CME Posttest: Exercise-induced bronchospasm; jaundice in adults

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EXERCISE-INDUCED BRONCHOSPASM

1. If a patient reports symptoms compatible with exercise-induced bronchospasm (EIB) and chronic persistent asthma is suspected, the initial test should be


a. Bronchoprovocative exercise challenge

b. Body plethysmography

c. Resting pulmonary function 

d. Eucapnic voluntary hyperventilation challenge


2. Which condition leads to exercise-induced inspiratory laryngeal stridor but does not benefit from 
bronchodilator pretreatment?


a. Foreign body aspiration

b. Paradoxical vocal fold motion

c. Cystic fibrosis

d. Alpha₁-antitrypsin deficiency


3. Which behavioral approach is used to treat EIB?


a. Having a 10-minute cooldown period

b. Wearing a face mask during activity

c. Engaging in short-burst exercise

d. All of the above


4. The most effective therapy for persons with stable asthma and EIB is


a. Short-acting beta₂-agonists

b. Long-acting beta₂-agonists

c. Systemic corticosteroids

d. Anticholinergics


5. The usual dose of salmeterol is


a. Two puffs immediately before exercise

b. Two puffs 10 minutes after beginning exercise

c. One puff 30 minutes before exercise

d. One puff immediately before and after 5 minutes of exercise


6. A side effect of leukotriene receptor antagonists is


a. Suicidal ideation

b. Tachyphylaxis

c. Oral candidiasis

d. Neutropenia


JAUNDICE IN ADULTS

7. The first manifestation of conjugated hyperbilirubinemia is commonly


a. Scleral icterus

b. Tea-colored urine

c. Acholic stool

d. Jaundice


8. A cause of unconjugated hyperbilirubinemia is


a. Impaired uptake of bilirubin

b. Reflux of conjugates into plasma

c. Dysfunction of hepatocytes

d. Impaired excretion into the bile ducts


9. The most common presenting symptom in pancreatic and biliary tract malignancy is


a. Pruritus

b. Weight loss

c. Abdominal pain

d. Anorexia


10. Severely elevated aminotransferase levels (greater 
than 10,000 U/L) suggest


a. Cholestatic disease

b. Advanced liver disease

c. Primary hepatobiliary disease

d. Severe viral hepatitis


11. The imaging study of choice for choledocholithiasis is


a. Ultrasonography 

b. Endoscopic retrograde cholangiopancreatography (ERCP)

c. CT with intravenous contrast

d. Percutaneous cholangiography (PTC)


12. Unexplained darkening of the skin, diabetes, and heart failure suggest


a. Hemochromatosis

b. Wilson disease

c. Primary sclerosing cholangitis

d. Gilbert syndrome


CME EXPIRATION DATE: JUNE 2012