Pediatricians may receive three credit hours tn Category I for the Physician's Recognition Award of the American Medical Association by reading the maceria/ in this issue and successfully answering the questions in the quiz below. To obtain credits, follow these instructions.
1. Read each of the articles carefully Oo nor neglect the tables and other illustrative materials, as they have been selected to enhance your knowledge and understanding.
2. The following questions have been designed to provide a useful 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 correct 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 SIS made out to PEDIATR)C ANNALS 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 have missed, and read the supplemental material on this aspect of the subject listed in the references in this issue.
6. Be sure to mail 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 correa 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 bf awarded.
As an organization accredited for continuing medical education, rhe Lexon Hill Hospital of New York designates rhis continuing medical education activity as meeting the criteria for three credit hours m Category 1 for Educational Materials far the Physician's Recognition Award oí the American Medical Association. provided it has been completed according 10 instructions.
Psychosocial Aspects of Adolescence
1. Adolescent suicide attempts occur:
A. more frequently among females.
B. more frequently among males.
C. equally between both sexes,
2. Studies have Indicated a high Incidence of pediatricians' contact with suicidal adolescents:
3. Which of the following are risk factors for adolescent suicide?
B. Family dysfunction.
C. Low self-esteem.
D. Loss of one or both parents.
E. All of the above.
4. In Interviewing an adolescent with suicidal Ideation, the pediatrician should not:
A. question the patient indirectly to avoid upsetting him or her.
B. inform the parents about their child's intention.
C. avoid a judgmental attitude.
D. avoid trying to talk the teenager out of the suicide attempt.
5. Which of the following Is a mistake In efforts to reduce the suicide rate among adolescents?
A. Limiting access to means of selfdestruction.
B. Increasing the publicity given to suicide cases.
C. Diagnosing the depressed adolescent.
D. Referring for specialized treatment care.
6. Report of child abuse to the appropriate authorities Is:
A. required only if actual abuse is established.
B. required in all states when abuse is suspected.
C. required in most states.
7. Physical Indications that an adolescent girl is being sexually abused are:
A. complaints localized.
B. lax rectal tone or genitourinary gynecological, or gastrointestinal symptoms.
C. gonococcal infection.
D. All of the above.
8. A pediatrician who reports familial sexual abuse:
A. is afforded legal immunity for such reports.
B. must consult with others including psychratnsts and social workers before reporting a case.
C. should first advise the adolescent that he or she is reporting the case.
D. should get legal advice before reporting the case.
9. In suspected cases of lntrafamilial sexual abuse, both adolescent and parents should be Interviewed together.
10. Adolescent homosexuality represents:
A. a persistent pattern of arousal directed toward persons of the same gender
B. a sexual attraction directed toward persons of the same gender.
C. a mismatching of sexual phenotype and psychological gender.
D. a passing phase on the road to adult heterosexuality.
11. For the adolescent, the acquisition of a gay Identity Is:
A. a sudden realization.
B. a consequence of an early homosexual experience.
C. a long process that begins in early childhood.
D. a symptom of underlying psychopathology
12. Which population has the lowest Incidence of sexually transmitted diseases?
A. homosexual men.
B. homosexual women.
C. heterosexual men.
D. heterosexual women
13. Screening gay males for sexually transmitted diseases does not routinely include:
A. syphilis serologies.
B. rectal gonorrhea cultures.
C. HTLV-III sérologies.
D. oral gonorrhea cultures.
14. Comprehensive care of adolescent males who report homosexual activity Includes:
A. periodic screening for sexually transmitted diseases.
B. hepatitis B immunization, if susceptible.
C. education regarding "safe" sexual practices.
D. all of the above.
15. The most important part of the Interview is to:
A. speak with the parents.
B. talk with the adolescent alone.
C. establish trust and confidentiality
D. none of the above.
16. The early adolescent Is primarily Interested In:
A. his own growth and development
B. the physical examination.
C peer relationships.
D. birth control.
17. The late adolescent Is primarily interested in:
A. future job and education.
B. birth control.
C. family relationships.
D. growth and development.
18. The middle adolescent:
A. is interested in job training.
B. desires independence but is reluctant to break away from her or his family
C. is interested in his or her own growth and development
D. none of the above.
19. A survey of pediatricians In the upper Midwest found their feelings of an adolescent need not to be encouraged during interviewing was:
A. additional time.
B. an empathetic listener.
C. acknowiedgment and encouragement of adolescents' shift from dependency toward independence.
D. approval of missing school occasionally to attend an athletic event E. confidentiality.
20. In establishing a warm relationship with an adolescent. Is it advisable to use adolescent jargon or ask to be called by one's first name?