Pediatric Annals

CME QUIZ

Abstract

INSTRUCTIONS

1. Review the stated learning objectives of the CME articles and determine if these objectives match your individual learning needs.

2. Read the articles carefully. Do not neglect the tables and other illustrative materials, as they have been selected to enhance your knowledge and understanding.

3. The following quiz questions have been designed to provide a useful link between the CME 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 should you choose to request them.

4. Type or print your full name and address and your date of birth in the space provided on the CME REGISTRATION FORM.

5. Complete the evaluation portion of the CME registration form. Forms and quizzes cannot be processed if the evaluation portion is incomplete. The evaluation portion of the CME registration form will be separated from the quiz upon receipt at PEDIATRIC ANNALS. Your evaluation of this activity will in no way affect the scoring of your quiz.

6. Send the completed form, with your $25 payment (check, money order.or credit card information) to: PEDIATRIC ANNALS CME QuJz1PO Box 36,Thorofare NJ 08086. Payment should be made in US dollars drawn on a US bank.

7. Your answers will be graded, and you will be advised whether you have passed or failed. Unanswered questions will be considered incorrect. A score of at least 80% is required to pass. Upon receiving your grade, you may request quiz answers. Contact our customer cervice department at (856) 848-1 000 ext.581.

8. Be sure to mail the CME registration form on or before the deadline listed. After that date, the quiz will close. CME registration forms received after the date listed will not be processed.

CME ACCREDITATION

This CME activity is primarily targeted to pediatricians, osteopathic physicians, pediatrie nurse practitioners, and others allied to the field. There are no specific background requirements for participants taking this activity. SLACK Incorporated is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

SLACK Incorporated designates this educational activity for a maximum of 3 category 1 credits toward the AMA Physician's Recognition Award. Each physician should claim only those credits that he/she actually spent in the activity.

FULL DISCLOSURE POLICY

Current ACCME policies state that participants in CME activities should be made aware of a faculty member's significant financial or other relationships. Therefore, all faculty members participating in any SLACK Incorporated-sponsored activity are expected to disclose to the activity audience their relationships (1) with the manufacturers) of any commercial produces) and/or provideris) of commercial service(s) discussed in an educational presentation and (2) with any commercial supporters of the activity. (Such relationships can include grants or research support employee, consultant, major stockholder, member of speakers bureau, etc.) The intent of this disclosure is not to prevent a presenter with a significant financial interest or other relationship from making a presentation, but rather to provide participants with information on which they can make their own judgments. It remains for the audience to determine whether the presenter's interests or relationships may influence the presentation with regard to exposition or conclusion.

In accordance with ACCME policies, the audience is advised that this continuing medical education activity may contain references to unlabeled uses of FDA-approved products or to products not approved by the FOA for use in the United States, The faculty members have been made aware of their obligation to disclose…

INSTRUCTIONS

1. Review the stated learning objectives of the CME articles and determine if these objectives match your individual learning needs.

2. Read the articles carefully. Do not neglect the tables and other illustrative materials, as they have been selected to enhance your knowledge and understanding.

3. The following quiz questions have been designed to provide a useful link between the CME 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 should you choose to request them.

4. Type or print your full name and address and your date of birth in the space provided on the CME REGISTRATION FORM.

5. Complete the evaluation portion of the CME registration form. Forms and quizzes cannot be processed if the evaluation portion is incomplete. The evaluation portion of the CME registration form will be separated from the quiz upon receipt at PEDIATRIC ANNALS. Your evaluation of this activity will in no way affect the scoring of your quiz.

6. Send the completed form, with your $25 payment (check, money order.or credit card information) to: PEDIATRIC ANNALS CME QuJz1PO Box 36,Thorofare NJ 08086. Payment should be made in US dollars drawn on a US bank.

7. Your answers will be graded, and you will be advised whether you have passed or failed. Unanswered questions will be considered incorrect. A score of at least 80% is required to pass. Upon receiving your grade, you may request quiz answers. Contact our customer cervice department at (856) 848-1 000 ext.581.

8. Be sure to mail the CME registration form on or before the deadline listed. After that date, the quiz will close. CME registration forms received after the date listed will not be processed.

