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.


ANTIBIOTIC RESISTANCE, PAGE 18

1. One of the first multi-drug resistant bacteria to be identified was
a. Mycobacterium tuberculosis
b. Escherichia coli
c. Streptococcus pneumoniae
d. Staphylococcus aureus

2. A study of the effect of antibiotic exposure on oral streptococcal flora found that
a. Commensal flora can act as a reservoir of resistance
b. Sensitive streptococci returned to baseline within 6 months
c. The highest number of resistant organisms was seen by treatment day 7
d. Resistance after the drug course was completed was only 20%

3. Multidrug efflux pumps prohibit the efficacy of
a. Quinolones
b. Aminoglycosides
c. Chloramphenicol
d. Tetracycline

4. A prospective study found that the most important risk factor associated with inadequate therapy was
a. Recent medical history
b. Age of the patient
c. Prior antibiotic administration
d. Underlying chronic diseases

5. Updated guidelines for treating community-acquired pneumonia in patients who are stable and afebrile for 48
to 72 hours recommend antibiotic treatment for
a. 5 days
b. 7 days
c. 10 days
d. 14 days

6. Fewer days of fever, fewer clinic visits, and fewer antibiotic prescriptions occurred when probiotics were given to
a. Students living in dormitories
b. Immunocompromised adults
c. Patients in an assisted-living facility
d. Infants attending day-care

DEPRESSION IN PEDIATRIC PATIENTS, PAGE 38

7. The collective incidence of major depressive disorder during childhood and adolescence is
a. 5% to 10%
b. 10% to 15%
c. 15% to 20%
d. 20% to 25%

8. In adolescent patients, dysthymic disorder is characterized by
a. A major depressive episode lasting 2 to 3 months
b. An overwhelming irritable mood for at least a year
c. Mixed episodes of mood disturbance
d. Prolonged mourning for loss of a loved one

9. A common manifestation of depression in a teenager is
a. A sudden drop in grades
b. Temper tantrums
c. School phobia
d. Frequent headaches/stomachaches

10. Specific monoamine neurotransmitters used in the therapeutic approach to depressive disorders are
norepinephrine and
a. Dopamine
b. Endorphin
c. Acetylcholine
d. Serotonin

11. The typical course of a major depressive episode in adolescence lasts
a. 1 to 3 months
b. 4 to 6 months
c. 7 to 9 months
d. 9 months to a year

12. The TADS study found that the most effective treatment for acute-phase depression in adolescents is cognitive behavior therapy and
a. Sertraline
b. Fluoxetine
c. Amitriptyline
d. Bupropion


CME EXPIRATION DATE: MARCH 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.