESTION 1 B. Propofol sedation is associated with a higher adenoma Based on this study, which of the following statements is true? detection rate than opioid/benzodiazepine sedation C. Poor bowel prep quality is not associated with missed A. Advanced adenoma miss rate is similar between 6-minute and adenomas 9-minute mean withdrawal times (m-WT) D. Dicyclomine is not associated with adenoma miss rate B. Adenoma detection rate is similar between 6 minute and 9- minute m-WT QUESTION 3 C. Adenoma miss rate is lower with 9-minute m-WT in comparison Based on this study, which of the following statements is true to 6-minute m-WT regarding 9 minute m-WT? D. Surveillance interval recommendation did not change based on withdrawal time A. A 9-minute m-WT is associated with reduction of interval colorectal cancer QUESTION 2 B. Adenoma detection rate (ADR) did not improve in A55-year-old manisinthe endoscopylab forhis first average-risk colonoscopists with ADR .25% when m-WT increased screening colonoscopy. He has a history of irritable bowel syndrome from 6 to 9 minutes which is well-controlled with twice daily dicyclomine use. As he drank C. Colorectal cancer miss rate is lower with 9-minute m-WT only 75% of bowel prep and his last bowel movement was light brown D. A 9-minure m-WT adenoma miss rate decreased even liquid, he is worried about the quality of his bowel prep. Additionally, without ADR improvement in colonoscopists with high he is concerned about undergoing sedation for his procedure. 6-minute m-WT ADR The American Journal of GASTROENTEROLOGY VOLUME 118 | MAY 2023 www.amjgastro.com Copyright © 2023 by The American College of Gastroenterology. Unauthorized reproduction of this article is prohibited. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Gastroenterology Wolters Kluwer Health

Continuing Medical Education Questions: May 2023

Holzwanger, Erik A.
American Journal of Gastroenterology , Volume 118 (5) – May 30, 2023
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Publisher
Wolters Kluwer Health
Copyright
© 2023 by The American College of Gastroenterology
ISSN
0002-9270
eISSN
1572-0241
DOI
10.14309/ajg.0000000000002271
Publisher site
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Abstract

778 CME QUESTIONS Erik A. Holzwanger, MD, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA. Article Title: Reduced Adenoma Miss Rate with 9-Minute vs 6-Minute Withdrawal Times for Screening Colonoscopy: A Multicenter Randomized Tandem Trial Am J Gastroenterol 2023;118:778. https://doi.org/10.14309/ajg.0000000000002271 LEARNING OBJECTIVE Which of the following statements is correct based on this After this activity, the participant will be able to distinguish study? quality metrics of colonoscopy and understand the importance of these quality metrics. A. Lack of sedation is an independent risk factor for missed adenomas QUESTION 1 B. Propofol sedation is associated with a higher adenoma Based on this study, which of the following statements is true? detection rate than opioid/benzodiazepine sedation C. Poor bowel prep quality is not associated with missed A. Advanced adenoma miss rate is similar between 6-minute and adenomas 9-minute mean withdrawal times (m-WT) D. Dicyclomine is not associated with adenoma miss rate B. Adenoma detection rate is similar between 6 minute and 9- minute m-WT QUESTION 3 C. Adenoma miss rate is lower with 9-minute m-WT in comparison Based on this study, which of the following statements is true to 6-minute m-WT regarding 9 minute m-WT? D. Surveillance interval recommendation did not change based on withdrawal time A. A 9-minute m-WT is associated with reduction of interval colorectal cancer QUESTION 2 B. Adenoma detection rate (ADR) did not improve in A55-year-old manisinthe endoscopylab forhis first average-risk colonoscopists with ADR .25% when m-WT increased screening colonoscopy. He has a history of irritable bowel syndrome from 6 to 9 minutes which is well-controlled with twice daily dicyclomine use. As he drank C. Colorectal cancer miss rate is lower with 9-minute m-WT only 75% of bowel prep and his last bowel movement was light brown D. A 9-minure m-WT adenoma miss rate decreased even liquid, he is worried about the quality of his bowel prep. Additionally, without ADR improvement in colonoscopists with high he is concerned about undergoing sedation for his procedure. 6-minute m-WT ADR The American Journal of GASTROENTEROLOGY VOLUME 118 | MAY 2023 www.amjgastro.com Copyright © 2023 by The American College of Gastroenterology. Unauthorized reproduction of this article is prohibited.

Journal

American Journal of Gastroenterology – Wolters Kluwer Health

Published: May 30, 2023

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