CME ACCREDITATION

This CME activity is primarily targeted to pediatricians, osteopathic physicians, pediatrie nurse practitioners, and others allied to the field. There are no specific background requirements for participants taking this activity. SLACK Incorporated is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

SLACK Incorporated designates this educational activity for a maximum of 3 category 1 credits toward the AMA Physician's Recognition Award. Each physician should claim only those credits that he/she actually spent in the activity.

FULL DISCLOSURE POLICY

Current ACCME policies state that participants in CME activities should be made aware of a faculty member's significant financial or other relationships. Therefore, all faculty members participating in any SLACK Incorporated-sponsored activity are expected to disclose to the activity audience their relationships (1) with the manufacturers) of any commercial produces) and/or provideris) of commercial service(s) discussed in an educational presentation and (2) with any commercial supporters of the activity. (Such relationships can include grants or research support employee, consultant, major stockholder, member of speakers bureau, etc.) The intent of this disclosure is not to prevent a presenter with a significant financial interest or other relationship from making a presentation, but rather to provide participants with information on which they can make their own judgments. It remains for the audience to determine whether the presenter's interests or relationships may influence the presentation with regard to exposition or conclusion.

In accordance with ACCME policies, the audience is advised that this continuing medical education activity may contain references to unlabeled uses of FDA-approved products or to products not approved by the FOA for use in the United States, The faculty members have been made aware of their obligation to disclose such usage.

Questions 1 through 5 an taken from the article "The Psychophyslology of Child Misconduct" by Angela Scarpa, PhD; and Adrían Raine, DPhH.

1. The most reproducible psychophysiological finding in relation to antisocial behavior in children and adolescents is:

A. Reduced resting heart rate.

B. Reduced resting skin conductance.

C. Abnormal electroencephalogram (EEG).

D. Increased autonomie findings.

2. EEC findings have implicated which area of the brain in violent children and adolescents?:

A. Frontal lobes.

B. Amygdala.

C. Basal ganglia.

D. Corpus callosum.

3. A child progressing from bullying others to more serious physical fighting and finally to violent acts such as assault Is following which developmental pathway to delinquency?:

A. Authority-conflict pathway.

B. Overt pathway.

C. Covert pathway.

D. None of the above.

4. Which EEC frequency pattern is associated with sleep?:

A. Alpha.

B. Theta.

C. Delta.

D. Beta.

5. Children and adolescents following the life-course-persistent antisocial behavior course account for approximately which percent of the general population?:

A. 15%.

B. 20%.

C. 7%.

D. 2%.

Questions 6 through 9 are taken from the article "Evaluating Wickedness in Children" by Amar Af. Haroun, MD; and Nasra 5. rlarount MD.

6. All are true regarding exclusive parental attention except:

A. It is a statistic derived from multiplying the number of caretakers available to the child by the number of children in the family.

B. If the number is high the child will probably receive a great deal of exclusive attention, which is a protective risk factor for maladaptive behavior.

C. If the number is low the child will receive less exclusive attention, which is an increased risk factor for maladaptive behavior.

D. It is a statistic derived from dividing the number of caretakers available to the child by the number of children in the family.

7. According to criteria in the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV), which of the folowing is considered a permissive drug?:

A. Cannabis.

B. Amphetamines.

C. Alcohol.

D. Cocaine.

8. According to DSM-/V criteria, all of the following are considered prescriptive drugs except:

A. Cocaine.

B. Cannabis.

C. Inhalants.

D. PCP.

9. Affetive aggression is characterized by all of the following except:

A. Usually occurs in response to external provocation with the aim of eliminating the provocation.

B. Associated with little to no guilt or remorse for actions.

C. Usually is not premeditated.

D. Often inefficient in that it achieves little reward.

Questions 10 through 15 are toten from the article "Psychopharmacologlc Treatment of Aggression in Children and Adolescents" by Steven Ruths, MD; and Hans Steiner, MD.

10. All of the following statements regarding chronic maladaptive aggression in youth are correct except:

A. Aggression is always instrumental, with a particular outcome achieved through the aggressive act.

B. Covert aggression, although undetected, may signal significant psychopathology.

C. Approximately 1 7% of 1 3-year-old children have a problem with reactive-affective-defensive-impulsive (RADI) aggression.

