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CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 2013;11:e22–e23

CME Activities–Exams 1 and 2

CME Credits:The AGA Institute is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medicaleducation for physicians.The AGA Institute designates this journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicianshould only claim credit commensurate with the extent of their participation in the activity.

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Instructions:Category 1 credit can be earned by reading the relevant articles and taking these CME examinations online at http://www.cghjournal.org/content/cme. Answers can be obtained online after completing the exam(s).

Objectives:See article for specific learning objective.

March 2013 CME ACTIVITIES e23

Exam 1: Psychological Treatments in FunctionalGastrointestinal Disorders: A Primer for theGastroenterologist

Test ID No.: 0173 Contact Hours: 1.0 Expiration Date: March 31, 2014

Question 1.

An adult patient with a functional gastrointestinal disorderis referred to a psychologist for a course of cognitive behavioraltherapy. The therapy course is likely to involve all of the fol-lowing except:

Question 2.

Question 3.

would be:

Question 4.

imagery key features?

a. Teaching the patient to counter automatic negativethoughts

b. Helping the patient to identify how early life experiences mayfuel symptoms

c. Correcting the patient’s irrational beliefsd. Prescribing behavioral exercises for the patient to use at

homee. Helping the patient to identify and adopt more effective

coping strategies

In which of the following subgroups of patients with func-tional constipation have treatment outcomes of biofeedbackbeen so poor in randomized controlled trials that it cannot berecommended for those patients?

a. Pediatric patientsb. Elderly patientsc. Patients with chronic symptomsd. Patients with intermittent symptoms

e. Patients with little formal education

An adult patient with chronic functional abdominal painpresents with a high degree of preoccupation and worry over hispain condition. These psychological symptoms have persistedin spite of reassurance and education about the nature of hisdisorder and are suspected to amplify the symptom intensityand interfere with clinical improvement. The best among thefollowing options for psychological treatment for this patient

a. Biofeedbackb. Progressive muscle relaxationc. Autogenic trainingd. Psychodynamic therapye. Cognitive behavioral therapy

The various forms of psychological treatment for functionalgastrointestinal disorders have a number of common charac-teristics, but they also contain unique distinguishing elements.In which of the following forms of psychological treatment arenarrowing of the focus of attention and the use of vivid mental

a. Cognitive behavioral therapyb. Psychodynamic therapyc. Progressive muscle relaxationd. Hypnosise. Biofeedback