Pediatric Annals

CME QUIZ

Abstract

INSTRUCTIONS

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

1. Read each of the articles carefully. Do not 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 your 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 15 made out to PEDIATRI C ANNALS CME CENTER, 6900 Grove Road, Thorofare, NJ- 08086.

5. Your answers will be graded, and you will be adivsed 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 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 of New York designates this continuing medical education activity as meeting the criteria for three credit hours in Category I for Educational Materials for the Physician's Recognition Award of the American Medical Association. provided it has been completed according to instrucnons.

CME QUIZ

Pediatrie Asthma Update

1. Which of the following statement* about chHdhood asthma Is correct?

A. Most children outgrow their asthma.

B. The majority of children with asthma present by school age.

C. Children with asthma should routinely be referred to the allergist or pulmonologist for evaluation and care.

D. Asthma-related deaths have reduced in recent years.

2. The prognosis of childhood asthma can be favorably Influenced by which of the following?

A. Aggressive management.

B. Decreasing the frequency of attacks.

C. Decreasing the severity of attacks.

D. All of the above.

3. The prevalence rate for asthma Is lowest among which of the following groups?

A. Whites.

B. Blacks.

C. Hispancs.

D. Maies.

4. Asthma-related morbidity can be reduced by which of the following?

A. Early patient-family education.

B. Teaching self-management skills to patients.

C. Employing current "state of the art" therapy.

D. All of the above.

5. In Infants, exhalation normally:

A. Is shorter than inhalation.

B. Is an active process.

C. Takes 1.5 times as long as inhalation.

D. Takes 3 times as long as inhalation.

6. Infants with bronchopulmonary dysplasla have been shown to improve In response to all but:

A. Intravenous furosemide.

B. Inhaled isoproterenol.

C. Oral glycerol guicolate.

D. Oral chlorothiazide.

7. The most common cause of wheezing In Infants Is:

A, Cystic fibrosis.

B. Bronchial asthma.

C. Viral bronchiolitis.

D. Foreign body aspiration.

8. Wheezing can be distinguished…

INSTRUCTIONS

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

1. Read each of the articles carefully. Do not 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 your 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 15 made out to PEDIATRI C ANNALS CME CENTER, 6900 Grove Road, Thorofare, NJ- 08086.

5. Your answers will be graded, and you will be adivsed 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 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 of New York designates this continuing medical education activity as meeting the criteria for three credit hours in Category I for Educational Materials for the Physician's Recognition Award of the American Medical Association. provided it has been completed according to instrucnons.

CME QUIZ

Pediatrie Asthma Update

1. Which of the following statement* about chHdhood asthma Is correct?

A. Most children outgrow their asthma.

B. The majority of children with asthma present by school age.

C. Children with asthma should routinely be referred to the allergist or pulmonologist for evaluation and care.

D. Asthma-related deaths have reduced in recent years.

2. The prognosis of childhood asthma can be favorably Influenced by which of the following?

A. Aggressive management.

B. Decreasing the frequency of attacks.

C. Decreasing the severity of attacks.

D. All of the above.

3. The prevalence rate for asthma Is lowest among which of the following groups?

A. Whites.

B. Blacks.

C. Hispancs.

D. Maies.

4. Asthma-related morbidity can be reduced by which of the following?

A. Early patient-family education.

B. Teaching self-management skills to patients.

C. Employing current "state of the art" therapy.

D. All of the above.

5. In Infants, exhalation normally:

A. Is shorter than inhalation.

B. Is an active process.

C. Takes 1.5 times as long as inhalation.

D. Takes 3 times as long as inhalation.

6. Infants with bronchopulmonary dysplasla have been shown to improve In response to all but:

A. Intravenous furosemide.

B. Inhaled isoproterenol.

C. Oral glycerol guicolate.

D. Oral chlorothiazide.

7. The most common cause of wheezing In Infants Is:

A, Cystic fibrosis.

B. Bronchial asthma.

C. Viral bronchiolitis.

D. Foreign body aspiration.

8. Wheezing can be distinguished from stricter because:

A. Stridor is primarily expiratory

B. Wheezing occurs during inspiration primarily

C. Stridor Is inspiratory and wheezing is primarily expiratory.

D. Wheezing represents collapse of the upper airway

9. The pharmacologie action of theophylline does not Include the following:

A. Relaxation of bronchial smooth muscle.

B. Diuresis.

C. Enhancement of respiratory muscle function.

D. Decrease in heart rate and cardiac contradi lity

10. Which statement about cromolyn Is correct?

A. Cromolyn is a bronchodilator.

B. Cromolyn is the safest asthma drug on the market.

C. During asthma attacks, cromoryn should be stopped.

D. Cromolyn can be given by the oral or inhaled routes.

11. WMch of the following statements about beta 2 agonists Is Incorrect?

A. The preferred route of delivery is by inhalation.

B. The use of beta 2 agonists has been associated with increased asthma-related deaths.

C. Beta 2 agonists can be safely used in infants.

D. The newer beta 2 agonists are the first drugs of choice for mild asthma.

12. Of the following medications, which are contraindlcated In asthmatic patients?

A. Aspirin and aspirin-containing compounds.

B. Iodides.

C. Combination theoprrylline preparations.

D. All of the above.

13. During periodi of acute asthma symptoms, the following arc helpful:

A. Breathing exerdses.

B. Antibiotics.

C. Cough suppressants.

D. Expectorants.

14. During an asthmatic attack, the airways are held open by which of the following?

A. Unusually negative pleural pressures.

B. Stinting open of the bronchi by smooth muscle.

C. Closure of the glottis during inspiration.

D. None of the above.

15. Which of the following statements are true?

A. A chest x-ray is usually useful in evaluating a child with acute asthma.

B. Hypoxemia is seen during mild asthma.

C. Pulsus paradoxus is seen in mild attacks.

D. Pulsus paradoxus of > 20 mmHg is often associated with an elevation of DCO2.

16. Possible triggers for asthma which can be Identified through education Include:

A. Allergies.

B. Infections.

C. Stress.

D. All of the above.

17. Which one of the following Is not Included as a main objective of asthma self-management programs?

A. Remove the stigma of self-fault for the condition.

B. Integrate the reality of asthma into the lifestyle of the individual's choice.

C. Learn management skills to avoid or minimize conditions which cause asthma attacks.

D. Learn breathing exercises.

18. major drawbacks to residential treatment for asthmatic children include all except which of the following?

A. Increasing cost of medical care.

B. Tendency for the child to have separation anxiety

C. They have not been proven to be effective.

19. information about self-management programs Is available through:

A. Voluntary health agencies.

B. Pharmaceutical firms.

C. Publishing firms.

D. All of the above.

20. Principles of self-management Include all except which one of the following?

A. Asthma is a metabolic disease not the direct fault of the individual.

B. All asthmatic children need breathing exercises.

C. It is easier to prevent than treat an attack of asthma.

D. People with asthma can lead full and active lives.

10.3928/0090-4481-19860201-11

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