Clinical Quiz

American Family Physician,  Feb 15, 1999  

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Instructions

Read each article, answer all questions on the quiz pages and transfer your answers to the Clinical Quiz answer card (bound into your copy of AFP). This will help you avoid errors and permit you to check your answers against the correct answers.

Mail the Clinical Quiz answer card within one year (by February 29, 2000). The bar code on the answer card contains your identification for CME credit hours.

Before beginning the test, please note:

Each Clinical Quiz includes two types of questions: Type A and Type X.

Type A questions have only one correct answer. Here is a typical Type A question:

Q1. Most allergic reactions to foods are:

A. Due to IgA deficiency.

B. Due to IgG and IgM antibodies.

C. IgE-mediated.

D. Due to enzyme deficiencies.

E. Due to toxins.

Type X questions may have one or more correct answers. They are multiple true-false questions with four options. Here is a typical Type X question:

Q2. Causes of varicosities in pregnancy include:

A. Hormonal changes.

B. Venous compression.

C. Familial tendency.

D. Prolonged sitting and standing.

Clinical Quiz questions are written by the associate and assistant editors of AFP.

Type X Questions

Each question has one or more correct answer.

Clinical Quiz questions are based on selected articles in this issue. Answers appear in this issue.

AFP's clinical quizzes are eligible for AAFP Prescribed credit, depending on the number of article pages covered in the quiz. This program has been reviewed and is acceptable for up to 6.5 Prescribed credit hours by the American Academy of Family Physicians.

The AAFP is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. The AAFP designates this issue's CME activity for 6.5 credit hours in Category 1 of the Physician's Recognition Award of the American Medical Association (AMA/PRA).

AAFP Credit

Each copy of AFP contains a Clinical Quiz answer card. AAFP members may use this card to obtain the designated number of Prescribed credit hours for the year in which the card is postmarked.

AMA/PRA Category 1 Credit

AAFP members who satisfy the Academy's continuing medical education requirements are automatically eligible for the AMA/PRA.

Physicians who are not members of the AAFP are eligible to receive the designated number of credit hours in Category 1 of the AMA/PRA on completion and return of the Clinical Quiz answer card. AFP keeps a record of AMA/PRA Category 1 credit hours for nonmember physicians. This record will be provided on request; however, nonmembers are responsible for reporting their own Category 1 CME credits when applying for the AMA/PRA or other certificates or credentials.

For health care professionals who are not physicians and are AFP subscribers, a record of CME credit is kept by AAFP and will be provided to you on written request. You are responsible for reporting CME hours to your professional organization.

note: The full text of AFP is available online (http://www.aafp.org/afp), including each issue's Clinical Quiz. The table of contents for each online issue will link you to the Clinical Quiz. Just follow the online directions to take the quiz and, if you're an AAFP member, you can submit your answers for CME credit.

Type A Questions

Each question has only one correct answer.

Diagnosis and Treatment of the Acute Scrotum (p. 817)

Q1. The likelihood of testicular salvage decreases proportionately to which one of the following factors?

A. Age of the patient.

B. Severity of the torsion.

C. Duration of the torsion.

D. Skill of the surgeon.

E. Time under anesthesia.

Q2. Which one of the following is a preferred procedure in the evaluation of possible torsion?

A. Doppler stethoscope.

B. Magnetic resonance imaging.

C. Conventional gray-scale ultrasonography.

D. Color Doppler ultrasonography.

E. Nuclear testicular flow studies.

Liver Disease in Pregnancy (p. 829)

Q3. Which one of the following diseases represents the most common cause of jaundice in pregnancy?

A. Viral hepatitis.

B. Choledocholithiasis.

C. Intrahepatic cholestasis of pregnancy.

D. Preeclampsia.

E. Acute fatty liver of pregnancy.

Q4. Which one of the following medications represents the most successful therapy for intrahepatic cholestasis of pregnancy?

A. Parenteral vitamin K.

B. Ursodeoxycholic acid (Actigall).

C. Cholestyramine (Questran).

D. Phenobarbital.

E. Interferon therapy.

Evaluating Patients for Return to Work (p. 844)

Q5. Which one of the following most accurately reflects the annual percentage of injuries in the United States that are occupational in nature?

A. 10 percent.

B. 30 percent.

C. 50 percent.

D. 75 percent.

E. 90 percent.

Q6. Which one of the following choices is a collection of tests and activities used to assess a person's work-related capabilities and limitations?

A. Job demand analysis.

B. Functional capacity evaluation.

C. AMA occupational guidelines.

D. Return-to-work assessment.