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.

FEMALE SEXUAL DYSFUNCTION


1. The hallmark of female sexual dysfunction (FSD) is a disturbance of sexual functioning that causes


a. An inability to achieve orgasm

b. Pain during intercourse

c. Personal distress

d. Problems with arousal


2. The FSD disorder associated with a history of sexual trauma is


a. Sexual aversion disorder

b. Sexual arousal disorder

c. Female orgasmic disorder

d. Pain disorder


3. The patient's self-report of pain during intercourse is 
the basis for a diagnosis of 


a. Hypoactive sexual desire disorder

b. Female sexual arousal disorder

c. Female orgasmic disorder

d. Dyspareunia


4. The most commonly reported sexual dysfunction is


a. An inability to achieve orgasm

b. Low sexual desire 

c. Pain with sexual intercourse

d. Inadequate lubrication


5. According to the PRESIDE study, women who were most likely to have sexual problems associated with personal distress were aged 


a. 18 to 30 years

b. 31 to 44 years

c. 45 to 64 years

d. Older than 65 years


6. A survey found that 68% of patients were afraid that discussing their sexual dysfunction would


a. Require speaking to a specialist

b. Be dismissed by their clinician

c. Take up too much time

d. Embarrass their physician


HYPERTROPHIC CARDIOMYOPATHY


7. A common symptom of hypertrophic cardiomyopathy (HCM) is


a. Diaphoresis

b. Dyspnea

c. Cough

d. Fatigue


8. A physical examination finding associated with HCM is


a. Pansystolic murmur heard at the apex

b. Mid-systolic murmur heard at the right intercostal space

c. Systolic murmur heard along the left sternal border 

d. Diastolic crescendo murmur heard at the second intercostal space


9. The diagnostic modality of choice for HCM is


a. Echocardiography

b. Plain chest radiography

c. Electrocardiography

d. Cardiac MRI


10. The connective tissue disease that is included in the recommended 12-element preparticipation screening is


a. Ehlers-Danlos syndrome

b. Lupus erythematosus

c. Rheumatoid arthritis
d.
d. Marfan's syndrome


11. The class of drugs used to improve heart function in symptomatic patients with HCM but no outflow obstruction is


a. ACE inhibitors

b. Beta-blockers

c. Calcium channel blockers

d. Diuretics


12. The most effective therapy for HCM with obstruction is 
a combination of a beta-blocker and 


a. Lidocaine

b. Disopyramide

c. Flecainide

d. Diltiazem


CME EXPIRATION DATE: JUNE 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.