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.
LYME DISEASE
1. The classic rash associated with Lyme disease manifests at the site of inoculation, commonly
a. On the back
b. At the waistline
c. In the popliteal area
d. In the neck region
2. The monoarticular process in stage 2 or 3 Lyme disease most commonly affects the
a. Hip
b. Knee
c. Elbow
d. Wrist
3. The most common neurologic finding of Lyme disease is
a. Cranial nerve palsies
b. Peripheral neuropathies
c. Aseptic meningitis
d. Radiculopathies
4. A finding on CSF analysis that is associated with
persistent Lyme disease is
a. Increased glucose
b. Eosinopenia
c. Reduced protein
d. Mild pleocytosis
5. The preferred treatment for all patients except women who are pregnant or nursing and children younger than 12 years is oral
a. Amoxicillin
b. Doxycycline
c. Cefotaxime
d. Erythromycin
6. The Jarisch-Herxheimer-like reaction occurs most
commonly with
a. Tetracycline
b. Clarithromycin
c. Ceftriaxone
d. Azithromycin
NORMAL-PRESSURE HYDROCEPHALUS
7. Normal-pressure hydrocephalus (NPH) is
characterized by a clinical triad that includes
urinary incontinence and
a. Seizures
b. Headache
c. Psychosis
d. Gait difficulty
8. The majority of cases of NPH are
a. Caused by a subarachnoid hemorrhage
b. Secondary to meningitis
c. Idiopathic
d. The result of a head injury
9. Cognitive symptoms of NPH are primarily subcortical features, such as
a. Aphasia
b. Depression
c. Delusions
d. Apathy
10. Multiple studies suggest a correlation between
surgical outcome and
a. Duration of symptoms
b. Findings on lumbar puncture
c. Degree of cognitive impairment
d. Presence of dementia
11. The major immediate complication associated with
shunt insertion is
a. Subdural fluid collection
b. Intracerebral hemorrhage
c. Infection
d. Seizures
12. The earliest and most likely response to shunt
placement is improvement in
a. Incontinence
b. Cognition
c. Gait
d. Mood
CME EXPIRATION DATE: MAY 2011
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.