All posttests must be taken on the AAPA Web site. Please go to http://www.aapa.org/cme/post-test.html to complete and submit this test. 

CONGENITAL HEARING LOSS, PAGE 22

   1.   Conductive hearing loss is caused by

a.   Pathology of the tympanic membrane or middle ear
b.   Damage to the hair cells of the inner ear
c.   An abnormality of the 8th cranial nerve
d.   Damage to the upper auditory pathways

   2.   All infants whose newborn screening result is positive for hearing loss should have a diagnostic audiologic evaluation before age

a.   1 month
b.   3 months
c.   6 months
d.   1 year

   3.   Environmental causes of hearing loss commonly include medications, particularly

a.   Thiazide diuretics
b.   Opioids
c.   Aminoglycosides
d.   Tricyclic antidepressants

   4.   Subtle signs of possible syndromic involvement include

a.   Hypotonia
b.   Joint laxity
c.   Small distal phalanges
d.   Tall or small stature

   5.   Among the most common medical problems concomitant with hearing loss is

a.   Vestibular dysfunction
b.   Migraine headache
c.   Hypertension
d.   Thyroid dysfunction

   6.   Risks associated with cochlear implants include a possibly increased risk of

a.   Severe tinnitus
b.   Malignant otitis externa
c.   Meningitis
d.   Ménière's syndrome

DIVERTICULAR DISEASE, PAGE 48

   7.   Patients with diverticular disease of the colon (DDC) commonly present with

a.   Tenesmus
b.   Diffuse abdominal pain
c.   Leukocytosis
d.   Weight loss

   8.   Diverticulitis occurs when the diverticula become inflamed, most often because of

a.   Altered colonic motility
b.   An entrapped fecalith
c.   Localized ischemia
d.   A small bowel obstruction

   9.   The most common factor to influence the prevalence of DDC is

a.   Increased life expectancy
b.   Cigarette smoking
c.   Alcohol and caffeine consumption
d.   Obesity

   10.   Fifty percent of patients with DDC present with

a.   Urinary symptoms
b.   Diarrhea
c.   Spiking fever
d.   Constipation

   11.   A palpable mass suggests the presence of a

a.   Polyp
b.   Contained abscess
c.   Colorectal tumor
d.   Colovesical fistula

   12.   Sigmoidoscopy and/or colonoscopy will show inflammation, “cobblestoned” colonic mucosa, and ulcerations in patients with

a.   Atypical appendicitis
b.   A redundant sigmoid colon
c.   Inflammatory bowel disease
d.   Malabsorption

EXPIRATION DATE: JUNE 2009

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.