Pediatric Annals

CME QUIZ

Abstract

INSTRUCTIONS

Pediatricians may receive three credit hours in Category 1 for the Physician's Recognition Award of [he American Medical Association by reading the material in this issue and successfully answering the guestions in the quiz below. To obtain credits, follow these instructions,.

1. Read each of the articles carefully Do not neglect the rabies and other illustra tu/e materials, as they have been selected to enhance your knowledge and understanding

2. The following questions have been designed to provide a usefui link between the articles in the issue and your everyday practice. Read each question, choose the correct answer, and record your answer on the CME Registration Form at the end of the quiz. Retain a copy of your answers so that they can be compared with the corred answers that will be sent to you later.

3. Type or print your full name and address and your Social Security number in the spaces provided on the CME Registration Form.

4. Send the completed form, with your check or money order for S 1 5 made out to PEDIATRICANNALS CME CENTER. 6900 Grove Road. Thorofare. NJ. 08086

5. Your answers will be graded, and you will be advised that you have passed (or failed). An answer sheet containing all correct answers will be mailed to you. Review the parts of the articles dealing with any questions you nave missed, and read the supplemental material on this aspect of the subject listed in the references in this issue.

6. Be sure to mall the form on or before the deadline listed on the CME Registration Form, so that credit can be awarded [After that date, the quiz will close, and correct answers will appear in the magazine.) Unanswered questions will be considered incorrect and so scored A minimum score of 70 must be obtained in order for credits to be awarded.

CERTIFYING INSTITUTION

As an organization accredited for continuing medical education, the Lexon Hill Hospital oí New York designates this continuing medical education activity as meeting the criteria for three credit hours in Category I (or Educational Mdrenals for the Physician's Recognition Award oí the American Medical Association, provided it has been completed according to instructions CME QUIZ

Medical Problems In Adolescence

1. The most common causes of chronic chest pain In children and adolescents Involve the:

A. Heart.

B. Chest wall structures.

C. Lungs.

D. Gastrointestinal system.

2. Evaluation of the majority of cases of chronic chest pain should Include:

A. History and physical examination.

B. Echocardiogram.

C. Chest x-ray.

D. Electrocardiogram.

3. A unilateral, tender, fusiform swelling of the second left costochondral Junction Is pathognomonfc of:

A. Costochondritis.

B. Slipping Rib Syndrome.

C. Tietze's Syndrome.

D. Mitral valve prolapse.

4. Psychogenlc causes of chest pain include:

A. Depression.

B. Hyperventilation.

C. Somatization.

D. All of the above.

5. What are the most common symptoms of HVS?

A. Obvious overbreathing. tetany, and carpopedal spasms.

B. Shortness of breath, chest pain, and dizziness.

C. Blurred vision and slurring of speech.

D. All of the above

6. Why Is HVS a seldom recognized, often overlooked diagnosis? A. The syndrome is so rare in occurrence.

B. HVS is given only cursory mention in medical school curricula.

C. No readily available diagnostic procedures exist.

D. Both A and B.

7. A definitive diagnosis of HVS requires:

A. Voluntary hyperventilation.

B. Use of CO2 blood gas analyzer.

C. Reproduction of presenting complaints during voluntary hyperventilation.

D. Reproduction of dizziness and chest pain during the provocation test.

8. Successful treatment of HVS will always Involve all of the following except:

A. Education.

B. Anti-depressant medication.

C.…

INSTRUCTIONS

Pediatricians may receive three credit hours in Category 1 for the Physician's Recognition Award of [he American Medical Association by reading the material in this issue and successfully answering the guestions in the quiz below. To obtain credits, follow these instructions,.

1. Read each of the articles carefully Do not neglect the rabies and other illustra tu/e materials, as they have been selected to enhance your knowledge and understanding

2. The following questions have been designed to provide a usefui link between the articles in the issue and your everyday practice. Read each question, choose the correct answer, and record your answer on the CME Registration Form at the end of the quiz. Retain a copy of your answers so that they can be compared with the corred answers that will be sent to you later.

3. Type or print your full name and address and your Social Security number in the spaces provided on the CME Registration Form.

4. Send the completed form, with your check or money order for S 1 5 made out to PEDIATRICANNALS CME CENTER. 6900 Grove Road. Thorofare. NJ. 08086

5. Your answers will be graded, and you will be advised that you have passed (or failed). An answer sheet containing all correct answers will be mailed to you. Review the parts of the articles dealing with any questions you nave missed, and read the supplemental material on this aspect of the subject listed in the references in this issue.

