EPIDERMOLYSIS BULLOSA, PAGE 22
1. The gold standard diagnostic test for epidermolysis bullosa (EB) is
a. Cell culture
b. Light microscopy
c. Electron microscopy
d. Immunofluorescence microscopy
2. The Weber-Cockayne variant of epidermolysis bullosa simplex (EBS) is localized to the
a. Hands and feet
b. Lower extremities
c. Upper extremities
d. Trunk
3. A distinctive feature of the Dowling-Meara variant of EBS is that
a. Heat exacerbates blistering
b. Teeth are eroded due to enamel defects
c. Mortality rate is near 100% by age 5 years
d. Febrile episodes reduce blistering
4. The most distressing complication associated with recessive dystrophic EB Hallopeau-Siemens variant is
a. Limb contractures
b. Increased risk of skin cancer
c. Periodontal disease
d. Growth retardation
5. A manifestation of the organs most severely affected by EB is
a. Chronic anemia
b. A symblepharon
c. Pseudosyndactyly
d. Esophageal scarring
6. The mainstay of treatment for EB is
a. Aspirating blister contents
b. Applying corticosteroid creams
c. Changing the dressings daily
d. Deroofing of blisters
INSOMNIA, PAGE 40
7. Insomnia with daytime impairment or marked distress affects approximately what percent of the adult population in the United States?
a. 10%
b. 20%
c. 35%
d. 40%
8. An OTC herbal supplement that may cause insomnia is
a. Black cohosh
b. Ginseng
c. Gingko biloba
d. Echinacea
9. Early morning awakenings may suggest a diagnosis of
a. Restless leg syndrome
b. Obstructive sleep apnea
c. Narcolepsy
d. Depression
10. A short rebound insomnia has been observed with the abrupt discontinuation of
a. Zaleplon
b. Trazodone
c. Zolpidem
d. Temazepam
11. A medication that may play a role in treating patients with a history of chemical dependency is
a. Ramelteon
b. Triazolam
c. Eszopiclone
d. Amitriptyline
12. A possible adverse effect associated with valerian supplementation is
a. Photosensitivity
b. Blood dyscrasia
c. Hallucinations
d. Hepatotoxicity
EXPIRATION DATE: JULY 2009 - 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.