All posttests must be taken on the AAPA Web site. Please go to http://www.aapa.org/education-and-certification/continuing-medical-education/online-post-tests#JAAPA to complete and submit this test.

ANTENATAL DEPRESSION, PAGE 24

   1.   A validated screening tool for antenatal depression is the

a.   Hamilton Depression Rating Scale
b.   Patient Health Questionnaire
c.   Burns Depression Checklist
d.   Beck Depression Inventory

   2.   The risk of major congenital malformations or intrauterine death was not increased by antenatal exposure to

a.   Fluoxetine
b.   Sertraline
c.   Escitalopram
d.   Zimelidine

   3.   A meta-analysis found a slightly higher risk for fetal cardiac defects with first-trimester exposure to

a.   Sertraline
b.   Paroxetine
c.   Fluvoxamine
d.   Citalopram

   4.   The tricyclic antidepressant of choice during pregnancy is

a.   Doxepin
b.   Desipramine
c.   Nortriptyline
d.   Iprindole

   5.   The period of greatest risk for CNS structural and neurochemical abnormalities is gestational days

a.   1 through 13
b.   14 through 35
c.   21 through 56
d.   42 through 63

   6.   Infants with serum levels of antidepressants that are more than 10% of maternal levels usually display symptoms of toxicity such as

a.   Poor feeding
b.   Tight muscle tone
c.   Diarrhea
d.   High-pitched crying

EVALUATING NECK PAIN, PAGE 38

   7.   According to a US study, more than two-thirds of patients presenting with mild to severe aches and pains were suffering from

a.   Alcohol dependence
b.   Depression
c.   Post-traumatic stress disorder
d.   Insomnia

   8.   The Spurling maneuver, also known as the foraminal compression test, is used to

a.   Exacerbate radicular symptoms
b.   Determine range of neck motion
c.   Assess deep tendon reflexes
d.   Evaluate dermatomal pattern

   9.   The most accurate imaging method for assessing intervertebral disk disease is

a.   CT
b.   Electromyelography
c.   MRI
d.   Bone scan

   10.   The first-line treatment for moderate pain is

a.   Ibuprofen
b.   Acetaminophen
c.   Indomethacin
d.   Aspirin

   11.   First-line medication for neuropathic pain is

a.   Sertraline
b.   Amitriptyline
c.   Carbamazepine
d.   Pregabalin

   12.   An activity that is more beneficial in the treatment of acute pain problems is

a.   Rehabilitation exercises
b.   Transcutaneous electrical stimulation
c.   Cryotherapy
d.   Limited rest
CME EXPIRATION DATE: SEPTEMBER 2009 - EXPIRED

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.