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.


CARCINOMA OF UNKNOWN PRIMARY

1. Lynch syndrome should be considered in persons with a strong family history of early-onset
a. Breast cancer
b. Cancer of the brain
c. Colon cancer
d. Lung cancer

2. A serum tumor marker associated with hepatocellular carcinoma is
a. Carbohydrate antigen 125
b. Carcinoembryonic antigen
c. Chromogranin A
d. Alpha-fetoprotein

3. Sixty percent of tumors in patients with CUP are
a. Poorly differentiated carcinoma
b. Adenocarcinoma
c. Squamous cell carcinoma
d. Neuroendocrine carcinoma

4. A primary prognostic indicator in the treatment of CUP is
a. Serum lactate dehydrogenase level
b. Serum potassium level
c. Neutrophil count
d. Uric acid measurement

5. For patients with disseminated disease and no strong indications of a primary site, first-line chemotherapy is often a regimen based on
a. An alkylating agent
b. An antimetabolite
c. A platinum agent
d. A vinca alkaloid

6. A symptom associated with a carcinoid-type carcinoma is
a. Cough
b. Flushing
c. Headache
d. Hematuria

RUPTURED ACHILLES TENDON

7. Haglund's syndrome is when a patient with Haglund's deformity develops
a. Pain and swelling in the posterior aspect of the ankle
b. Reduced blood flow to the posterior tibial artery
c. Chronic instability of the ankle
d. Painful mechanical limitation of full range of motion

8. A safe exercise for the Achilles tendon is
a. Running on a treadmill
b. Swimming
c. Rowing
d. Brisk walking

9. A study used regularly to confirm fractures and osteochrondal lesions is
a. Scintigraphy
b. Musculoskeletal ultrasonography
c. MRI
d. CT scan

10. Before a determination can be made that a good connection of a ruptured Achilles tendon has occurred, a short-leg cast should be worn for
a. 1 month
b. 2 months
c. 3 months
d. 4 months

11. Muscle strength is measured by the patient's ability to perform
a. Tandem walking
b. A single heel raise
c. A leg raise against resistance
d. A deep knee bend

12. Most wound-related complications are caused by
a. Increased skin tension at the heel
b. Premature removal of sutures/staples
c. Prolonged immobility
d. Recurrence of rupture


CME EXPIRATION DATE: AUGUST 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.