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.

MULTIPLE MYELOMA, PAGE 19


1. The most common presenting symptom of multiple
myeloma is
a. Weight loss
b. Bone pain
c. Polyuria
d. Fatigue

2. At diagnosis, 15% to 30% of patients with multiple
myeloma are found to have
a. Acute renal failure
b. Pathologic fractures
c. Hepatosplenomegaly
d. Pancytopenia

3. The imaging study used to assess tumor burden when
laboratory tests are inconclusive is
a. Bone densitometry
b. MRI of the spine
c. Total body bone scan
d. Positron emission tomography/CT

4. A standard therapy considered for patients younger than
65 years with multiple myeloma is autologous stem cell
transplantation after high doses of
a. Cisplatin
b. Cytoxan
c. Melphalan
d. Tamoxifen

5. A major dose-limiting toxicity of thalidomide is
a. Thrombocytopenia
b. Peripheral neuropathy
c. Diarrhea
d. Cardiomyopathy

6. When combined with corticosteroids, lenalidomide
increases the risk of
a. Osteonecrosis of the jaw
b. Pancreatitis
c. Thromboembolic events
d. Glomerulonephritis

SCOLIOSIS, PAGE 40


7. When examining an infant for possible scoliosis,
special attention should be paid to ocular movements
and the
a. Abdominal reflex
b. Babinski reflex
c. Ankle reflex
d. Pupillary reflex

8. The Lenke system of classification provides a consistent
tool for clinicians to determine the
a. Degree of kyphosis
b. Rate of curvature progression
c. Overall curve profile
d. Gross motor deficit

9. Scoliosis at a young age is unusual and should
automatically raise concern for
a. Neurologic anomalies
b. Pulmonary dysfunction
c. Cardiomyopathy
d. Retarded mental development

10. When evaluating a patient with presumed scoliosis, it is
important to rule out
a. Meningitis
b. Tethered cord
c. Cerebral palsy
d. Ganglioneuroma

11. An indication for surgery is a Cobb angle of
a. 10º
b. 20º
c. 30º
d. 40º

12. The treatment of choice for large, progressive curvatures
of more than 50º is
a. Milwaukee brace
b. Spinal fusion
c. Plaster casting
d. Vertebral stapling

CME EXPIRATION DATE: NOVEMBER 2009

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.