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.

NEUROBLASTOMA

1. The peak incidence of neuroblastoma is from

a. Birth to 4 years
b. Age 4 to 8 years
c. Age 9 to 12 years
d. Age 13 to 18 years

2. Although neuroblastomas can occur in the mediastinum, neck, and lower extremities, the most common primary site for neutroblastoma is

a. Bone
b. The adrenal glands
c. The celiac axis
d. The arms

3. Metastatic disease that involves the liver can cause Pepper syndrome, which includes

a. Periorbital ecchymoses
b. Subcutaneous nodules
c. Respiratory compromise
d. Gait abnormalities

4. A single best imaging study for initial disease staging, evaluating response to treatment, and for follow-up imaging of neuroblastoma is

a. Abdominal ultrasonography
b. Bone scan
c. Magnetic resonance imaging
d. MIBG scintigraphy

5. Of the five prognostic factors, the only one that is dependent on the others is

a. Age at presentation
b. Tumor stage
c. DNA index
d. Histopathology

6. A favorable feature of stage 3 or 4 neuroblastoma is

a. Age younger than 1 year
b. Low MYCN replication
c. Minimal paraspinal extensions
d. All of the above

IRRITABLE BOWEL SYNDROME

7. Patients with irritable bowel syndrome (IBS) are more likely to have higher

a. Socioeconomic status
b. Levels of stress
c. Tolerance for pain
d. Incidence of bipolar disorder

8. Visceral pain and transit time are decreased by blocking

a. Serotonin
b. Norepinephrine
c. Melatonin
d. Dopamine

9. Serologic testing for celiac sprue may be necessary for patients who have difficulty consuming

a. Dairy products
b. Fructose
c. Gluten products
d. Yeast

10. One of the Rome III diagnostic criteria for IBS is recurrent abdominal pain or discomfort whose onset is associated with

a. Nocturnal symptoms
b. Worsening of eructation
c. Weight loss
d. A change in the appearance of stool

11. Bloating and increased pain secondary to colonic distention is associated with consumption of

a. Wheat bran
b. Sweet potatoes
c. Bananas
d. Flax seed

12. Drugs that block norepinephrine reuptake and may slow transit time and improve pain tolerance are

a. Selective serotonin reuptake inhibitors
b. Tricyclic antidepressants
c. Atypical antipsychotics
d. Monoamine oxidase inhibitors


CME EXPIRATION DATE: NOVEMBER 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.