Answers to the CME Quiz for “Endometrial Cancer” by Joel I. Sorosky, MD (Obstet Gynecol 2008;111:436-47)

1. Which of the following ethnic or racial groups has the poorest stage-for-stage prognosis for endometrial cancer?

A. African Americans

2. Over the past two decades, what has been the trend in deaths due to endometrial cancer?

E. Increased by 100%

3. The most common presenting complaint for patients with endometrial carcinoma is:

C. Vaginal bleeding

4. Approximately what percent of women with endometrial carcinoma are diagnosed before menopause?

B. 20%

5. Of the following risk factors, which conveys the greatest risk for the development of endometrial cancer?

B. Obesity

6. Complex endometrial hyperplasia with atypia is associated with a likelihood of progression to endometrial cancer that approximates:

D. 40%

7. The positive and negative predictive value of office endometrial biopsy is approximately?

D. 90%

8. When used as a diagnostic or screening tool, an endometrial stripe of less than 5 mm in a postmenopausal woman has a negative predictive value that approximates:

E. 100%

9. The primary treatment modality for women with endometrial cancer is:

D. Surgery

10. The malignancy most closely associated with Lynch syndrome (hereditary nonpolyposis colorectal cancer) is:

B. Endometrial

ACCME Accreditation: The American College of Obstetricians and Gynecologists (ACOG) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. (Continuing medical education credit for “Endometrial Cancer” will be available through February 2011.)

AMA PRA Category 1 Credit^TM and ACOG Cognate Credit: The American College of Obstetricians and Gynecologists (ACOG) designates this educational activity for a maximum of 2 AMA PRA Category 1 Credits^TM or up to a maximum of 2 Category 1 ACOG cognate credits. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Disclosure Statement: Current guidelines state that continuing medical education (CME) providers must ensure that CME activities are free from the control of any commercial interest. All authors, reviewers, and contributors have disclosed to ACOG all relevant financial relationships with any commercial interests. The authors, reviewers, and contributors declare that neither they nor any business associate nor any member of their immediate families has financial interest or other relationships with any manufacturer of products or any providers of services discussed in this program. Any conflicts have been resolved through group and outside review of all content.

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