All posttests must be taken on the AAPA Web site. Please go to http://www.aapa.org/education-and-certification/continuing-medical-education/online-post-tests#JAAPA to complete and submit this test.

OSTEOPOROSIS IN MEN, PAGE 25

   1.   The lifetime risks of vertebral and hip fractures increase by 32% and 40%, respectively, for men who

a.   Have low calcium intake
b.   Drink excessive amounts of alcohol
c.   Smoke cigarettes
d.   Have inadequate physical exercise

   2.   One of the most common secondary causes of osteoporosis in men is

a.   Inflammatory bowel disease
b.   Severe liver disease
c.   Lifestyle practices
d.   Glucocorticoid use

   3.   Low-trauma fractures in men with osteoporosis are most commonly seen in the

a.   Pelvis
b.   Spine
c.   Ribs
d.   Humerus

   4.   The gold standard for diagnosing osteoporosis is

a.   Quantitative CT scan
b.   Single-photon emission computed tomography
c.   Dual-energy x-ray absorptiometry
d.   MRI of the vertebral spine

   5.   Before the start of testosterone treatment, which of the following should be measured?

a.   Prostate specific antigen
b.   Serum calcium
c.   24-hour urinary free cortisol
d.   Alkaline phosphatase

   6.   One rare side effect of bisphosphonate therapy is

a.   Hallucinations
b.   Venous thromboembolism
c.   Hemolytic anemia
d.   Osteonecrosis of the jaw

MILD COGNITIVE IMPAIRMENT, PAGE 40

   7.   Mild cognitive impairment (MCI) progresses to Alzheimer's disease (AD) in approximately what percent of patients?

a.   5%
b.   10%
c.   15%
d.   20%

   8.   MCI is a syndrome in which

a.   Patients meet the diagnostic criteria for dementia
b.   Social and occupational functions are affected
c.   Patients suffer more than just memory loss
d.   Activities of daily living are not notably affected

   9.   A recommended screening test for MCI is the

a.   Montreal Cognitive Assessment
b.   Mini-Mental State Examination
c.   Miller's Analogy Test
d.   Wechsler Adult Intelligence Scale

   10.   The Computer-Administered Neuropsychological Screen for MCI measures

a.   Orientation to time and place
b.   Visuospatial ability
c.   Concentration
d.   Executive function

   11.   A neuropathologic change that is also a hallmark of dementia is

a.   White matter lesions
b.   Neurofibrillary tangles
c.   Small infarcts
d.   Ventricular enlargement

   12.   Preliminary evidence indicates that progression of MCI to AD may be delayed with

a.   Donepezil
b.   Vitamin E
c.   Levodopa
d.   Celecoxib

EXPIRATION DATE: AUGUST 2009 - EXPIRED

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.