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Keep up to date with our CME questions

Guidelines in Practice is running a regular series on continuing medical education. To download questions and answers from each issue, click on the links at the bottom of the page.

Guidelines in Practice is committed to continuing medical education and professional development. The journal is targeted at GPs and other healthcare professionals who are interested in evidence-based medicine and implementing national guidelines at a local level.

Since September 2001, we have published CME questions in each issue, some in a multiple-choice format and some requiring short answers. The topics covered relate to articles published in the current issue or recently published issues of Guidelines in Practice. After each question, a reference to the related published article is given.

The CME sections from each issue of Guidelines in Practice, with answers, are available on this page (see below). Each section can be completed and stored as part of a personal development plan.

From May 2008 Guidelines in Practice CME questions have been replaced with CPD questions. The CPD questions can be completed and marked online — click here to view them.

CME sections

Click on the links below to download and print off CME questions and answers from each issue. The CME sections are in PDF format. You need Adobe Acrobat Reader to view PDFs – if you don't have it, click here to download it free of charge.

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disease area    date   

Gastrointestinal |  Cardiovascular |  Respiratory |  Central Nervous System |  Infection |  Endocrine |  Obstetrics, Gynaecology & Urology |  Malignant Disease |  Nutrition |  Musculoskeletal & Joints |  Eye, Ear, Nose & Throat |  Skin |  Immunisation & Vaccination |  General | 

Gastrointestinal	go to top
Issue	CME questions	Answers
April 2008	NICE guideline on reducing risk of venous thromboembolism in inpatients undergoing surgery NICE guideline on the diagnosis and management of irritable bowel syndrome in primary care	April answers will be here next month
November 2007	NICE guideline on the management of dyspepsia in adults in primary care BSACI guideline for the management of chronic urticaria and angio-oedema	November answers
January 2007	PCSG guideline on coeliac disease NICE guideline on female urinary incontinence	January answers
November 2004	NICE guideline on dyspepsia Sexual health advice	November answers
October 2004	NICE guideline on hypertension BSG guideline on inflammatory bowel disease Living wills	October answers
April 2003	SIGN guideline on dyspepsia Disclosing confidential records NICE referral advice	April answers
November 2002	BSG updated guidelines on dyspepsia NICE referral advice for varicose veins Advertising practice services	November answers

Cardiovascular	go to top
Issue	CME questions	Answers
April 2008	NICE guideline on reducing risk of venous thromboembolism in inpatients undergoing surgery NICE guideline on the diagnosis and management of irritable bowel syndrome in primary care	April answers will be here next month
August 2007	BSSM guideline on the management of erectile dysfunction SIGN guideline on the management of chronic heart failure	August answers
July 2007	Evidence-based management of COPD NICE guideline on the secondary prevention of myocardial infarction	July answers
June 2007	New GMS contract asthma indicators SIGN guideline on the management of stable angina	June answers
April 2007	SIGN guideline on risk estimation and the preventIon of cardiovascular disease BAD guideline on actinic keratoses	April answers
February 2007	New GMS contract stroke and TIA indicators Working party guideline on management of adults with swallowing difficulties	February answers
October 2006	New guideline on tuberculosis New GMS contract hypertension indicators	October answers
September 2006	New guideline on Parkinson's disease New guideline on hypertension (partial update)	September answers
April 2006	New GMS contract CHD/Heart failure indicators NICE guideline on depression in children and young people	April answers
March 2006	New GMS contract atrial fibrillation indicators JBS 2 Guidelines on prevention of cardiovascular disease	March answers
October 2005	RCP Guidelines on HIV testing New GMS contract hypertension indicators	October answers
January 2005	SIGN guideline on dysphagia in stroke RCP guideline on paediatric stroke	January answers
October 2004	NICE guideline on hypertension BSG guideline on inflammatory bowel disease Living wills	October answers
July 2004	RCP guidelines on stroke NICE guideline on familial breast cancer	July answers
May 2004	British hypertension society guidelines BTS/SIGN guideline on asthma management	May answers
December 2003	SIGN guideline on sleep apnoea New GMS contract: stroke indicators	December answers
September 2003	NICE heart failure guideline GP Contract organisational indicators	September answers
October 2002	Statins in patients at high risk of vascular disease Common causes of medico-legal claims NICE referral advice on 'prostatism'	October answers
June 2002	Updated national stroke guidelines Signing medico-legal reports NICE referral advice for osteoarthritis of the knee	June answers
April 2002	NICE referral advice for menorrhagia SIGN guideline on cardiac rehabilitation Witholding or withdrawing treatment	April answers
February 2002	Avoiding a claim for failure to refer or to follow up European Society of Cardiology heart failure guidelines NICE referral advice for acne	February answers
October 2001	Treating hypertension in older people SIGN guidance on attention deficit hyperactivity disorder Anticoagulation Patient confidentiality Electronic patient records and electronic transmission of records	October answers
September 2001	Coronary heart disease Angina pectoris Chronic heart failure COPD Critical event monitoring	September answers

