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.
INITIATING ANTIRETROVIRAL THERAPY
1. According to federal guidelines, antiretroviral therapy should begin when the
a. Viral load has reached 500 copies/mL
b. CD4+ T-cell count is between 350 and 500 cells/mm3
c. Patient specifically requests it
d. HIV infection is newly diagnosed
2. The goal of antiretroviral therapy is to
a. Achieve an undetectable viral load
b. Reduce CD4 cell count
c. Prevent opportunistic infections
d. Maximize treatment adherence
3. Cumulative exposure to some protease inhibitors has been found to increase the incidence of
a. Psychiatric effects
b. GI disturbance
c. Cardiovascular disease
d. Renal impairment
4. Nevirapine is not a first-line choice in the developed world because of its
a. Tendency to CNS toxicity
b. Excessive pill burden
c. Lower bioavailability
d. Higher susceptibility to virologic failure
5. Which second-generation protease inhibitor causes
significant diarrhea and elevates fasting cholesterol?
a. Amprenavir
b. Fosamprenavir
c. Tipranavir
d. Darunavir
6. All the preferred combination regimens for initiating ARV therapy include
a. Emtricitabine
b. Delaviridine
c. Abacavir
d. Enfuvirtide
COMMUNICATION SKILLS
7. Surveys show that patients and families prefer that a spiritual history be obtained
a. When conventional therapy has failed
b. Before the patient is hospitalized
c. Only if requested by a patient or family member
d. When the chaplain is present
8. When delivering bad news, it is recommended that the clinician should
a. Inform the patient a day or two in advance of
the meeting
b. Limit the number of family members to two or three
c. Sit close to and at eye level with the patient
d. All of the above
9. The invitation stage is a time for
a. Exploring the patient's wishes
b. Defining the elements of palliative care
c. Sharing knowledge about the prognosis
d. Discussing advanced directives
10. A feature of the Five Wishes document is that it is
a. Written in simple language
b. Accepted as a legal document
c. Available in a children's version
d. All of the above
11. The Four Cs strategy is especially useful for helping patients
a. Identify their religious beliefs
b. Tell their individual story
c. Defuse anger
d. Discuss surrogate decision making
12. Which of the following statements is true about
prognostication?
a. Families benefit when given a frame of reference
b. Clinicians often agree on individual cases
c. Patients don't usually want to know their prognosis
d. Most clinicians are accurate predictors of survivability
CME EXPIRATION DATE: FEBRUARY 2012
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.