Table 3.

Percent Correct per Knowledge Question at Each Time Point

Question	Pre- Conference (T1) % Correct	Post- Conference (T2) % Correct	Two Months Conference (T3) % Correct
1. Which of the following pathophysiologic mechanisms are associated with SCD? Hemolysis Vaso-occlusion *Hemolysis and vaso-occlusion None of the above	77%	84%	79%
2. Which of the following complications is not common among children with SCD? *Avascular necrosis Acute splenic sequestration Dactylitis Acute chest syndrome	49%	71%	65%
3. Acute hemorrhagic stroke is more common in children than adults. True *False	56%	58%	46%
4. Iron overload is common in all adults with SCD. True *False	56%	66%	65%
5. Patients with a hemoglobin of < 5 g/dL should always be transfused. True *False	51%	74%	64%
6. Acute chest syndrome may be associated with which of the following presentations? Shortness of breath A new infiltrate on chest x-ray Hypoxemia *All of the above	81%	100%	82%
7. Many patients with SCD experience both acute and chronic pain. *True False	88%	100%	86%
8. Which of the following pain syndromes should warrant further investigation for the cause? Abdominal pain Chest pain Headache *All of the above	85%	95%	82%
9. Which of the following painful conditions is frequently the initial manifestation of SCD in children? *Dactylitis Acute stroke Acute splenic sequestration Arm and leg pain	32%	79%	68%
10. All children with the genotype SS should be placed on penicillin until age 5. *True False	49%	71%	75%
11. Which of the following approaches to analgesic management is considered the gold standard? *Individualized plans Nurse initiated, standing orders Individual orders by the emergency department physician None of the above	78%	92%	75%
12. Leg ulcers are more common in women than men. True *False	47%	89%	68%
13. List the most common contraindication to NSAIDS for patients with SCD. Allergy Gastrointestinal ulcers History of acute chest syndrome *Renal failure or insufficiency	56%	87%	67%
14. Long and short acting opioids have a role in the management of SCD for patients with chronic pain. *True False	98%	97%	96%
15. Methadone may be indicated for which of the following patients: A patient with a prolonged QT interval and chronic pain A patient who cannot be managed on extended release morphine sulfate A patient who cannot be managed on hydromorphone *B & C	76%	75%	65%
16. Addiction is a state of adaptation in which exposure to a drug induces changes that result in a diminution of one or more of the drug’s effects over time. True * False	50%	82%	52%
17. Using opioids to treat insomnia, anxiety, or for some other purpose than treating pain defines Chemical coping *Substance misuse Addiction Pseudoaddiction	69%	87%	67%
18. Which of the following social issues may influence patients with SCD? Poor school attendance Lack of understanding of SCA by family members Difficulty finding a physician to treat SCA *All of the above	96%	97%	100%
19. Which of the following psychological issues are not common among patients with SCD? *Opioid addiction Anxiety Depression Neuro-cognitive deficits	41%	76%	65%
20. Which of the following genotypes is most common and associated with more complications? SC SB0 *SS SB+	78%	89%	100%

^*Indicates correct answer.