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NASPGHAN - Skeletal Health in Pediatric IBD
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Agreement
By completing this form, you attest that you have attended the activity in its entirety.
Post-Test Questions
In deciding the best facility to perform the DXA scan, you should consider the following factors:
A 12 year old girl is diagnosed with ileocolonic Crohn’s disease and started on prednisone 1 mg/kg/day and 1.5 mg/kg/day of 6-MP.  She had a 6-week history of diarrhea, intermittent fever, abdominal pain, weight loss and erythema nodosum.  Her weight Z-score is -2.5 and her height Z-score -2.0.  She appears pale and her abdominal examination shows mild tenderness in the right lower quadrant, along with skin tags and fissures in the perianal area.  You decide to refer this patient for a DXA scan.
Which of the following is NOT thought to be a cause of low bone density in IBD:
You should order DXA of the following regions in the body:
The DXA scan reveals that this patient has significant bone mass deficits, with a Z-score of -2.4 in the lumbar spine.  To interpret this finding in the proper context, BMD Z-scores should be corrected for:
To improve bone mass, you will recommend the following measures
Please rate the following:
The program was relevant to my work.
Content matched stated objectives.
How well did the educational material 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: Incorporate proper BMD scanning of pediatric IBD patients at the time of diagnosis and effectively recognize deficiencies in bone development
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: Consider monitoring changes in skeletal development in pediatric IBD patients based on current knowledge about risk factors for suboptimal bone health in these 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: Identify strategies for restoring and maintaining bone health in young patients with IBD
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: Develop a team approach to improve bone health in pediatric patients with IBD, incorporating expert consultation when needed
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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