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ACCREDITATION

Rev Assoc Med Bras 2012; 58(4):412

1. Depressive symptoms are common (Alternative C).

2. Disuliram is not beneicial (Alternative B).

3. Behavioral alterations beyond school age (Alternative C).

4. Hair analysis can help in the monitoring of abstinence (Alternative A).

5. Religiousness (Alternative D).

RESPONSES TOCLINICALSCENARIO: UPDATEONABUSE ANDDEPENDENCE: CRACK [PUBLISHEDAT RAMB 2012; 58(3)]

Update on endometrial carcinoma: treatment

WANDERLEY MARQUES BERNARDO, AUREA ABE CAIRO

1. Which of the following is true regarding the use of adjuvant endocrine therapy in patients with endometrial carcinoma?

a. It is indicated for patients in early-stage disease.

b. Survival is higher in patients submitted to endocrine therapy. c. his form of therapy has few adverse efects.

d. It is not indicated for patients in early-stage disease.

2. Which of the following is true regarding patients with early-stage endometrial carcinoma treated surgically?

a. Adjuvant radiotherapy increases survival.

b. Adjuvant radiotherapy does not alter locoregional recurrence. c. Adjuvant radiotherapy is indicated when there is risk of metastasis. d. Adjuvant radiotherapy has local recurrence rates of 90%.

3. Is laparoscopic surgery safe and efective for the treatment of endometrial carcinoma?

a. here is no diference in survival between laparoscopy and laparotomy. b. Its indication for patients in early-stage disease is absolute.

c. Laparoscopy increases recurrence when compared to laparotomy. d. Survival is higher in patients treated with laparoscopy.

4. he association between radiotherapy and chemotherapy in patients with high-risk endometrial carcinoma determines:

a. Decrease in local recurrence rates. b. No alteration in survival.

c. Decrease in mortality. d. Decrease in metastases.

5. Regarding the monitoring of patients with endometrial carcinoma considered to be disease-free, the following is true:

a. Consultations every three years.

b. he performance of subsidiary examinations reduces mortality. c. Annual consultations.

d. Consultations every three months in the irst three years. ©2012 Elsevier Editora Ltda. All rights reserved.

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