Certified health education specialists (CHES) may receive 8 contact hours in Category 1 by watching the Webcast and correctly answering at least 80 percent or 16 of the following questions. Print the answer sheet and circle the appropriate letter for each question. Mail the completed answer sheet to:

Glen Bennett, MPH, CHES

National Heart, Lung, and Blood Institute

31 Center Drive, MSC 2480

Building 31, Room 4A03

Bethesda, MD 20824-2480

1. In her opening remarks, which of the following statements did Dr. Bennett make?
   
   
1. Middle-aged women are more likely to be discharged from the hospital when they are having a heart attack.
2. Most women believe that breast cancer is the leading cause of death among women.
3. The death rate for heart attack among women is about the same as that for men.
4. All of the above.
5. None of the above.
   
   
2. Dr. Wenger stated that the overarching consideration for this workshop is to educate women and their health care provider about:
   
   
1. The vulnerability of women to coronary disease.
2. Adverse outcomes once coronary disease is evidence.
3. The importance of prevention.
4. All of the above.
5. None of the above.
   
   
3. Dr. Wenger stated that women have better outcomes for angioplasty. This was true even when compared to men, the women:
   
   
1. Were older.
2. Had more diabetes.
3. Had more heart failure.
4. Had a variety of comorbidities.
5. All of the above.
   
   
4. In Dr. Wenger presentation, which of the following was NOT a characteristic of heart attacks in women?
   
   
1. Women have their first heart attack about 5 years later than men.
2. Women delay longer than men in seeking medical care following the onset of symptoms for heart attack.
3. Women have a higher in-hospital mortality following a heart attack even when treated with thrombolytic therapy
4. About 44 percent of women die with one year following a heart attack.
5. Compared to men, women do not do as well with by-pass surgery.
   
   
5. Dr. Ofili described a study that showed that white males were more likely than white women or minorities with the same symptoms to receive cardiac catherization. Which of the following was NOT a characteristic/finding of the study.
   
   
1. To control for risk factors and presentation, the study used actors instead of real patients.
2. The doctors were more likely to refer white males for catherization because they thought that white men would demand more and question any recommendation.
3. The doctors believed that minorities were more likely to accept their recommendations.
4. Because the women in the study were older, the doctors did not believe that they would benefit from the procedure.
5. The study was published in the New England Journal of Medicine.
   
   
6. Dr. Ofili emphasized that the workshop recommendations must take into consideration what will work in our current system. Which of the following was NOT a characteristic of the system that she mentioned?
   
   
1. Seventy-five percent of black patients get health care from nonblack providers.
2. Two percent of cardiologists are black.
3. Thirty-five percent of cardiologists are women.
4. One study showed that when patients came to the office, physicians decided what they were going to do before the patient described their symptoms.
5. When patients perceive a bias in the provider, it effects how they receive care, respond to recommendations, and express their concerns.
   
   
7. Which participant in the Talk Show did the moderator called the "poster child for early recognition and treatment" because she recognized her symptoms and called 911 but when the paramedics arrived, they did not believe she was having a heart attack and delayed getting her to the hospital?
   
   
1. Brenda Romney
2. Judy Mingram
3. Paula Upshaw
4. Marsha Oakley
5. Doris McMillon
   
   
8. Which participant in the Talk Show has become involved in the health ministry at her church?
   
   
1. Brenda Romney
2. Judy Mingram
3. Paula Upshaw
4. Marsha Oakley
5. Doris McMillon
   
   
9. Which of the following is NOT true of a participant in the Talk Show?
   
   
1. One participant called herself the "incredible shrinking woman."
2. Because of her age and sex, the paramedics accused her of cocaine use because they believed her heart attack was triggered by substance abuse.
3. She presented in the emergency room with the classic symptoms of the "male heart attack" and told the staff that she was having a heart attack but they did not believe her and diagnose her condition as a hiatal hernia and release her.
4. One participant knew the details of the test and procedures that the doctors performed on her because she hired a lawyer initiated legal proceedings against them.
5. None of the above.
   
   
10. Which of the following is NOT occupation/profession of a participant in the Talk Show?
    
    
1. Respiratory therapist
2. Nurse
3. Lawyer
4. Teacher
5. Software sales specialist
   
   
11. Ms. Yu Hussein lists which of the following as lessons learned from a social marketing campaign that she described?
    
    
1. Planning and research are key
2. Know your audience
3. Leverage multiple delivery systems
4. All of the above
5. None of the above
   
   
12. Dr. Ramirez described the prevalence of cardiovascular risk factor among Hispanic women. Which one of the following did she NOT mention?
    
    
1. Among Mexican-American women, 60 percent have cholesterol levels above 200 mg/dL and 25 percent have levels above 240 mg/dL.
2. 56 percent of Hispanic women are overweight.
3. Among Cuban women, 52 percent are overweight and 17 percent are obese.
4. Among Mexican-American women, 70 percent are overweight and 36 percent are obese.
5. 57 percent of Hispanic women do not engage in any leisure time physical activity.
   
   
13. What was the average BMI score at baseline of the female study participants in Project JOY?
    
    
1. 25
2. 27
3. 29
4. 31
5. 33
   
   
14. How many pounds did the most successful participants (the upper 20 percent) in Project JOY lose and keep off for one year?
    
    
1. 10
2. 15
3. 20
4. 25
5. 30
   
   
15. What was the favorite physical activity among the female participants in Project JOY?
    
    
1. Water aerobics
2. Brisk walking
3. Leisurely walking
4. Faith and worship dance
5. None of the above
   
   
16. Ms. Pollin described the Women's Heart Day event where she included local women celebrities on the program to make it fun and interactive and attract attendance. The celebrities involved were:
    
    
1. Linda Carter--star of the former Wonder Woman TV series
2. Doreen Gentzler--local TV news anchor
3. Nikki McCray--professional basketball player
4. All of the above
5. A and C above
   
   
17. In the first "Small Group Reports" session, which of the following did the leader of the "Preventing the Development of Risk Factors" group identify as the target audience that they selected?
    
    
1. School-aged children
2. Women 20-40 years of age
3. Women 41-55 years of age
4. A and B above
5. All of the above
   
   
18. The leader of the "Preventing the Recurrence and Complications of Cardiovascular Disease" group, in the first Small Group Reports session, stated that "beliefs can effect outcomes." Which of the following was NOT a belief or attitude that she mentioned?
    
    
1. Passivity
2. Fatalism
3. Martyrdom
4. Resignation
5. All of the above
   
   
19. In the "Small Group Session Reports" on the second day, who did the Detecting and Treating Risk Factor group identify as their target population?
    
    
1. Minority women over age 20
2. African American women over age 20 and living in the southeastern U.S.
3. Women 41 years of age and older
4. Minority women over age 40
5. African American women over age 40 and living in the southeastern U.S.
   
   
20. In the "Small Group Session Reports" on the second day, which message below did the "Preventing the Recurrence and Complications of Cardiovascular Disease" group recommend?
    
    
1. You are not alone
2. You have control
3. Take charge of your health
4. Know your treatment options
5. All of the above
   
   

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