D. Children with a propensity for RADI aggression often misread social cues and have a "hair trigger" response to stimuli.

11. Correct statements about mood stabilizers include all of the following except:

A. Conventionally, a mood stabilizer is defined as a medication that is effective in the treatment of any phase of bipolar disorder.

B. Lithium is the oldest and most studied mood stabilizer in aggressive youth.

C. Carbamazepine has been shown to be superior to placebo in random controlled trials for the treatment of aggression in youth.

D. Divalproex has a wider therapeutic window than lithium.

12. All of the following statements regarding antipsychotks are true except:

A. Typical antipsychotics have a high propensity for extrapyramidal side effects.

B. Risperidone is the most studied second-generation antipsychotic used in the treatment of aggression in youth.

C. Ziprasidone and aripiprazole have the least propensity for producing weight gain.

D. When compared to mood stabilizers, antipsychotics have the disadvantage of a tong time to onset of action.

13. Which of the following statements regarding serotonln Is correct?:

A. Centrai serotonin functioning is directly related to impulsive aggression and violence.

B. Selective serotonin reuptake inhibitors (SSRIs) have not been found to reduce aggression and irritability in youth.

C. Fluoxetine has the shortest half-life of the SSRIs.

D. SSRIs may unmask a bipolar diathesis.

14. All of the following statements are correct except:

A. In an open-label study, clonidine was found effective in reducing aggression in children ages 5 to 15 who were characterized by cruel behavior and destructive of property.

B. Clonidine has been shown to reduce central nervous system GABA levels.

C. Amantadine is an NMDA receptor antagonist that may reduce depression.

D. Benzodiazepines may cause sedation, cognitive dulling, and behavioral disinhibition.

15. All of the following statements are true except: A. Beta-blockers have been shown to be safe and effective in randomized controlled clinical trials for the treatment of chronic aggression in children without mental retardation.

B. Buspirone is a 5-HT 1 A receptor agonist that may reduce aggression.

C. Novel anti-epileptic agents have not been studied in randomized controlled clinical trials for the treatment of chronic aggression in children and adolescents.

D. Trazadone has been shown to be a safe and effective treatment of aggression in children with disruptive behavior disorders in one open-label study.

Questions 16 through 20 are taken from the article "Neuropsychological Characteristics of juvenile Delinquency" by Saadla A. Ahmad; Jeffrey B. Titus, PhD; and Cory D. Säumten, PhD.

16. Research studies have indicated that what percentage of adolescents displaying delinquent behaviors also have some type of inefficiency In neuropsy enologica! processing?;

A. 1% to 2%.

B. 15% to 20%.

C. 30% to 50%.

D. 60% to 80%.

17. Which of the following are typically true about the Wechsler Verbal IQ (VIQ) to Performance IQ (PIQ) relationship demonstrated in children with juvenile delinquency?:

A. PIG < VIQ.

B. PIQ = VIQ.

C. PIQ > VIQ.

D. None of the above.

18. Which of the following statements regarding research findings on verbal deficits and juvenile delinquency are true?;

A. There are no consistent verbal deficits found that are related to juvenile delinquency.

B. All children with verbat learning disabilities are at increased risk for juvenile delinquency.

C. Children with higher order verbal deficiencies are at increased risk for juvenile delinquency.

D. Children with articulation difficulties are at increased risk for juvenile delinquency.

19. Specific executive dysfunction thought to be subserved by which region of the brain has been found in studies of neuropsychological functioning of children with juvenile delinquency?:

A. Parietal lobes.

B. Temporal lobes.

C. Thalamic nuclei.

D. Frontal lobes.

20. Studies examining the neuropsychological characteristics of children with ADHD and conduct disorder indicate:

A. All children with ADHD are at equal risk for conduct disorder and juvenile delinquency.

B. Children with ADHD who also have executive deficits including organization of complex material, planning and strategy are are at increased risk for conduct disorder.

C. Children with ADHD have no increased risk for conduct disorder.

D. Children with ADHD and visual memory deficiencies are at increased risk for conduct disorder.

10.3928/0090-4481-20040501-12

Sign up to receive

Journal E-contents