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.
HELICOBACTER PYLORI INFECTION
1. The racial or ethnic group in the United States with the highest incidence of Helicobacter pylori infection is
a. Mexican Americans
b. African-Americans
c. Whites
d. Native Americans
2. A symptom that is typically associated with peptic ulcer disease is
a. Unintentional weight loss
b. Early satiety
c. Pain relieved by eating food
d. Melena
3. The noninvasive test of choice for diagnosing H pylori infection is a
a. Barium swallow
b. Urea breath test
c. Serology for IgG antibodies
d. Western blot
4. Standard triple-drug therapy for H pylori infection includes
a. Ciprofloxacin
b. Ampicillin
c. Doxycycline
d. Clarithromycin
5. The antibiotic class to which resistance is common and almost universal in developing countries is
a. Macrolides
b. Tetracyclines
c. Imidazoles
d. Penicillins
6. Sequential therapy is initiated with a proton pump inhibitor and a single antibiotic, typically
a. Amoxicillin
b. Erythromycin
c. Penicillin VK
d. Levofloxacin
HYPERPHOSPHATEMIA
7. A normal serum phosphate level is
a. 1.5 to 3.0 mg/dL
b. 3.0 to 4.5 mg/dL
c. 4.5 to 6.0 mg/dL
d. 6.0 to 7.5 mg/dL
8. Approximately half of hyperphosphatemia cases among elderly patients are caused by
a. Vitamin D intoxication
b. Sepsis
c. Renal failure
d. Thyroid dysfunction
9. A class of medications that cause transcellular shifting of phosphate to the extracellular space is
a. Beta-blockers
b. Tricyclic antidepressants
c. Barbiturates
d. Protease inhibitors
10. A malignancy-associated increase in bone mobilization may elevate phosphate levels in patients with
a. Advanced lymphoma
b. Multiple myeloma
c. Myelocytic leukemia
d. All of the above
11. The clinical presentation of hyperphosphatemia
may include
a. Carpopedal spasm
b. Palpitations
c. Flaccid paralysis
d. Polyuria
12. Increased phosphate load is an independent cause of
a. Mitral regurgitation
b. Aortic stenosis
c. Pulmonic stenosis
d. Tricuspid regurgitation
CME EXPIRATION DATE: JULY 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.