AAPA Fellow 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.

EXAMINATION OF THE SHOULDER

1. Patients older than 40 years typically present with

a. Arthritis of the glenohumeral joint
b. Shoulder dislocation
c. Acromioclavicular injury
d. Adhesive capsulitis

2. A winging scapula is suggestive of injury to the

a. Acromioclavicular joint
b. Long thoracic nerve
c. Supraspinatus muscle
d. Humeral head

3. The cross body (horizontal) adduction test is used to assess

a. Scapula motion
b. The rotator cuff
c. Shoulder laxity
d. The acromioclavicular joint

4. A torn subscapularis is diagnosed by a positive result on the

a. Belly-press test
b. Lift-off test
c. Jobe's “empty can” test
d. Hawkins-Kennedy test

5. The gold standard for assessing anterior shoulder subluxations and dislocations is

a. The anterior drawer test
b. The posterior drawer test
c. The apprehension relocation test
d. The load and shift test

6. “Apply resistance as the patient forward fl exes the shoulder while standing with the elbow at full extension” best describes the

a. Anterior slide test
b. Jerk test
c. Crank test
d. Speeds test

MILD THERAPEUTIC HYPOTHERMIA

7. A medication used in the setting of therapeutic hypothermia to inhibit shivering is

a. Alprazolam
b. Midazolam
c. Clonazepam
d. Lorazepam

8. Of the following, a possible mechanism for postresuscitation syndrome is

a. Perfusion failure
b. Reoxygenation injuries
c. Blood derangements
d. All of the above

9. An effect of hypothermia is

a. Greater intracranial pressure
b. Increased production of tissue acidosis
c. Accelerated neuronal recovery
d. Increased cytotoxic edema

10. In most of the studies reviewed, hypothermia was induced with

a. Cooling blankets
b. Ice lavage
c. Surface cooling helmets
d. Endovascular heat-exchange catheters

11. The most common reported complication associated with hypothermia was

a. Bleeding
b. Renal failure
c. Pneumonia
d. Sepsis

12. An opioid that is commonly used as adjunct therapy during therapeutic hypothermia is

a. Oxycodone
b. Codeine
c. Hydromorphone
d. Fentanyl


CME EXPIRATION DATE: MARCH 2011

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.