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. Nonmember PAs 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.


HYPERTENSION TREATMENT

1. US Preventive Services Task Force guidelines, along with those of the JNC 7, recommend screening healthy people with systolic BP lower than 120 mm Hg every
a. 6 months
b. year
c. 2 years
d. 3 years

2. If pulse pressure is wide (diastolic BP decreases to less than 60 mm Hg), clinicians should carefully assess the
patient for signs or symptoms of
a. Myocardial hypoperfusion
b. Pheochromocytoma
c. Sleep apnea
d. Recreational drug use

3. Patients with grade 3 hypertension should start
a. Following the DASH diet
b. Stress management classes
c. A vigorous weight loss program
d. Antihypertensive medication immediately

4. A class of medications that is contraindicated for patients with sick sinus syndrome is
a. Aldosterone antagonists
b. Calcium channel blockers
c. Beta-blockers
d. Thiazide diuretics

5. ACE inhibitors should be used to treat people who are
a. Of African descent
b. Younger than 55 years
c. Elderly
d. Female

6. The drug combinations that are FDA-approved for the initial treatment of persons likely to need multiple drugs to achieve BP control are hydrochlorothiazine or amlodipine with
a. Valsartan
b. Triamterene
c. Atenolol
d. Spironolactone

POSTTRAUMATIC STRESS DISORDER

7. In relation to when the trauma occurs, posttraumatic stress disorder (PTSD) refers to symptoms that
a. Begin immediately after the event
b. Begin one month or later after the trauma
c. Resolve within 1 month
d. Occur on a widely intermittent basis

8. Body memories of physical sensations are thought to be stored in the
a. Cerebral cortex
b. Limbic system
c. Brainstem
d. Cerebellum

9. A major part of the original trauma that blocks the normal defensive reactions is
a. The length of time since the event occurred
b. The person's age when the trauma occurred
c. The person's relationship with those involved
d. The sense of helplessness felt by the person

Note: Due to a typographical error in the print version of the article on posttraumatic stress disorder, all answers to question 10 will be scored as correct. 

10. Among adults who have experienced four or more adverse childhood experiences, the most likely health issue to occur is
a. Suicide attempts
b. Depression
c. Excessive alcohol consumption
d. Illegal drug use

11. A diagnostic criterion of developmental trauma disorder is multiple exposures to
a. Abandonment
b. Physical abuse
c. Domestic violence as a witness
d. All of the above

12. The class of medications that plays an important role in the treatment of PTSD while the patient deals with the
past trauma is
a. Monoamine oxidase inhibitors
b. Tricyclic antidepressants
c. Selective serotonin-reuptake inhibitors
d. Benzodiazepenes

CME EXPIRATION DATE: SEPTEMBER 2010
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.