6. Be sure to mall the form on or before the deadline listed on the CME Registration Form, so that credit can be awarded [After that date, the quiz will close, and correct answers will appear in the magazine.) Unanswered questions will be considered incorrect and so scored A minimum score of 70 must be obtained in order for credits to be awarded.

CERTIFYING INSTITUTION

As an organization accredited for continuing medical education, the Lexon Hill Hospital oí New York designates this continuing medical education activity as meeting the criteria for three credit hours in Category I (or Educational Mdrenals for the Physician's Recognition Award oí the American Medical Association, provided it has been completed according to instructions CME QUIZ

Medical Problems In Adolescence

1. The most common causes of chronic chest pain In children and adolescents Involve the:

A. Heart.

B. Chest wall structures.

C. Lungs.

D. Gastrointestinal system.

2. Evaluation of the majority of cases of chronic chest pain should Include:

A. History and physical examination.

B. Echocardiogram.

C. Chest x-ray.

D. Electrocardiogram.

3. A unilateral, tender, fusiform swelling of the second left costochondral Junction Is pathognomonfc of:

A. Costochondritis.

B. Slipping Rib Syndrome.

C. Tietze's Syndrome.

D. Mitral valve prolapse.

4. Psychogenlc causes of chest pain include:

A. Depression.

B. Hyperventilation.

C. Somatization.

D. All of the above.

5. What are the most common symptoms of HVS?

A. Obvious overbreathing. tetany, and carpopedal spasms.

B. Shortness of breath, chest pain, and dizziness.

C. Blurred vision and slurring of speech.

D. All of the above

6. Why Is HVS a seldom recognized, often overlooked diagnosis? A. The syndrome is so rare in occurrence.

B. HVS is given only cursory mention in medical school curricula.

C. No readily available diagnostic procedures exist.

D. Both A and B.

7. A definitive diagnosis of HVS requires:

A. Voluntary hyperventilation.

B. Use of CO2 blood gas analyzer.

C. Reproduction of presenting complaints during voluntary hyperventilation.

D. Reproduction of dizziness and chest pain during the provocation test.

8. Successful treatment of HVS will always Involve all of the following except:

A. Education.

B. Anti-depressant medication.

C. Reassurance.

D. A strategy of controlling faulty breathing.

9. Abnormal vaginal bleeding can:

A. Occur in cycles that last less than 20 days.

B. Result in blood loss greater than 80 cc.

C. Be associated with anemia.

D. All of the above.

10. The goal of the Initial évaluatlon In abnormal vaginal bleeding Is to:

A. Assess the amount of blood loss.

B. Assess the need for surgical intervention.

C. Assess the need for hospitalization.

D. All of the above.

11. The acute management of vaginal bleeding can Include:

A. Conjugated estrogens IV

B. Progesterone alone.

C. Estrogen-progesterone combination.

D. All of the above.

12. The highest use rates of every category of drugs are among:

A. 16- to 18-year-olds.

B. 18- to 25-year-olds.

C. 26- to 30-year-olds.

D. 31 - to 40-year-olds.

13. Dlsulflram (Antabule) In adolescents has been found:

A. To be very useful.

B. To be of no use.

C. To have limited utility.

D. To have many toxic side effects in adolescents.

14. Cervical sampling should Include:

A. GC culture.

B. Cervicaf Gram stains.

C. Chlamydia culture.

D. All of the above.

15. Bacterial vaglnosls (BV) Is not suspected:

A. If the vaginal pH is less than 4.5.

B. By the presence of 4 or more clue cells per HPF on the wet prep.

C. By a "fishy" odor with the application of KOH (positive whiff test).

D. By the presence of a foul-smelling, watery vaginal discharge.

16. The Gram stain Is an Important office laboratory procedure for:

A. Urethritis.

B. Cervicitis.

C. Trichomonas infection.

D. Vaginiti's.

17. What Is the most common procedure In this country for both first and second trimester abortions?

A. Instillation of abortifacients lhypertonic saline, urea, prostaglandins.

B. Curettage (dilatation with curet-tage or extraction).

C. Hysterectomy/hysterotomy

(4) others, not listed.

18 . What do adolescents feel about the abortion procedure?

A. Stressful at time of procedure.

B. Had maturing influence on their life.

C. Better with partner involvement, especially when supportive.

D. All of the above.

20. What age group has the most significant delay In obtaining abortions?

A. Early (under 15) adolescents.

B. Mid-late (15-19) adolescents.

C. Early (20-25) adults.

20. What variables are the most Important for medical morbidity in abortions?

A. Procedure used.

B. Increasing age of client.

C. Increasing gestational age.

D. All of the above.

10.3928/0090-4481-19861001-11

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