CME Posttest: Juvenile idiopathic arthritis; Testosterone replacement therapy

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JUVENILE IDIOPATHIC ARTHRITIS

a. Gait disturbance

b. Spiking fever

c. Polyarthralgia

d. Anemia


2. In childhood, juvenile idiopathic arthritis is the most common systemic disease associated with


a. Pericarditis

b. Urethritis

c. Conjunctivitis

d. Uveitis


3. The most common presentation of JIA involves


a. Erythematous rash

b. Oligoarthritis

c. Organomegaly

d. Generalized lymphadenopathy


4. The risk of developing polyarthritis and extended 
oligoarticular subtypes is increased in


a. Caucasians

b. African Americans

c. American Indians

d. Asians


5. The most common presenting complaint in children referred to rheumatology is


a. Musculoskeletal pain

b. Joint swelling

c. Morning stiffness

d. Abnormal laboratory test results


6. The radiologic progression of JIA may be delayed by 


a. Nonsteroidal anti-inflammatory drugs (NSAIDs)

b. Celecoxib

c. Etanercept

d. Triamcinolone hexacetonide


TESTOSTERONE REPLACEMENT THERAPY

7. Symptoms of hypogonadism include


a. Diminished muscle mass

b. Decreased bone density

c. Impaired cognition

d. All of the above


8. Hypogonadism is considered common in men with


a. Pernicious anemia

b. Hypothyroidism

c. Type 2 diabetes

d. Hypercholesterolemia


9. The most accurate measurements of testosterone are obtained on samples drawn


a. Before 10 am

b. At midday

c. Between 4 and 6 pm

d. After 10 pm


10. Guidelines suggest that clinicians consider short-term testosterone replacement therapy (TRT) for HIV-positive men with low testosterone levels and


a. Weight loss

b. Insulin resistance

c. Hypertension

d. Dyslipidemia


11. The Endocrine Society advises against starting TRT in patients with a


a. Hemoglobin of 15.0 g/dL

b. Corrected reticulocyte count of 1.5% 

c. Hematocrit of 60%

d. Mean corpuscular volume of 90 fL


12. After initiation of therapy, patients using transdermal testosterone gel should have morning testosterone 
levels measured at 


a. 24 hours

b. 1 week 

c. 2 weeks

d. 1 month


CME EXPIRATION DATE: JANUARY 2012