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Medical Learning Institute Inc
Home
CME Activities
Educational Series
Featured Educational Series
Oncology Communications Skills
Shedding Light on T2D
The Evolution of HCT: NMPD Series
Vaccines in Older Adults Series
Accreditation
About MLI Accreditation
About Us
About MLI
Societies and Partners
CE Coordinator Incentive Program (CECIP)
Contact Us
Pre-Assessment
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Name
*
First
Last
NPI Number
Which of the following best represents your profession?
Physician
NP
PA
Nurse
Pharmacist
Other (please specify):
If other please specify:
What is your primary specialty?
Endocrinology
General Medicine
Internal Medicine
Hepatology
Cardiology
Other (please specify):
If other please specify:
1a. Which of the following best describes the shared biochemical mechanisms that contribute to the development of obesity-related comorbidities such as MASLD, CVD, and T2D?
A) Impaired hepatic metabolism
B) Chronic low-grade inflammation and insulin resistance
C) Adipokine-driven arrythmogenic activity
D) Altered gut microbiota
1b. Please select the extent to which you feel confident in your answer.
Completely confident
Fairly confident
Somewhat confident
Slightly confident
Not confident
Completely confident
Item #1 Completely confident
Fairly confident
Item #1 Fairly confident
Somewhat confident
Item #1 Somewhat confident
Slightly confident
Item #1 Slightly confident
Not confident
Item #1 Not confident
in approaches
2a. A patient with obesity and a history of frequent antibiotic use for acne presents with mild hepatic steatosis and early fibrosis on imaging. ALT is normal. She follows a high-sugar, low-fiber diet and exercises minimally. What would you consider next as a key contributor to her fibrosis?
A) Obesity-related insulin resistance promoting hepatic fat accumulation
B) Repeated antibiotic use altering gut microbiota
C) Sedentary lifestyle reducing mitochondrial function in hepatocytes
D) High-sugar diet increasing hepatic de novo lipogenesis
2b. Please select the extent to which you feel confident in your answer.
Completely confident
Fairly confident
Somewhat confident
Slightly confident
Not confident
Completely confident
Item #1 Completely confident
Fairly confident
Item #1 Fairly confident
Somewhat confident
Item #1 Somewhat confident
Slightly confident
Item #1 Slightly confident
Not confident
Item #1 Not confident
3a. Which non-invasive test is most appropriate for initial risk assessment of MASLD/MASH in a patient with obesity?
A) Vibration-controlled transient elastography (VCTE)
B) Liver biopsy
C) Fibrosis-4 (FIB-4) index
D) Enhanced Liver Fibrosis (ELF) test
3b. Please select the extent to which you feel confident in your answer.
Completely confident
Fairly confident
Somewhat confident
Slightly confident
Not confident
Completely confident
Item #1 Completely confident
Fairly confident
Item #1 Fairly confident
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Item #1 Somewhat confident
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4a. You are assessing a 60-year-old man with obesity and elevated ALT whose initial FIB-4 score is 1.8. What is the most appropriate next step in evaluation?
A) Begin pharmacologic therapy immediately
B) Order VCTE or ELF testing for fibrosis risk
C) Repeat liver enzymes in 12 months
D) Proceed directly to bariatric surgery consultation
4b. Please select the extent to which you feel confident in your answer.
Completely confident
Fairly confident
Somewhat confident
Slightly confident
Not confident
Completely confident
Item #1 Completely confident
Fairly confident
Item #1 Fairly confident
Somewhat confident
Item #1 Somewhat confident
Slightly confident
Item #1 Slightly confident
Not confident
Item #1 Not confident
5a. Which of the following mechanisms best explains how GLP-1 receptor agonists improve outcomes in MASLD/MASH?
A) Decrease hepatic lipotoxicity and influx of free fatty acids
B) Increase lipid synthesis and hepatic steatosis
C) Inhibit insulin secretion and reduce glucose uptake
D) Stimulate glucagon release and hepatic fat accumulation
5b. Please select the extent to which you feel confident in your answer.
Completely confident
Fairly confident
Somewhat confident
Slightly confident
Not confident
Completely confident
Item #1 Completely confident
Fairly confident
Item #1 Fairly confident
Somewhat confident
Item #1 Somewhat confident
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6a. A 58-year-old man with obesity (BMI 34 kg/m²), type 2 diabetes, and early chronic kidney disease (eGFR 58 mL/min/1.73 m²) is being considered for therapy with an investigational dual glucagon GLP-1 receptor agonist. If used, which of the following clinical outcomes would most likely occur?
A) Greater hepatic glycogen storage and reduced energy expenditure
B) Increased fatty-acid oxidation and improved hepatic steatosis
C) Diminished glucagon signaling and blunted ketogenesis
D) Reduced renal perfusion and increased sodium retention
6b. Please select the extent to which you feel confident in your answer.
Completely confident
Fairly confident
Somewhat confident
Slightly confident
Not confident
Completely confident
Item #1 Completely confident
Fairly confident
Item #1 Fairly confident
Somewhat confident
Item #1 Somewhat confident
Slightly confident
Item #1 Slightly confident
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7. How confident are you in your ability to assess, screen for, and manage patients with obesity and associated MASLD/MASH using current evidence-based approaches
A. Completely confident
B. Fairly confident
C. Somewhat confident
D. Slightly confident
E. Not confident
Submit
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