Respiratory	go to top
Issue	CME questions	Answers
July 2007	Evidence-based management of COPD NICE guideline on the secondary prevention of myocardial infarction	July answers
June 2007	New GMS contract asthma indicators SIGN guideline on the management of stable angina	June answers
December 2006	NICE and GOLD COPD guidelines New GMS contract depression indicators	December answers
October 2006	New guideline on tuberculosis New GMS contract hypertension indicators	October answers
August 2006	New GMS contract COPD indicators New GMS contract chronic kidney disease indicators	August answers
November 2005	BTS/SIGN Guideline on asthma New GMS contract COPD indicators	November answers
September 2005	NICE Guideline on post-traumatic stress disorder New GMS contract asthma indicators	September answers
May 2005	BTS advice on respiratory disease in airline travellers Role of the CHRE	May answers
June 2004	BAUS guideline on male lower urinary tract symptoms BTS guidelines on community acquired pneumonia	June answers
May 2004	British hypertension society guidelines BTS/SIGN guideline on asthma management	May answers
April 2004	NICE guideline on COPD NICE guideline on fertility problems	April answers
February 2003	Patient group directions for varicella SIGN/BTS guideline on asthma Disclosing information to insurance companies	February answers
September 2002	BTS guidelines on community acquired pneumonia in childhood Nice referral advice for sore throat in the under-15s Clinical negligence claims	September answers
March 2002	Guidelines on community acquired pneumonia NICE referral advice for acute low back pain Ensuring that consent is informed	March answers
September 2001	Coronary heart disease Angina pectoris Chronic heart failure COPD Critical event monitoring	September answers

Central Nervous System	go to top
Issue	CME questions	Answers
December 2007	NICE guideline on the management of bipolar disorder NICE guideline for the management of chronic fatigue syndrome/myalgic encephalomyelitis	December answers
October 2007	BOA and BGS guidance on the management of fracture and falls prevention SIGN guideline on autism spectrum disorders	October answers
September 2007	BSSM guideline on the management of erectile dysfunction NICE guideline s on drug misuse	September answers
May 2007	Integrated care pathway for neuropathic pain BAD/PCDS guideline on the management of atopic eczema	May answers
December 2006	NICE and GOLD COPD guidelines New GMS contract depression indicators	December answers
November 2006	NICE guideline on bipolar disorder BSR guideline on rheumatoid arthritis	November answers
September 2006	New guideline on Parkinson's disease New guideline on hypertension (partial update)	September answers
July 2006	New GMS contract epilepsy indicators	July answers
May 2006	New GMS contract diabetes indicators SIGN guideline on management of patients with dementia	May answers
April 2006	New GMS contract CHD/Heart failure indicators NICE guideline on depression in children and young people	April answers
January 2006	NICE Guideline on obsessive-compulsive disorder	January answers
September 2005	NICE Guideline on post-traumatic stress disorder New GMS contract asthma indicators	September answers
August 2005	SIGN Guideline on bipolar affective disorder New GMS contract epilepsy indicators	August answers
June 2005	SIGN Guidelines on epilepsy in children	June answers
February 2005	NICE guideline on depression NICE guideline on anxiety	February answers
December 2004	NICE guideline on diagnosis and management of epilepsy Out of hours care	December answers
September 2004	NICE guideline on self harm NICE guideline on type 1 diabetes in adults The role of the expert witness	September answers
January 2004	NICE guideline on antenatal care New GMS contract: Epilepsy indicators New GMS contract: Delivering care	January answers
December 2003	SIGN guideline on sleep apnoea New GMS contract: stroke indicators	December answers
July 2003	NICE referral advice SIGN guideline on epilepsy Copying letters to patients	July answers
October 2001	Treating hypertension in older people SIGN guidance on attention deficit hyperactivity disorder Anticoagulation Patient confidentiality Electronic patient records and electronic transmission of records	October answers

