All posttests must be taken on the AAPA Web site. Please go to http://www.aapa.org/cme/post-test.html to complete and submit this test. 

HEPATITIS C VIRUS INFECTION

1. In patients infected with hepatitis C virus, 80% to
90% will
a. Have spontaneous clearance
b. Progress to cirrhosis
c. Develop chronic infection
d. Progress to liver failure

2. The progression of fibrosis is more rapid in patients who are
a. Young at the time of infection
b. Infected with HIV
c. White
d. Diabetic

3. When decompensation of underlying cirrhosis occurs, the
major cause of death is
a. Renal/pulmonary dysfunction
b. Liver abscess
c. Portal hypertension
d. Hepatocellular carcinoma

4. Every 6 to 12 months, patients with cirrhosis should have
abdominal imaging and a test that measures the
a. Alpha-fetoprotein level
b. Alkaline phosphatase level
c. Total bilirubin
d. Number of CD4+ cells

5. A side effect of pegylated interferon treatment is
a. Paresthesia
b. Hair loss
c. Blurred vision
d. Mouth sores

6. Treatment side effects can often be minimized if the
patient is premedicated with
a. Metoclopramide
b. Ranitidine
c. Acetaminophen
d. Dexamethasone


ORAL CANCER

7. A systemic disease associated with oral cancer is
a. Erythema multiforme
b. Erosive lichens planus
c. Systemic lupus erythematosus
d. Amyloidosis

8. People who have industrial jobs have a higher risk of oral
cancer because of possible exposure to
a. Varnish
b. Formaldehyde
c. Diesel exhaust
d. Benzene

9. Oral squamous cell carcinoma is most commonly
preceded by
a. A persistent sore throat
b. Gingival bleeding
c. Red or white patches
d. A nonhealing lesion on the lip

10. An identifying hallmark of leukoplakia is that it
a. Bleeds readily
b. Is associated with numbness
c. Causes considerable pain
d. Does not wipe off

11. The mucosal surface on which squamous cell carcinoma is
the least likely to appear is the
a. Hard palate
b. Gingival surfaces
c. Buccal mucosa
d. Soft palate

12. The most common condition that carcinoma of the gingiva
mimics is
a. Aphthous stomatitis
b. Herpangina
c. Periodontitis
d. Pemphigus



CME EXPIRATION DATE: OCTOBER 2007 - 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.