2019 Autumn Scientific Convention Outcomes Measurement Survey

This is a short Outcomes Measurement Survey regarding your recent attendance during the MOA 15th Annual Autumn Scientific
Convention held November 8-10, 2019 at the Amway Grand Plaza. Physicians who complete this survey may earn 2 additional
hours of AOA Category 1-A CME credits. The deadline for completion is December 12, 2019. After that date the survey will be void, no exceptions.

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* 1. Name and email address

First name

Last name

Email Address

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* 2. AOA Number:

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* 3. Was the educational seminar valuable to your practice?

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

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* 4. Of the lectures you attended, did the content improve the way you practice medicine?

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

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* 5. List three changes that you have implemented in your practice as a result of attending the MOA Autumn Scientific Convention CME Sessions:

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* 6. In patients suffering from TMJ but not having orthodontia or malocclusion present, the one most important treatment is (choose one correct answer):

Teach them to breathe properly, with a relaxed exhalation

Have them pull their tongue back in their mouth

Have them crunch their neck up to be as short as possible

Have them use a ringed self-inflatable ringed cervical traction unit and crank it up to maximal stretch immediately

I did not attend this lecture

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* 7. A Fulford Percussion Vibrator may be applied to lift somatic dysfunction out of the tissues by use of resonance. If the patient complained of TMJ associated with low back pain, the Percussor would most likely be applied to which region (choose one)?

The sacrum, because somatic dysfunction in the sacrum may be associated with somatic dysfunction in the TMJ

The elbow

Using a Fulford Percussion Vibrator for TMJ is contraindicated

I did not attend this lecture

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* 8. Which one of the following is not a symptom related to TMJ Syndrome:

Headaches

Balance issues or dizziness

Aural symptoms (otalgia, tinnitus, hearing impairment)

Isolated pain in the ipsilateral little toe

I did not attend this lecture

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* 9. Regarding Measles Ecology: All is true except

Measles is one of the most important infectious diseases of humans and has caused millions of deaths since its emergence as a zoonotic disease thousand of years ago

People born before 1957 lived through several years of epidemic measles before the first measles vaccine was licensed in 1963. Surveys suggest 95%-98% of those born before 1957 are immune to measles

Most contagious Fecal oral or blood exposure

Highly contagious” viral illness characterized by Fever, Malaise, Rash, Cough, Coryza, and Conjunctivitis that occurs worldwide

Natural measles infection is thought to confer lifelong immunity; Immunity due to Measles vaccination is also highly protective against clinical infection

I did not attend this lecture

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* 10. Important for today’s Emerging Measles Diagnosis. All are true except:

The Most Important Diagnostic Tool Is Your H&P: Allows for quarantine Important for contact tracing & Vaccination of susceptible contacts & other public health interventions.

History includes patient's vaccination status, possible exposure to measles, travel to AND from areas of ongoing transmission.

Physical to consider a careful history of disease progression & symptoms is critical. After an incubation period of 8-12 days (“3Cs”) Prodromal symptoms: Fever, Cough, Coryza, Conjunctivitis During this period, Koplik spots

Primary a clinic diagnosis regarding Laboratory: (Highly contagious aerosols: If patients need to go to a lab to have blood drawn, you should notify the lab and infection control to help prevent exposing other patients) IgM por specificity not generally helpful; PCR is not generally available: Throat and nasopharynx are the preferred

All of the above are true

I did not attend this lecture

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* 11. Clinical Measles Exanthems: All are true except:

Arises ~2-4 days after onset of fever: Erythematous, Maculopapular blanching quality

Classically begins: Begins about the face and ears; Spreads cephalocaudally and Centrifugally; Neck, upper trunk, lower trunk & extremities

Early on, lesions are blanching; Later stages; May include petechiae; Severe cases, may appear hemorrhagic

The palms and soles are rarely involved

Search carefully for Koplik spots (suspected measles), can improve the accuracy of clinical diagnosis... However, this enanthem does not appear in all patients with measles

All are true

I did not attend this lecture

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* 12. Regarding Measles Complications: Major cause of infant Death associated with acute measles

Generalized modulation of immune functions include leading to serious secondary bacterial and viral illnesses including pneumonia and diarrhea

Acute complications; Giant cell Pneumonitis; neurological complications

Measles Morbidity Mortality has declined in developed countries in association with economic development, improved nutritional status, supportive care and vaccines

Humans are the only virus reservoir: has been targeted for global eradication

All of the above are true

I did not attend this lecture

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* 13. Regarding Disease and or syndromes associated with Legonella bacteria: All are true except:

Highly contagious human disease requiring strict respiratory isolation for Identified cases

