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1. Colorectal cancer almost always develops from precancerous polyps in the colon.

A. True B. False

2. All of the following are risk factors for colorectal cancer EXCEPT:

A. Physical inactivity B. Diabetes C. Obesity D. Low vitamin D levels

3. Current colorectal cancer screening guidelines recommend flexible sigmoidoscopy every 10 years for average-risk individuals.

A. True B. False

4. Suboptimal bowel preparation prior to colonoscopy occurs in as many as what percentage of cases?

A. 5% B. 10% C. 25% D. 50%

5. Which of the following best represents an excellent quality bowel preparation by colonoscopy scoring standards?

A. Greater than 90% of mucosa seen, minimal suctioning B. Greater than 90% of mucosa seen, no suctioning needed C. Greater than 90% of mucosa seen, significant suctioning D. Greater than 90% of mucosa seen, stool could be suctioned or washed

6. Osmotic bowel preparation agents, such as sodium phosphate, draw extracellular fluid across the bowel wall and into the lumen.

A. True B. False

7. All of the following statements surrounding polyethylene glycol agents (PEG solutions) for bowel preparation are true EXCEPT:

A. These are the most commonly used bowel preparation options B. They pass through the bowel without any net absorption C. They do not induce any substantial shifts in fluid and electrolyte levels D. They should be avoided in patients with renal insufficiency and heart failure

8. Sodium phosphate-based bowel preparations should be avoided because they require the patient to consume large volumes of the liquid agent.

A. True B. False

9. Benefits of split-dosing in bowel preparation prior to colonoscopy include all of the following EXCEPT:

A. More satisfaction because it allows patients to reduce the required volume of fluid that must be consumed at 1 sitting B. No difference in adverse events compared to standard evening-before dosing C. Similar adenoma detection rate to standard evening-before dosing D. Less bloating for patients upon consumption

10. Before undergoing colonoscopy, patients must be informed of which of the following to optimize screening results?

A. The importance of bowel preparation B. Diet instructions C. Exact preparation instructions of the cleansing agent prescribed D. All of the above

Evaluation Questions

11. To what extent did the program meet objective #1?

A. Excellent B. Very Good C. Good D. Fair E. Poor

12. To what extent did the program meet objective #2?

A. Excellent B. Very Good C. Good D. Fair E. Poor

13. To what extent did the program meet objective #3?

A. Excellent B. Very Good C. Good D. Fair E. Poor

14. To what extent did the program meet objective #4?

A. Excellent B. Very Good C. Good D. Fair E. Poor

15. Rate the effectiveness of how well the program related to your educational needs:

A. Excellent B. Very Good C. Good D. Fair E. Poor

16. Rate how well the active learning strategies (questions, cases, discussions) were appropriate and effective learning tools:

A. Excellent B. Very Good C. Good D. Fair E. Poor

17. Rate the quality of the faculty:

A. Excellent B. Very Good C. Good D. Fair E. Poor

18. Rate the effectiveness and the overall usefulness of the material presented:

A. Excellent B. Very Good C. Good D. Fair E. Poor

19. Rate the appropriateness of the examination for this activity:

A. Excellent B. Very Good C. Good D. Fair E. Poor

20. Rate the effectiveness of how well the activity related to your practice needs:

A. Excellent B. Very Good C. Good D. Fair E. Poor

21. Rate the effectiveness of how well the activity will help you improve patient care:

A. Excellent B. Very Good C. Good D. Fair E. Poor

22. Will the information presented cause you to change your practice?

A. Yes B. No

23. Are you committed to making these changes?

A. Yes B. No

24. As a result of this activity, did you learn something new?

A. Yes B. No

25. What is your practice setting or area of practice?

A. Community Pharmacy/Independent B. Community Pharmacy/Chain C. Hospital/Health Systems D. Administrative/Pharmacy Director E. Critical Care Pharmacy F. Long-term Care G. Managed Care/PBM H. Oncology/Specialty Pharmacy I. Industry/Manufacturing

26. How many years have you been in practice?

A. <5 B. 5 – 10 C. 11 – 20 D. >20

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