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. Nonmember PAs 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 RESPIRATORY TRACT INFECTIONS, PAGE 22

1. Influenza in adults is differentiated from acute respiratory tract infections by the presence of
a. Wheezing
b. Dyspnea
c. Low-grade fever
d. Marked myalgia


2. The diagnosis of acute bacterial sinusitis in adults should be reserved for patients who have
a. Clear, watery nasal discharge
b. Ear pressure
c. Maxillary facial pain
d. Spiking fever


3. One of the likely pathogens involved in acute bacterial sinusitis in adults is
a. Mycoplasma pneumoniae
b. Haemophilus influenzae
c. Moraxella catarrhalis
d. Pseudomonas aeruginosa


4. A reliable indicator of group A streptococcal pharyngitis is absence of
a. A cough
b. A fever
c. Lymphadenopathy
d. An exudate


5. Chest radiography findings in a patient with acute bronchitis are
a. Consolidation
b. Flat diaphragms
c. Diffuse infiltrates
d. Normal


6. In a study by Finkelstein and colleagues, educational interventions reduced antibiotic prescriptions for children
aged 3 to 36 months by
a. 11.5%
b. 15.0%
c. 18.6%
d. 22.1%


PORTAL HYPERTENSION, PAGE 38


7. A posthepatic condition associated with portal hypertension is
a. Unstable angina pectoris
b. Constrictive pericarditis
c. Dilated cardiomyopathy
d. Rheumatic heart disease

8. Outside the United States, the most common cause of portal hypertension is
a. Schistosomiasis
b. Malaria
c. Trichinosis
d. Enterobiasis


9. The model for end-stage liver disease score is based on
a. Prothrombin time
b. Serum albumin
c. International normalized ratio levels
d. Presence of ascites


10. As long as there are no contraindications, patients who have had variceal bleeding should initially be
started on
a. An angiotensin receptor blocker
b. A calcium channel blocker
c. An ACE inhibitor
d. A beta-blocker


11. If ascites persists, diuretic dosages should be progressively increased including up to a maximum
dosage of 400 mg/d of
a. Furosemide
b. Spironolactone
c. Mannitol
d. Acetazolamide


12. An intervention that should not be used in patients with intractable ascites is
a. A devascularization procedure
b. An H-graft portacaval shunt
c. A distal splenorenal shunt
d. A transjugular intrahepatic portosystemic shunt


CME EXPIRATION DATE: APRIL 2010
Successful completion of the self-assessment is required to earn Category I CME credit. Successful completion is defined as a cumulative score of at least 70% correct.