Wise test review is a national standardized exam that satisfies Virginia HS graduation "certification." It is an excellent way to show your knowledge in math, science and literature. This is a great exam to take to prepare for college and beyond. It also meets the HS graduation requirement for English and Math classes. You will need to speak and write fluently in order to pass this exam.
Choosing Wisely, a national campaign launched in 2012, invited clinicians to identify tests and treatments that do not have strong evidence of benefit and thus should be considered “waste.” The initiative generated countless conversations in the exam room, stimulated thousands of journal articles, and inspired more than two dozen similar campaigns in other countries.
WISE brings together a team of experts from four clinical sites to evaluate innovative diagnostic tests using multifaceted, patient-centered approaches. The common core protocol includes dobutamine stress echocardiography, ECG exercise testing, brachial artery reactivity testing, resting/ambulatory electrocardiographic monitoring and various blood determinations. Site-specific complementary methods include physiologic and functional cardiovascular assessments of myocardial perfusion and metabolism, ventriculography and endothelial vascular function. All women are followed for at least 1 year to assess clinical events and symptom status.
The initial 323 WISE participants in the pilot phase were 85% postmenopausal, 3% perimenopausal and 11% premenopausal, with a mean age of 53 years (range 48–63). A significant proportion of participants had a prior hysterectomy, with 40% reporting bilateral salpingo-oophorectomy. Hormonal status and hormone use (estrogens, progestins and androgens) were determined by historical as well as single-sample blood hormonal characterization (Fig. 1).