Legonella Urine Antigen testing is a reliable way to confirm Pontiac fever or Legonella Pneumonia

Cases of Legionnaires pneumonia and Pontiac Fever, can be identified simultaneously in a recognized-out break

L.pneumophila: Found worldwide and typically acquired from contaminated water sources in late summer and early fall

Must be considered a possible causative pathogen in any patient who presents with atypical pneumonia

I did not attend this lecture

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* 14. Regarding Pontiac Fever: All true except:

An acute, non-fatal respiratory disease various species of Gram-negative bacteria in the genus Legionella

Mild upper respiratory infection that resembles acute influenza. Pontiac fever resolves spontaneously and often goes undiagnosed

Rare often Fatal febrile illness the is often missed or under-diagnosed

Legionnaires disease often associated with acute pneumonia. However, Pontiac fever does not

Recognition of an acute febrile illness “outbreak” often simplifies the diagnosis

I did not attend this lecture

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* 15. Disease associated with Legonella in the United States: All are true except

Has increased 4.5 x since 2000, and is increasing

An important cause of nosocomial (HCAP) & Community-Acquired Pneumonia (CAP)

About 21% of all Legionnaires' disease reported to the CDC between 1980 - 1999 was travel-associated & that number is rising as reporting improves

Legionnaires Pneumonia has a reported Mortality of 1% - 80% depending upon underlying health of Patient Promptness of Specific therapy

L. pneumophila species, serogroup 1 rarely causes US disease. L. longbeachae is responsible for greater than 85% of all annually recognized Legionnaires’ Pneumonia

I did not attend this lecture

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* 16. Transmission of Legionella bacteria to people occurs when mist or vapor containing the bacteria is inhaled.All are true except:

Legionellosis does not spread person to person

Risk factors for exposure to Legionella infection include: Recent travel with an overnight stay; Recent stay in a healthcare facility; Exposure to hot tubs; Exposure to settings: plumbing with recent repairs or maintenance work

Most healthy individuals do not become sick after exposure to Legionella

Occurrence of Sporadic Pneumonia cases: (65-75%) ~1100 cases annually -CDC (0.4 / 100,000)

All of the above are true

I did not attend this lecture

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* 17. Legonella Bacterial ecology: All are true except:

Facultative* intracellular bacterium is the causative agent of legionellosis
(*Facultative intracellular parasites can be living & reproduce either inside or outside living cells)

In the environment this pathogenic bacterium colonizes the Biofilms and Amoebae

Free living Amoeba (In the same water) supports intracellular growth of legionella include Naegleria, Acanthamoeba, Harmonella

Environmental Biofilm provides shelter and nutrients, exhibits a remarkable resistance to biocide compounds and chlorination, thus representing ecological niches for legionella persistence in such environments

All are true

I did not attend this lecture

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* 18. Regarding Legonella Ecology and air conditioning units and cooling towers: All are true except

Legionnaires' disease bacteria cannot survive without water

Air conditioning units without humidifiers have not been identified as sources of legionella disease

Adaptation of L. pneumophilia to protozan “niches” in nature (e.g. Biomasses and Amoeba) engenders the ability to infect Mammalian phagocytes

For a Legionnaires' disease outbreak to be linked directly to the Heating, Ventilating, and Air Conditioning (HVAC) Systems, Legionella contaminated water must enter the system, be aerosolized and be delivered to building occupants

All above are true

I did not attend this lecture

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* 19. Regarding Successful Treatment of Legionella infections: All are true except

Antibiotics are generally not necessary for Pontiac Fever

Transplant recipients and other immunocompromised patients with Legionnaires' disease are at risk for both severe infection and relapse

Glucocorticoid Steroids areNot well studied in Legionnaires' disease; however May be helpful in patients with severe Legionnaires' disease. (Secondary to intense inflammatory response)

Azithromycin 500mg QD and/or Levofloxacin 750ng QD: Minimum duration of therapy is 5 days for patients (afebrile and clinically stable for 48 hours); Mild infection generally require 5 - 7 days of therapy; Severe infection or chronic comorbidities generally require 7 - 10 days of therapy. Extended courses: Immunocompromised patients /complications (empyema or extrapulmonary)

Any Beta lactam antibiotic: (Penicillin. Cephalosporin, Carbapenem) can be an equal or superior Antibiotic for treatment of Legonella infections (Pontiac fever; Legionnaires Pneumonia)

I did not attend this lecture

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* 20. True or False: Silent calcification of coronary arteries can be detected by non-contrast heart CT scans.