Infection	go to top
Issue	CME questions	Answers
February 2008	NICE guideline on the management of feverish illness in children NICE guideline on the management of atopic eczema in children	February answers
January 2008	Management of non-alcoholic fatty liver disease NICE guideline for the diagnosis, treatment and management of urinary tract infections in children	January answers
February 2003	Patient group directions for varicella SIGN/BTS guideline on asthma Disclosing information to insurance companies	February answers
September 2002	BTS guidelines on community acquired pneumonia in childhood Nice referral advice for sore throat in the under-15s Clinical negligence claims	September answers
July 2002	SIGN guideline on management of respiratory infection Using a chaperone NICE referral advice for glue ear	July answers
December 2001	Use of clinical coding system in electronic patient records Dealing with violent and abusive patients Patient group direction for meningitis C vaccine	December answers

Endocrine	go to top
Issue	CME questions	Answers
May 2006	New GMS contract diabetes indicators SIGN guideline on management of patients with dementia	May answers
December 2005	New GMS contract hyperthyroidism indicators NICE guideline on long-acting reversible contraception	December answers
September 2004	NICE guideline on self harm NICE guideline on type 1 diabetes in adults The role of the expert witness	September answers
March 2004	NICE guideline on foot care in type 2 diabetes NICE guideline on eating disorders	March answers
October 2003	GP contract: clinical indicators for diabetes SIGN osteoporosis guideline	October answers
March 2003	Confidentiality and access to records NICE referral advice NICE guideline on blood pressure and lipids in type 2 diabetes	March answers
December 2002	Patient group directions on tetanus and diptheria vaccine NICE guideline on glucose control	December answers
May 2002	NICE guidelines on diabetic retinopathy NICE guidelines on renal disease in type 2 diabetes Understanding the new GMS regulations	May answers
January 2002	Patient group directions and DTP vaccines Assessing patients' fitness to drive SIGN guideline on the management of diabetes	January answers

Obstetrics, Gynaecology & Urology	go to top
Issue	CME questions	Answers
March 2008	NICE guideline on long-acting reversible contraception NICE guidelines on the diagnosis and management of lung cancer	March answers
September 2007	BSSM guideline on the management of erectile dysfunction NICE guideline s on drug misuse	September answers
August 2007	BSSM guideline on the management of erectile dysfunction SIGN guideline on the management of chronic heart failure	August answers
March 2007	NICE guideline on obesity NICE guideline on heavy menstrual bleeding	March answers
January 2007	PCSG guideline on coeliac disease NICE guideline on female urinary incontinence	January answers
August 2006	New GMS contract COPD indicators New GMS contract chronic kidney disease indicators	August answers
December 2005	New GMS contract hyperthyroidism indicators NICE guideline on long-acting reversible contraception	December answers
October 2005	RCP Guidelines on HIV testing New GMS contract hypertension indicators	October answers
March 2005	SIGN guideline for urinary incontinence	March answers
November 2004	NICE guideline on dyspepsia Sexual health advice	November answers
June 2004	BAUS guideline on male lower urinary tract symptoms BTS guidelines on community acquired pneumonia	June answers
April 2004	NICE guideline on COPD NICE guideline on fertility problems	April answers
January 2004	NICE guideline on antenatal care New GMS contract: Epilepsy indicators New GMS contract: Delivering care	January answers
January 2003	Patient group directions for tetanus immunoglobulin SIGN guideline on post-menopausal bleeding Medical fraud	January answers
October 2002	Statins in patients at high risk of vascular disease Common causes of medico-legal claims NICE referral advice on 'prostatism'	October answers
August 2002	SIGN guideline on postnatal depression Practice premises NICE referral advice for psoriasis	August answers
April 2002	NICE referral advice for menorrhagia SIGN guideline on cardiac rehabilitation Witholding or withdrawing treatment	April answers

Malignant Disease	go to top
Issue	CME questions	Answers
March 2008	NICE guideline on long-acting reversible contraception NICE guidelines on the diagnosis and management of lung cancer	March answers
February 2006	New GMS contract cancer indicators SIGN guideline on management of breast cancer in women	February answers
July 2005	NICE referral guidelines for suspected cancer Removing patients from your list	July answers
April 2005	NICE guideline on lung cancer NICE guideline on falls	April answers
July 2004	RCP guidelines on stroke NICE guideline on familial breast cancer	July answers
February 2004	SIGN guideline on follow up of survivors of childhood cancer The GMC's new fitness to practise procedures	February answers
August 2003	PGD for polio vaccine Extracurricular activities SIGN guideline on cutaneous melanoma	August answers

Nutrition	go to top
Issue	CME questions	Answers
March 2007	NICE guideline on obesity NICE guideline on heavy menstrual bleeding	March answers
March 2004	NICE guideline on foot care in type 2 diabetes NICE guideline on eating disorders	March answers

Musculoskeletal & Joints	go to top
Issue	CME questions	Answers
October 2007	BOA and BGS guidance on the management of fracture and falls prevention SIGN guideline on autism spectrum disorders	October answers
November 2006	NICE guideline on bipolar disorder BSR guideline on rheumatoid arthritis	November answers
April 2005	NICE guideline on lung cancer NICE guideline on falls	April answers
October 2003	GP contract: clinical indicators for diabetes SIGN osteoporosis guideline	October answers
June 2003	Giving medical advice via the internet RCP guideline on glucocorticoid-induced osteoporosis PGD for Hib vaccine	June answers
June 2002	Updated national stroke guidelines Signing medico-legal reports NICE referral advice for osteoarthritis of the knee	June answers
March 2002	Guidelines on community acquired pneumonia NICE referral advice for acute low back pain Ensuring that consent is informed	March answers

Eye, Ear, Nose & Throat	go to top
Issue	CME questions	Answers
February 2007	New GMS contract stroke and TIA indicators Working party guideline on management of adults with swallowing difficulties	February answers
May 2003	Freedom of information SIGN guideline for otitis media PGD for combined hepatitis A and typhoid vaccine	May answers
July 2002	SIGN guideline on management of respiratory infection Using a chaperone NICE referral advice for glue ear	July answers

Skin	go to top
Issue	CME questions	Answers
February 2008	NICE guideline on the management of feverish illness in children NICE guideline on the management of atopic eczema in children	February answers
November 2007	NICE guideline on the management of dyspepsia in adults in primary care BSACI guideline for the management of chronic urticaria and angio-oedema	November answers
May 2007	Integrated care pathway for neuropathic pain BAD/PCDS guideline on the management of atopic eczema	May answers
April 2007	SIGN guideline on risk estimation and the preventIon of cardiovascular disease BAD guideline on actinic keratoses	April answers
November 2002	BSG updated guidelines on dyspepsia NICE referral advice for varicose veins Advertising practice services	November answers
August 2002	SIGN guideline on postnatal depression Practice premises NICE referral advice for psoriasis	August answers
February 2002	Avoiding a claim for failure to refer or to follow up European Society of Cardiology heart failure guidelines NICE referral advice for acne	February answers
November 2001	The European computer driving licence RCN guideline on risk assessment and prevention of pressure ulcers Removal of patients from a GP's list	November answers

Immunisation & Vaccination	go to top
Issue	CME questions	Answers
August 2003	PGD for polio vaccine Extracurricular activities SIGN guideline on cutaneous melanoma	August answers
June 2003	Giving medical advice via the internet RCP guideline on glucocorticoid-induced osteoporosis PGD for Hib vaccine	June answers
May 2003	Freedom of information SIGN guideline for otitis media PGD for combined hepatitis A and typhoid vaccine	May answers
January 2003	Patient group directions for tetanus immunoglobulin SIGN guideline on post-menopausal bleeding Medical fraud	January answers
December 2002	Patient group directions on tetanus and diptheria vaccine NICE guideline on glucose control	December answers
January 2002	Patient group directions and DTP vaccines Assessing patients' fitness to drive SIGN guideline on the management of diabetes	January answers

