CHARCOT'S ARTHROPATHY
1. A key factor in the development of neuropathic
arthropathy is
a. Decreased local blood flow
b. Loss of hyaline cartilage
c. An unrecognized injury
d. Synovial proliferation
2. According to the anatomic classification of Charcot's
arthropathy, type 5 indicates that the affected region
is the
a. Forefoot
b. Hindfoot
c. Ankle joint
d. Posterior calcaneous
3. A bone biopsy is used to definitively diagnose
a. Rheumatoid arthritis
b. Osteomyelitis
c. Osteoporosis
d. Gout
4. On a radiograph, stage 1 Charcot's arthropathy will
appear as
a. Resorption of intra-articular debris
b. Reformation of the joint architecture.
c. Fusion of larger bony fragments
d. Joint subluxation
5. The most common surgical procedure used to treat
diabetes-related foot deformity is
a. Partial tarsectomy
b. Arthrodesis
c. Achilles tendon lengthening
d. Exostectomy of the bony prominence
6. Which class of drugs is a new area of interest in the
treatment of Charcot's arthropathy?
a. DMARDs
b. Corticosteroids
c. Biophosphonates
d. Hormones
HYPOCHONDRIASIS
7. A characteristic associated with hypochondriasis is
a. A preoccupation with the belief of having a serious illness
b. Intentional faking of signs and symptoms of medical illness
c. Neurologic complaints that cannot be explained clinically
d. The deliberate production of physical or psychological
symptoms
8. Which of the following is a diagnostic criterion for
hypochondriasis?
a. A marked concern for a slight physical anomaly
b. A deficit primarily affecting sensory function
c. A history of symptoms suggesting a neurologic disorder
d. Significant functional impairment
9. Hypochondriasis can be differentiated from anxiety by the
extent to which symptoms
a. Involve many organ systems
b. Are related to central nervous system arousal
c. Interfere with social functioning
d. Improve when reassurance is provided
10. Rather than hypochondriasis, a patient who is younger
than 30 years, female, and has a history of chronic
complaints is more likely to have
a. Conversion disorder
b. Body dysmorphic disorder
c. Somatization disorder
d. Factitious disorder
11. Some beneficial affect has been seen when treating
hypochondriasis with
a. Clomipramine
b. Lorazepam
c. Haloperidol
d. Zolpidem
12. The most widely accepted treatment for hypochondriasis is
a. Removal of symptoms
b. Increased access to the health care provider
c. Invalidation of somatic symptoms
d. Cognitive behavior therapy
CME EXPIRATION DATE: JULY 2008 – 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.