AAPA members should complete and submit posttests on the AAPA Web site by going to www.aapa.org and searching for keyword JAAPA post-tests. All others may complete and submit posttests online at no charge at www.myCME.com. To obtain 1 hour of AAPA Category I CME credit, PAs must receive a score of 70% or better on each test taken.

ACUTE OTITIS MEDIA

1. A 2008 study revealed that 35% of children who acquired acute otitis media (AOM) at least once had

a. Used a pacifier
b. Used a bottle
c. Attended day care
d. Been exposed to secondhand smoke

2. Which of the following is not a significant early sign of AOM?

a. Altered sleep habits
b. Ear pulling
c. Drainage from the ears
d. Irritability

3. What feature of AOM is seen in older children?

a. Damaged tympanic membrane
b. Hearing loss
c. Sudden onset of pain in a specific ear
d. Toxic appearance

4. AOM has an 80% spontaneous resolution rate without antibiotic use when caused by

a. Pseudomonas aeruginosa
b. Streptococcus pneumoniae
c. Haemophilus influenzae
d. Moraxella catarrhalis

5. The drug of choice for acute otitis media is

a. Sulfamethoxazole
b. Amoxicillin
c. Ceftriaxone
d. Azithromycin

6. The safety-net approach to antibiotic prescriptions (SNAP) should not be used in children with

a. A temperature greater than 101.5°F
b. AOM infection in the past 3 months
c. Symptoms lasting longer than 2 days
d. All of the above

MIGRAINE

7. The most common type of migraine aura is

a. Auditory
b. Sensory
c. Visual
d. Motor

8. It is highly unusual for a primary headache disorder to

a. Be unilateral
b. Manifest after age 50 years
c. Cause nausea or vomiting
d. Last longer than 30 to 60 minutes

9. One of the most common triggers of migraine headaches is

a. Cigarette smoke
b. Bright or flickering lights
c. Caffeine
d. Poor sleep patterns

10. Triptans are contraindicated in patients with

a. Peripheral vascular disease
b. Estrogen use
c. Hypercholesterolemia
d. Sleep apnea

11. It is necessary to wait 4 hours before taking the second dose of

a. Maxalt
b. Amerge
c. Triximet
d. Frova

12. Because of an association with cardiac arrhythmias, some migraine experts do not prescribe

a. Metoclopramide
b. Olanzapine
c. Chlorpromazine
d. Quetiapine