True

False

I did not attend this lecture

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* 21. True or False: A ketogenic diet of meat and butter has been shown to reverse coronary artery plaque

True

False

I did not attend this lecture

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* 22. Abnormal Uterine Bleeding: True or False
A normal menstrual cycle is 28-35 days in length

True

False

I did not attend this lecture

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* 23. True or False: In the acronym P.A.L.M - C.O.E.I.N., The PALM portion represents structural etiologies of abnormal uterine bleeding

True

False

I did not attend this lecture

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* 24. Vaginitis: The following are symptoms of vaginal candidiasis:

A. dyspareunia

B. A thick white discharge

C. A "fishy odor"

A & B

I did not attend this lecture

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* 25. Which of the following is NOT part of Amsel's criteria to diagnose Bacterial Vaginosis:

abnormal gray discharge

vaginal pH less than 4.0

positive whiff test

>20% of epithelial "clue" cells on microscopy

I did not attend this lecture

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* 26. Transcatheter aortic valve replacement (TAVR) is now indicated for:

High risk aortic stenosis patients

Prohibitive risk aortic stenosis patients

Low risk Aortic stenosis patients

All of the above

I did not attend this lecture

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* 27. True or False: Closure of patent Foramen Ovale ( PFO) in young patients with cryptogenic stroke and large PFO with R-L shunt reduces risk of recurrence of stroke.

True

False

I did not attend this lecture

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* 28. True or False: Left Atrial Appendage closure with Watchman* device is indicated for patients with atrial fibrillation and high stroke risk and history of bleeding while on oral anticoagulation.

True

False

I did not attend this lecture

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* 29. True or False: An Adverse Childhood Experiences (ACE) Questionnaire Score of 6 is consistent with a 4600% increased risk for intravenous drug abuse

True

False

I did not attend this lecture

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* 30. True or False: An ACE Questionnaire Score of 6 is consistent with 20 years less life expectancy

True

False

I did not attend this lecture

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* 31. True or False: The sample size of the original ACE Study (1994-95) involved more than 17,000 adults between the ages of 26 and 94 years of age in San Diego, CA

True

False

I did not attend this lecture

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* 32. Expanding the Osteopathic Concept
True or False: Osteopathic Principles can only be used by DOs for treatment of patients

True

False

I did not attend this lecture

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* 33. Expanding the Osteopathic Concept
Fair is:

A. Everyone getting the same thing

B. Everybody getting what they need in order to be successful

C. Everyone giving the same thing

D. Everybody giving authentically from their inherent gifts and talents in a sustainable manner

E. B & D

I did not attend this lecture

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* 34. Which of the following terms refers to attributes that characterize biological "maleness" and "femaleness;" typically assigned at birth?

Gender

Sex

Sexual orientation

Gender expression

I did not attend this lecture

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* 35. Which of the following is NOT an example of a health disparity faced by LGBTQ populations?

LGBTQ youths are more likely to become homeless

Lesbian women are less likely to be up to date on recommended cancer screenings

Gay men are more likely to be overweight

Transgender individuals are at a higher risk of depression and suicidality

I did not attend this lecture

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* 36. What is the leading cause of fever in travelers returning to the US?

Malaria

All of the above

I did not attend this lecture

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* 37. Which of the following is an NCD?

Diabetes

Malaria

HIV

Typhoid fever

Leishmaniasis

I did not attend this lecture

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* 38. True or False: The smallpox eradication campaign is an example of impactful implementation research.

True

False

I did not attend this lecture

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* 39. Rank the following in terms of diagnostic sensitivity (lowest to highest):

Malaria rapid diagnostic test

PCR

Microscopy

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* 40. In a returning traveler, which of these could be the cause acute fever in a patient in whom malaria has been ruled out, but the white cell count is high, and lymphadenopathy is a prominent symptom?

Typhoid fever

Infectious mononucleosis

Tick bite fever

Phase I trypanosomiasis

Bubonic plague

I did not attend this lecture

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* 41. Which of these features is NOT a red flag warning of potentially serious cause of headache:

Elevated ESR > 50

“My worst headache ever”

Diplopia

Episodic light sensitivity with or without nausea or vomiting

Exertional Headache

I did not attend this lecture

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* 42. True or False- If a headache patient suffers greater than 3x a week or any one of them is associated with disabling features, a long term headache prophylactic program is in order.

True

False

I did not attend this lecture

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* 43. Several CGRP antibodies have recently become available for clinical use. Please mark which of the following statement(s) is incorrect:

These agents are large proteins that do not pass through the BBB

These new agents are small molecules that are metabolized in the liver

These agents have a 25-35 day half life

These antibodies have immune mediating effects on the recipient

I did not attend this lecture

Question Title

* 1. Name and email address

Question Title

* 2. AOA Number:

Question Title

* 3. Was the educational seminar valuable to your practice?

