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. All others 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.

CHILDHOOD OBESITY PART 1

1. According to the CDC, the best way to monitor 
weight in children is to


a. Measure waist circumference

b. Perform skinfold tests

c. Calculate body mass index

d. Use scale measures


2. The rate of obesity is highest in children who are


a. 8 to 10 years old

b. 10 to 11 years old

c. 12 to 14 years old

d. 15 to 17 years old


3. In 2008, the prevalence of childhood obesity 
was found to be highest among 


a. Non-Hispanic blacks

b. Non-Hispanic whites

c. Hispanics 

d. American Indian/Alaskan natives


4. Childhood obesity can be attributed to


a. Growth hormone deficiency

b. Addison disease

c. Hyperthyroidism

d. Adrenal insufficiency


5. A funduscopic finding associated with pseudotumor cerebri is


a. Cotton patch exudates

b. Flame-shaped hemorrhages

c. Blurring of the optic disk margins

d. Kayser-Fleischer rings


6. Starting at age 10 years, children deemed to be 
at increased risk of metabolic syndrome should 
begin testing for


a. Liver function 

b. Oral glucose tolerance 

c. Triglyceride level 

d. Urinary albumin level


CHILDHOOD OBESITY PART 2

7. One of the most common cardiac comorbidities of 
childhood obesity is


a. Cardiomyopathy

b. Hypertension

c. Mitral valve prolapse

d. Coronary disease


8. The mainstay of treatment for childhood 
dyslipidemia is 


a. Diet and exercise

b. Fish oil supplements

c. Statins

d. Fibrates


9. Which medication can be started when the fasting 
blood glucose is between 126 and 200 mg/dL?


a. Sitagliptin

b. Chlorpropamide

c. Glipizide

d. Metformin


10. Childhood obesity can predispose a child to 


a. Scoliosis

b. Hip dysplasia

c. Slipped capital femoral epiphysis

d. Metatarsus varus


11. The primary goal of dietary intervention for treatment 
of childhood obesity is to


a. Increase servings of fruits and vegetables

b. Reduce total caloric intake

c. Decrease intake of fat

d. Avoid overly processed foods


12. The suggested first-line drug for obesity unresponsive 
to lifestyle modifications is 


a. Sibutramine

b. Exenatide

c. Fenfluramine

d. Orlistat