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 successfully answering the questions in the quiz below. To obtain credits, follow these instructions.
1. Read each of the article« 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 (ink 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 S 1 5 made out to PEDIATRIC 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 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.
As an organization accredited for continuing medical education, the Lexon Hill Hospital of New York designates this continuing medical education activity as meeting tne entena for three credit hours in Category I for Educational Materials for trie Physician's Recognition Award of tne Ametican Medical Association, ptovided it has been completed according to instructions.1
Pediatrie Cardiology-New Concepts In Management
1. Kawasaki syndrome occurs chiefly during the spring months.
2. Kawasaki syndrome Is chiefly an illness of children older than nve years.
3. Abnormalities of the coronary arteries are detected on echocardlography In 50% of children.
4. Unusual elevation of the platelet count Is characteristic of Kawasaki syndrome.
5. All ventricular sept a I defects can be visualized by twodimensional echocardlography.
6. The evaluation of a five-yearold with a mid-systolic, vibratory (Still's) murmur at the lower left sternal border should Include echocardiography and a Doppter evaluation.
7. K Is appropriate to refer for a fetal echocardlogram a woman In her fifth month of pregnancy whose first child died because of hypoplastte left heart syndrome.
8. Doppler studies supplement two-dimensional echocardfograpny.
9. When the Interrogating beam for iample volume Is properly aligned, one can Identify leftto-rlght shunts and obstructed flow with accuracy.
10. All children undergoing Doppler echocardlography require sedation.
11. A Doller-determined peak flow velocity of 3.0 m/sec Is consistent with a grathent of:
A. 12 mmHg,
B. 27 mmHg.
C. 36 mmHg.
D. 40 mmHg.
12. Which of the following does not characterize the physiologic response to dynamic exercise?
A. Shift in the oxyhemoglobin curve.
B. Increase in cardiac output.
C. Ad/energie stimulation to increase myocardial contractility
D. Significant increase in total peripheral vascular resistance.
13. Which group of patients should not be exercised?
A. Those with suspected ventricular tachycardia.
B. Pediatrie patients with significant chest pain.
C. Those with manifest symptoms of heart failure.
D. Patients with known left ventricular outflow tract disease.
14. Parameters evaluated during dynamic exercise tolerance testing include all of the following except:
A. Maximal O2 consumption.
B. SuDmaximal heart rate and blood pressure response.
C. Recovery electrocardiographs changes.
D. Post-exercise symptomology
15. Exercise tolerance testing has been least accurate and valuable in:
A. Assessing severity of left ventricular outflow tract disease.
B. Provoking arrhythmia.
C. Evaluating blood pressure normals and 16. C
D. Working-up patients with chest pain.
16. The case fatality rate of RSV Infections In Infants wfth congenital heart disease Is approximately:
17. Features distinguishing lower respiratory tract Infection with RSV from congestive heart failure are:
A. The presence of hyperinflation on chest x-ray
B. The absence of organomegaly and enlarging heart size.
C. Fever and rhinorrhea.
D. All of the above.
18. Ribavirin therapy of RSV Infections:
A. Is given intravenously
B. Speeds clinical recovery and decreases the amount of viral shedding.
C. Does not affect the morbidity associated with RSV infections.
D. Is recommended only for high-risk children who are hospitalized with RSV
19. Pulmonary function tests do not help In evaluating the child with:
A. Mild congenital heart disease and dyspnea on moderate exertion.
B. Pectus excavatum.
C. Scoliosis and tetralogy of Fallot.
D. Innocent murmur.
20. Pulmonary function tests should be Interpreted by considering all of the following except:
B. Height and weight.
C. Time of day.
ANSWERS TO THE MAY QUIZ
Pediatrie Immunology I