Question Title

* 4. Of the lectures you attended, did the content improve the way you practice medicine?

Question Title

* 5. List three changes that you have implemented in your practice as a result of attending the MOA Autumn Scientific Convention CME Sessions:

Question Title

* 6. In patients suffering from TMJ but not having orthodontia or malocclusion present, the one most important treatment is (choose one correct answer):

Question Title

* 7. A Fulford Percussion Vibrator may be applied to lift somatic dysfunction out of the tissues by use of resonance. If the patient complained of TMJ associated with low back pain, the Percussor would most likely be applied to which region (choose one)?

Question Title

* 8. Which one of the following is not a symptom related to TMJ Syndrome:

Question Title

* 9. Regarding Measles Ecology: All is true except

Question Title

* 10. Important for today’s Emerging Measles Diagnosis. All are true except:

Question Title

* 11. Clinical Measles Exanthems: All are true except:

Question Title

* 12. Regarding Measles Complications: Major cause of infant Death associated with acute measles

Question Title

* 13. Regarding Disease and or syndromes associated with Legonella bacteria: All are true except:

Question Title

* 14. Regarding Pontiac Fever: All true except:

Question Title

* 15. Disease associated with Legonella in the United States: All are true except

Question Title

* 16. Transmission of Legionella bacteria to people occurs when mist or vapor containing the bacteria is inhaled.All are true except:

Question Title

* 17. Legonella Bacterial ecology: All are true except:

Question Title

* 18. Regarding Legonella Ecology and air conditioning units and cooling towers: All are true except

Question Title

* 19. Regarding Successful Treatment of Legionella infections: All are true except

Question Title

* 20. True or False: Silent calcification of coronary arteries can be detected by non-contrast heart CT scans.

Question Title

* 21. True or False: A ketogenic diet of meat and butter has been shown to reverse coronary artery plaque

Question Title

* 22. Abnormal Uterine Bleeding: True or FalseA normal menstrual cycle is 28-35 days in length

Question Title

* 23. True or False: In the acronym P.A.L.M - C.O.E.I.N., The PALM portion represents structural etiologies of abnormal uterine bleeding

Question Title

* 24. Vaginitis: The following are symptoms of vaginal candidiasis:

Question Title

* 25. Which of the following is NOT part of Amsel's criteria to diagnose Bacterial Vaginosis:

Question Title

* 26. Transcatheter aortic valve replacement (TAVR) is now indicated for:

Question Title

* 27. True or False: Closure of patent Foramen Ovale ( PFO) in young patients with cryptogenic stroke and large PFO with R-L shunt reduces risk of recurrence of stroke.

Question Title

* 28. True or False: Left Atrial Appendage closure with Watchman* device is indicated for patients with atrial fibrillation and high stroke risk and history of bleeding while on oral anticoagulation.

Question Title

* 29. True or False: An Adverse Childhood Experiences (ACE) Questionnaire Score of 6 is consistent with a 4600% increased risk for intravenous drug abuse

Question Title

* 30. True or False: An ACE Questionnaire Score of 6 is consistent with 20 years less life expectancy

Question Title

* 31. True or False: The sample size of the original ACE Study (1994-95) involved more than 17,000 adults between the ages of 26 and 94 years of age in San Diego, CA

Question Title

* 32. Expanding the Osteopathic ConceptTrue or False: Osteopathic Principles can only be used by DOs for treatment of patients

Question Title

* 33. Expanding the Osteopathic ConceptFair is:

Question Title

* 34. Which of the following terms refers to attributes that characterize biological "maleness" and "femaleness;" typically assigned at birth?

Question Title

* 35. Which of the following is NOT an example of a health disparity faced by LGBTQ populations?

Question Title

* 36. What is the leading cause of fever in travelers returning to the US?

Question Title

* 37. Which of the following is an NCD?

Question Title

* 38. True or False: The smallpox eradication campaign is an example of impactful implementation research.

Question Title

* 39. Rank the following in terms of diagnostic sensitivity (lowest to highest):

Question Title

* 40. In a returning traveler, which of these could be the cause acute fever in a patient in whom malaria has been ruled out, but the white cell count is high, and lymphadenopathy is a prominent symptom?

* 22. Abnormal Uterine Bleeding: True or False
A normal menstrual cycle is 28-35 days in length

* 32. Expanding the Osteopathic Concept
True or False: Osteopathic Principles can only be used by DOs for treatment of patients

* 33. Expanding the Osteopathic Concept
Fair is: