IIA IIA-CRMA-ADV : Certification in Risk Management Assurance (CRMA Advanced) Exam Dumps

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Latest 2024 Updated IIA Certification in Risk Management Assurance (CRMA Advanced) Syllabus
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Exam Number : IIA-CRMA-ADV
Exam Name : Certification in Risk Management Assurance (CRMA Advanced)
Vendor Name : IIA
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IIA-CRMA-ADV Exam Format | IIA-CRMA-ADV Course Contents | IIA-CRMA-ADV Course Outline | IIA-CRMA-ADV Exam Syllabus | IIA-CRMA-ADV Exam Objectives

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IIA Risk Practice Questions

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Simple Lab Tests Could Predict Risk Of Fatal Kidney Disease

A new study in the May issue of the Journal of the American Society of Nephrology says that routine blood and urine tests could help in predicting the risk of developing end-stage renal disease (ESRD) between middle age and old age. The study, which was led by Dr. Areef Ishani of Minneapolis Veterans Affairs Medical Center, found that an abnormal result on the urine "dipstick" test, which detects protein in urine, could identify the presence of any risk for developing ESRD. The current study used data on 13,000 men enrolled in a long-term study of cardiovascular disease prevention. The study, which started in 1972-75, had participants who were at high risk for developing heart disease, but did not actually have it. Follow-up data through 1999 was used to track if there were any tests, which could predict the risk of developing ESRD. In the duration of the study, 1.7 percent of the men developed ESRD or died of kidney disease. The estimated glomerular filtration rate (eGFR) was also used to predict the high risk of developing ESRD. The risk was on the higher side when both urine and blood tests were abnormal. Factors like age, smoking, blood pressure, low levels of high-density lipoprotein ("good") cholesterol, and blood sugar (glucose) level were also used to predict the risk. "Both tests are very easy to perform, and are commonly done in clinical practice," said Dr. Ishani. "Future studies can determine whether intervening on these factors can prevent the development of ESRD."

Teratogenic Risk and Contraceptive Counselling in Psychiatric Practice: Analysis of Anticonvulsant Therapy

Abstract and Introduction Abstract

Background Anticonvulsants have been used to manage psychiatric conditions for over 50 years. It is recognised that some, particularly valproate, carbamazepine and lamotrigine, are human teratogens, while others including topiramate require further investigation. We aimed to appraise the documentation of this risk by psychiatrists and review discussion around contraceptive issues.

Methods A retrospective review of prescribing patterns of four anticonvulsants (valproate, carbamazepine, lamotrigine and topiramate) in women of child bearing age was undertaken. Documented evidence of discussion surrounding teratogenicity and contraceptive issues was sought.

Results Valproate was most commonly prescribed (n=67). Evidence of teratogenic risk counselling at medication initiation was sub-optimal – 40% of individuals prescribed carbamazepine and 22% of valproate. Documentation surrounding contraceptive issues was also low- 17% of individuals prescribed carbamazepine and 13% of valproate.

Conclusion We found both low rates of teratogenic risk counselling and low rates of contraception advice in our cohort. Given the high rates of unplanned pregnancies combined with the relatively high risk of major congenital malformations, it is essential that a detailed appraisal of the risks and benefits associated with anticonvulsant medication occurs and is documented within patients' psychiatric notes.

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