General	go to top
Issue	CME questions	Answers
January 2008	Management of non-alcoholic fatty liver disease NICE guideline for the diagnosis, treatment and management of urinary tract infections in children	January answers
June 2006	New GMS contract palliative care indicators NICE guideline on smoking cessation	June answers
July 2005	NICE referral guidelines for suspected cancer Removing patients from your list	July answers
May 2005	BTS advice on respiratory disease in airline travellers Role of the CHRE	May answers
December 2004	NICE guideline on diagnosis and management of epilepsy Out of hours care	December answers
October 2004	NICE guideline on hypertension BSG guideline on inflammatory bowel disease Living wills	October answers
September 2004	NICE guideline on self harm NICE guideline on type 1 diabetes in adults The role of the expert witness	September answers
February 2004	SIGN guideline on follow up of survivors of childhood cancer The GMC's new fitness to practise procedures	February answers
January 2004	NICE guideline on antenatal care New GMS contract: Epilepsy indicators New GMS contract: Delivering care	January answers
November 2003	SIGN guideline on harmful drinking Patient advocacy	November answers
September 2003	NICE heart failure guideline GP Contract organisational indicators	September answers
August 2003	PGD for polio vaccine Extracurricular activities SIGN guideline on cutaneous melanoma	August answers
July 2003	NICE referral advice SIGN guideline on epilepsy Copying letters to patients	July answers
June 2003	Giving medical advice via the internet RCP guideline on glucocorticoid-induced osteoporosis PGD for Hib vaccine	June answers
May 2003	Freedom of information SIGN guideline for otitis media PGD for combined hepatitis A and typhoid vaccine	May answers
April 2003	SIGN guideline on dyspepsia Disclosing confidential records NICE referral advice	April answers
March 2003	Confidentiality and access to records NICE referral advice NICE guideline on blood pressure and lipids in type 2 diabetes	March answers
February 2003	Patient group directions for varicella SIGN/BTS guideline on asthma Disclosing information to insurance companies	February answers
January 2003	Patient group directions for tetanus immunoglobulin SIGN guideline on post-menopausal bleeding Medical fraud	January answers
November 2002	BSG updated guidelines on dyspepsia NICE referral advice for varicose veins Advertising practice services	November answers
October 2002	Statins in patients at high risk of vascular disease Common causes of medico-legal claims NICE referral advice on 'prostatism'	October answers
September 2002	BTS guidelines on community acquired pneumonia in childhood Nice referral advice for sore throat in the under-15s Clinical negligence claims	September answers
August 2002	SIGN guideline on postnatal depression Practice premises NICE referral advice for psoriasis	August answers
July 2002	SIGN guideline on management of respiratory infection Using a chaperone NICE referral advice for glue ear	July answers
June 2002	Updated national stroke guidelines Signing medico-legal reports NICE referral advice for osteoarthritis of the knee	June answers
May 2002	NICE guidelines on diabetic retinopathy NICE guidelines on renal disease in type 2 diabetes Understanding the new GMS regulations	May answers
April 2002	NICE referral advice for menorrhagia SIGN guideline on cardiac rehabilitation Witholding or withdrawing treatment	April answers
March 2002	Guidelines on community acquired pneumonia NICE referral advice for acute low back pain Ensuring that consent is informed	March answers
February 2002	Avoiding a claim for failure to refer or to follow up European Society of Cardiology heart failure guidelines NICE referral advice for acne	February answers
January 2002	Patient group directions and DTP vaccines Assessing patients' fitness to drive SIGN guideline on the management of diabetes	January answers
December 2001	Use of clinical coding system in electronic patient records Dealing with violent and abusive patients Patient group direction for meningitis C vaccine	December answers
November 2001	The European computer driving licence RCN guideline on risk assessment and prevention of pressure ulcers Removal of patients from a GP's list	November answers
October 2001	Treating hypertension in older people SIGN guidance on attention deficit hyperactivity disorder Anticoagulation Patient confidentiality Electronic patient records and electronic transmission of records	October answers
September 2001	Coronary heart disease Angina pectoris Chronic heart failure COPD Critical event monitoring	September answers

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