To assist the pediatrician in studying this issue, a self-assessment Pre-Test is offered below, so that the reader may challenge himself on his knowledge of the subject before reading further in this issue. To qualify for continuing medical education credits, it will be necessary to read carefully each of the articles that follow, successfully complete the CME quiz at the end of the issue, and return the quiz to the CME center for scoring.
As an organization accredited for continuing medical education, the Lenox Hill Hospital of New York designates this continuing medical education activity as meeting the criteria for three credit hours in Category 1 for Educational Materials for the Physician's Recognition Act of the American Medical Association, provided it has been completed according to instructions.
1. Which of the following are suspected of having teratogenic effects when ingested by women during pregnancy?
B. Oral anticoagulants.
2. Acute clinical problems in newborns accompanying administration of phototherapy include
A. Retrolental fibroplasia.
C. Excessive weight gain.
D. Frequent greenish, loose stools.
3. Cyanide, found in many foods, such as lima beans, is not toxic when taken in microdosage because of
A. Antitoxins in the vegetable that neutralize the cyanide.
B. Its conversion to soluble sugars in the newborn.
C. Its rapid excretion.
D. Substances in the mother's milk that immunize the infant against its toxicity.
4. Children exposed to three of the following conditions have subsequently developed cancer. Which of the following has not yet been proved to put a child at risk for some form of cancer?
A. Immunosuppressive therapy given for renal transplantation.
B. Breast-feeding from a woman who recently toured a plant in which polychlorinated biphenyls are manufactured.
C. Chewing plastic-coated electrical wire used in an electronics hobby.
D. Eating home-barbecued meat on a daily basis.
The educational objective of this continuing medical education offering is to inform the pediatrician on environmental hazards affecting infants and children, including pollutants, carcinogens, and teratogens. When completed, the physician should know how to recognize environmental hazards in medications, chemicals, newborn nurseries, and food supplies for infants and children and have an awareness of carcinogenic substances which can affect children during their formative years or in later life.