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NASPGHAN - Diagnosis and Management of Gastroesophageal Reflux Disease In Pediatric Patients - Slide Set
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Agreement
By completing this form, you attest that you have attended the activity in its entirety.
Post-Test Questions
Which of the following is a primary mechanism of GERD in the pediatric patient?
Compared to healthy controls, adults with GERD are more likely to have had which of the following childhood reflux-related symptoms?
In infants, the frequency and severity of symptoms can reliably predict the presence and severity of esophagitis.
Your moderate to severely obese pediatric patients aged 6 years or older are more likely to have which of the following?
Which of the following symptoms/signs in your 5 year old patient is suggestive of complicated GERD:
Proton pump inhibitors (PPIs) provide superior healing of erosive esophagitis in children compared to Histamine 2 Receptor Antagonists (H2RAs).
When administering a therapeutic trial with a PPI to a child with suspected GERD, which of the following is correct:
Which of the patient scenarios below describes a child that may be a likely candidate for antireflux surgery:
Please label the following statements as true or false in regard to 24-hour pH monitoring.
Detects episodes of acid reflux into the lower esophagus
Insensitive to weakly acid and non-acid reflux events
Cannot differentiate swallowed contents from refluxed contents
The majority of pH testing involves stopping medication prior to testing
There is no variability in 24 hour pH monitoring from one study to the next
Please label the following as true or false in regard to esophagastroduodenoscopy in the child with suspected GERD?
Enables visualization and biopsy of esophageal epithelium
Differentiates relationship between esophagitis and extraesophageal symptoms
Discriminates between different types of esophagitis including reflux, infectious and allergic esophagitis
No need for sedation or anesthesia
In regard to gastrointestinal radiography for the evaluation of persistent reflux symptoms, which of the following is true?
Please rate the following:
The program was relevant to my work.
Content matched stated objectives.
How well did the educational sessions give a balanced view of therapeutic options, including the use of generic names?
If you rated any of the above questions with 'fair,' 'poor,' 'disagree,' or 'strongly disagree' please explain:
Objective 1: Explain the physiology and natural history related to GERD in pediatric patients and which patients are at increased risk for GERD
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly learned strategies.
Objective 2: Review the signs and symptoms related to GERD in pediatric patients
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly learned strategies.
Objective 3: Describe the variety of diagnostic approaches to GERD in children and what diagnostic test(s) is/are optimal
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly learned strategies.
Objective 4: Explain the various treatment approaches, including medical and surgical, related to pediatric patients with GERD
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly learned strategies.
Objective 5: Characterize the possible relationships between GERD and various extraesophageal diseases including the etiology, diagnosis and management aspects
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly learned strategies.
Please answer the following:
Do you believe this activity was appropriate for the scope of your professional practice?
Was the educational content scientifically sound?
Was the educational content free from commercial bias?
Was the mode of education effective for learning?

If there was off-label or investigational medications mentioned in this activity, was this information disclosed?

If you answered 'No' to any of the above questions, please explain:
What did you learn during this activity that you intend to integrate into your practice?
What questions have arisen in your practice for which you need answers/strategies that you can implement?
What patient problems or patient challenges do you feel you are not able to address appropriately or to your satisfaction?
What problems are your patients communicating to you that need attention or follow up?
Are you interested in basic, intermediate or advanced level trainings?
What barriers might you have that would interfere with implementation of new information from this training?
How could this training be improved to impact your competence or performance in practice?
Additional comments regarding this activity.
Please provide a fax number where you can be reached should the need arise.
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