Clinical quiz - continuing medical education

Date: Sept 15, 2002

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

American Family Physician has been approved by the American Academy of Family Physicians as having educational content acceptable for Prescribed credit hours. Term of approval covers issues published within one year from the beginning distribution date of January 2002. This issue has been reviewed and is acceptable for up to 3 Prescribed credit hours. One half hour of these credit hours conforms to AAFP criteria for evidence-based CME clinical content. Credit may be claimed for one year from the date of this issue. When reporting CME credit hours, AAFP members should report total Prescribed credit hours earned for this activity. It is not necessary for members to label credit hours as evidence-based or Prescribed for CME reporting purposes.

The American Academy of Family Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The AAFP designates this educational activity for a maximum of 3 hours in Category 1 credit toward the American Medical Association Physician's Recognition Award. Each physician should claim only those hours of credit that he or she actually spent in the educational activity.

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 (, 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.


E 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.

E Mail the Clinical Quiz answer card within one year (by September 30, 2003). 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 and may have four or five choices. 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. [check] 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. Hereis a typical Type X question:Q2. Causes of varicosities in pregnancyinclude: [check] A. Hormonal changes. [check] B. Venous compression. [check] C. Familial tendency. [check] D. Prolonged sitting and standing.Clinical Quiz questions are written by the associateand assistant editors of AFP.Type A QuestionsEach question has only one correct answer.ArticlesOcular Manifestations of Autoimmune Disease (p. 991)Q1. Which one of the following is the most common ocularmanifestation of rheumatoid arthritis? [] A. Scleritis. [] B. Episcleritis. [] C. Keratitis. [] D. Keratoconjunctivitis sicca. [] E. Choroiditis.Q2. Which one of the following conditions is diagnosed in75 percent of patients with multiple sclerosis? [] A. Internuclear ophthalmoplegia. [] B. Optic neuritis. [] C. Macular edema. [] D. Retinal detachment. [] E. Choroiditis.Screening for Depression Across the Lifespan: A Review ofMeasures for Use in Primary Care Settings (p. 1001)Q3. Which one of the following statements regarding the useof depression screening measures is correct? [] A. A decision to use a depression screening test will be fairly straightforward because most adult patients will readily mention emotional difficulties in an office setting. [] B. Routine screening for depression is inappropriate, especially in the geriatric population. [] C. Depression screening tests are useful for monitoring response to therapy. [] D. A depression screening test alone can diagnose major depressive disorder.Hantavirus Pulmonary Syndrome: A Zebra Worth Knowing(p. 1015)Q4. Which one of the following is the usual mechanism oftransmission of the Sin Nombre virus? [] A. Inhalation of viral particles from rodent excreta or saliva. [] B. Person-to-person bloodborne infection. [] C. Flea bites. [] D. Direct contact with infected rodents.Q5. The second phase of hantavirus pulmonary syndrome,usually three to five days after onset of the prodromal phase,is characterized by which one of the following? [] A. Severe flu-like syndrome. [] B. Acute gastroenteritis. [] C. Severe rapidly progressive respiratory failure. [] D. Acute renal failure.Occupational Skin Disease (p. 1025)Q6. Which one of the following occupational exposures is notcorrectly matched to the skin condition it typicallycauses? [] A. Sun--actinic keratosis. [] B. Abrasions, friction--keloids, worsening of psoriasis and lichen planus. [] C. Fiberglass spicules--skin cancer. [] D. Cold temperatures--Raynaud's disease. [] E. Members of the Rhus genus (e.g., poison oak, poison ivy)--allergic contact dermatitis.ArticlesOcular Manifestations of Autoimmune Disease (p. 991)Q7. Which of the following is/are ocular symptoms that occur inpatients with giant cell arteritis? [] A. Amaurosis fugax. [] B. Diplopia. [] C. Visual loss. [] D. Nystagmus.Screening for Depression Across the Lifespan: A Review ofMeasures for Use in Primary Care Settings (p. 1001)Q8. Which of the following statements regarding depression inadults is/are correct? [] A. The prevalence of depression is higher in patients with diabetes mellitus, a history of myocardial infarction, or cancer. [] B. The Edinburgh Postnatal Depression Scale relies heavily on somatic symptoms that are prominent in women during the peripartum. [] C. Irritability and psychomotor retardation rarely occur in the depressed elderly population. [] D. Early diagnosis and treatment of depression in elderly patients have been shown to improve quality of life and functional status.Hantavirus Pulmonary Syndrome: A Zebra Worth Knowing(p. 1015)Q9. In association with a consistent clinical picture, which ofthe following support the diagnosis of hantavirus pulmonarysyndrome? [] A. Leukocytosis with a left-shift. [] B. Thrombocytopenia. [] C. Circulating immunoblasts. [] D. Disseminated intravascular coagulation.Occupational Skin Disease (p. 1025)Q10. Which of the following agents commonly cause allergiccontact dermatitis? [] A. Members of the Rhus genus (e.g., poison oak, poison ivy). [] B. Solvents and lubricating oils. [] C. Latex. [] D. Nickel.Q1. Which of the following articles covered in this quizprovide information that you find useful? (On the answer card,pleasecircle all that apply.) [] A. Ocular Manifestations of Autoimmune Disease (p. 991). [] B. Screening for Depression Across the Lifespan: A Review of Measures for Use in Primary Care Settings (p. 1001). [] C. Hantavirus Pulmonary Syndrome: A Zebra Worth Knowing (p. 1015). [] D. Occupational Skin Disease (p. 1025).Q2. In general, how clear was the presentation of the informationin these articles? (On the answer card, please circleone number: 5 = extremely clear; 0 = extremely unclear.)Q3. Thinking of all the issues of AFP that you've seen recently,please rate the overall quality of AFP as a vehicle for continuingmedical education in the clinical aspects of practice. (On theanswer card, please circle one number: 5 = excellent; 0 = poor.)CME Quality SurveyPlease answer the following questions to help us monitor the qualityof AFP's CME material on an ongoing basis. Mark your answers on thisissue's quiz card. We would appreciate hearing any suggestions youhave for improving the CME experience offered through AFP. See thedirectory on page 933.Answers to This Issue's Clinical QuizQ1. DQ2. BQ3. CQ4. AQ5. CQ6. CQ7. A,B,CQ8. A,DQ9. A,B,CQ10. A,C,D

COPYRIGHT 2002 American Academy of Family PhysiciansCOPYRIGHT 2002 Gale Group

© 2006,, All Rights Reserved.