neuroscienceCME - Shift Work Disorder

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SN-053-121412-15 Post-Test

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Question 1
Question 2
Question 3
Question 4
Question 5

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QUESTION 1 of 5

Of the roughly 20% of workers in industrialized countries who are shift workers, what percentage of these workers actually have shift work disorder?

A.	5%
B.	10%
C.	15%
D.	20%

Rationale

Reference:
Sack RL, Auckley D, Auger RR, et al. Circadian rhythm sleep disorders: part I, basic principles, shift work and jet lag disorders. An American Academy of Sleep Medicine review. Sleep. 2007;30(11):1460-1483. PMID: 18041480.

QUESTION 2 of 5

What area of the brain helps regulate the circadian rhythm when it is stimulated by light entering the eye?

A.	Nucleus accumbens
B.	Trigeminal nucleus
C.	Suprachiasmatic nuclei
D.	Caudate nucleus

Rationale

Reference:
Wright KP Jr., ed. Circadian Rhythm Sleep Disorders. [issue of Sleep Medicine Clinics, Vol. 4, Issue 2]. 1st ed. Oxford, UK: Elsevier; 2009.

QUESTION 3 of 5

Which one or more of the following, guideline-recommended therapies from the American Academy of Sleep Medicine act(s) to align the circadian rhythm of alertness with night shift work?

A.	Timed light exposure
B.	Alerting agents
C.	Caffeine
D.	All of the above

Rationale

Reference:
Morgenthaler TI, Lee-Chiong T, Alessi C, et al. Practice parameters for the clinical evaluation and treatment of circadian rhythm sleep disorders. An American Academy of Sleep Medicine report. Sleep. 2007;30(11):1445-1459. PMID: 18041479.

QUESTION 4 of 5

True or False: The alerting agents, modafinil and armodafinil, and caffeine are FDA-approved for the treatment of hypersomnia (i.e., excessive sleepiness) related to shift work disorder.

A.	True
B.	False

Rationale

References:
PI for modafinil. Drugs@FDA Website. 2011.
PI for armodafinil. Drugs@FDA Website. 2012.

QUESTION 5 of 5

Which of the following is not a suitable tool for measuring a patient’s level of excessive sleepiness?

A.	Sleep diary
B.	Insomnia Severity Index (ISI)
C.	Epworth Sleepiness Scale (ESS)
D.	Actigraphy

Rationale

References:
Morgenthaler TI, Lee-Chiong T, Alessi C, et al. Practice parameters for the clinical evaluation and treatment of circadian rhythm sleep disorders. An American Academy of Sleep Medicine report. Sleep. 2007;30(11):1445-1459. PMID: 18041479.
Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991;14:540-545. PMID: 1798888.
Morin CM, Belleville G, Belanger L, Ivers H. The Insomnia Severity Index: psychometric indicators to detect insomnia cases and evaluate treatment response. Sleep. 2011;34(5):601-608. PMID: 21532953.

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SN-053-121412-15 POST-TEST

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CME Outfitters, LLC, is accredited by
the Accreditation Council for Continuing Medical Education
to provide continuing medical education for physicians.

CME Outfitters, LLC, certifies that

has participated in the titled

Shift Work Disorder

and is awarded AMA PRA Category 1 Credit(s)™.

		11/24/2024
Whitney E. Faler, MPA Director of Accreditation		Date printed

1395 Piccard Drive, Suite 370 • Rockville, MD 20850
www.cmeoutfitters.com • 877.CME.PROS

This continuing nursing education activity was approved by
the California Board of Registered Nursing. The provider number is CEP 15510.

CME Outfitters, LLC, certifies that

has participated in the educational activity titled

Shift Work Disorder

and is awarded contact hours.

This document must be retained by the licensee for a period of four years after the course concludes.

		11/24/2024
Whitney E. Faler, MPA Director of Accreditation		Date printed

1395 Piccard Drive, Suite 370 • Rockville, MD 20850
www.cmeoutfitters.com • 877.CME.PROS

CME Outfitters, LLC, verifies that

has successfully completed the continuing pharmacy education activity titled

Shift Work Disorder

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Continuing Pharmacy Education: Contact Hours, CEUs

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		11/24/2024
Whitney E. Faler, MPA Director of Accreditation		Date printed

1395 Piccard Drive, Suite 370 • Rockville, MD 20850
www.cmeoutfitters.com • 877.CME.PROS

This program is approved by the National Association of Social Workers
(Approval #886407722-) for continuing education contact hours.

CME Outfitters, LLC, certifies that

has participated in the educational activity titled

Shift Work Disorder

and is awarded contact hours

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		11/24/2024
Whitney E. Faler, MPA Director of Accreditation		Date printed

1395 Piccard Drive, Suite 370 • Rockville, MD 20850
www.cmeoutfitters.com • 877.CME.PROS

CCMC Approved Activity:

Shift Work Disorder

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This program has been pre-approved by The Commission for Case Manager Certification to provide continuing education credit to CCM board certified case managers.
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The course is approved for CE contact hour(s). To claim these clock hours, log into your CE Center account at www.ccmcertification.org.

		11/24/2024
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1395 Piccard Drive, Suite 370 • Rockville, MD 20850
www.cmeoutfitters.com • 877.CME.PROS

CME Outfitters, LLC, certifies that

has participated in the educational activity titled

Shift Work Disorder
On 12/14/2012
and is awarded
of AAPA Category 1 CME credit hours.

		11/24/2024
Whitney E. Faler, MPA Director of Accreditation		Date printed

1395 Piccard Drive, Suite 370 • Rockville, MD 20850
www.cmeoutfitters.com • 877.CME.PROS

This is to certify that

has attended and successfully completed the educational activity

		11/24/2024
Whitney E. Faler, MPA Director of Accreditation		Date printed

1395 Piccard Drive, Suite 370 • Rockville, MD 20850
www.cmeoutfitters.com • 877.CME.PROS

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to sponsor continuing education for psychologists.
CME Outfitters maintains responsibility for this program and its content.

CME Outfitters, LLC, certifies that

has participated in the educational program titled

Shift Work Disorder

and is awarded CE credit hours.

		11/24/2024
Whitney E. Faler, MPA Director of Accreditation		Date printed

CME Outfitters, LLC, is accredited by the Accreditation Council for Continuing Medical Education (ACCME)
to provide continuing medical education for physicians.

CME Outfitters, LLC, certifies that

has participated in the educational activity titled

Shift Work Disorder

and is awarded AMA PRA Category 1 Credit(s)™.

		11/24/2024
Whitney E. Faler, MPA Director of Accreditation		Date printed

CME Outfitters, LLC, is accredited by
the Accreditation Council for Continuing Medical Education
to provide continuing medical education for physicians.

CME Outfitters, LLC, certifies that

has participated in the titled

Shift Work Disorder

This activity was designated for AMA PRA Category 1 Credit(s)™.

		11/24/2024
Whitney E. Faler, MPA Director of Accreditation		Date printed

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Physicians (CME), AMA PRA Category 1 Credit(s)™ - MD/DO Physicians only

Pharmacists (CPE), ACPE