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.


KNEE EXAMINATION (PAGE 20)

1. The valgus stress test is used to test the
a. Medial collateral ligament (MCL)
b. Anterior cruciate ligament (ACL)
c. Posterior meniscofemoral ligament
d. Lateral collateral ligament


2. The most accurate clinical sign of a torn meniscus is
a. Knee effusion
b. Pain with forced hyperextension
c. Joint-line tenderness
d. History of catching or locking


3. The Ege's test is a weight-bearing version of the
a. Apley compression test
b. Lachman's test
c. Anterior drawer test
d. McMurray's test


4. A positive finding with the pivot shift test is pathognomonic of
a. Posterior cruciate ligament rupture
b. ACL insufficiency
c. Patella fracture
d. MCL tear


5. The gold standard test for diagnosing tears in the posterior cruciate ligament is the
a. Posterior drawer test
b. Reverse pivot shift
c. Posterior sag test
d. Patella grind test


6. During a neurovascular examination, knee flexion is used to evaluate the
a. Femoral nerve
b. Tibial nerve
c. Sciatic nerve
d. Peroneal nerve


FIFTH DISEASE (PAGE 42)

7. The transmission rate of parvovirus B19 (B19) is about 50% for
a. Day-care workers
b. Susceptible teachers
c. Household contacts
d. Health care workers


8. Classic childhood B19 infection manifests as
a. A maculopapular and erythematous rash
b. Erythematous plaques on both cheeks
c. A fine, red and rough-textured rash
d. Vesicles with erythema on the palms and soles


9. After B19 infection, a transient drop occurs in
a. Platelet count
b. Monocyte count
c. Absolute neutrophil count
d. Reticulocyte count


10. The typical presentation of fifth disease is the acute onset of arthritis, primarily affecting the
a. Proximal interphalangeal joint
b. Temporomandibular joint
c. Acromioclavicular joint
d. Femoral acetabular joint


11. B19 infection should be included in the differential of
a. Pneumonitis
b. Nephrolithiasis
c. Acute myocarditis
d. Ulcerative colitis


12. The B19 etiology of unexplained fulminant hepatitis was shown when the B19 genome was isolated in 4 of 11 children who had
a. Jaundice
b. High AST activity
c. Low ALT activity
d. A high bilirubin level


CME EXPIRATION DATE: JUNE 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.