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.

REDUCING RISK OF FALLS

1. An age-related change in pharmacokinetics is


a. Reduced hepatic blood flow

b. Reduced activity of metabolic enzymes

c. Decreased renal clearance

d. All of the above


2. Blurred vision, dizziness, tachycardia, and, at higher doses, delirium are associated with 


a. Selective serotonin reuptake inhibitors 

b. Tricyclic antidepressants 

c. Monoamine oxidase inhibitors 

d. Benzodiazepines


3. Among antihypertensive agents, a greater risk for 
falls is associated with


a. Thiazide diuretics

b. Calcium channel blockers

c. Beta-blockers

d. ACE inhibitors


4. Which medication is no longer considered a 
first-line opioid analgesic because of its higher 
rate of CNS effects?


a. Oxycodone

b. Codeine

c. Morphine

d. Meperidine


5. On average, how many medications do community-
dwelling older adults take per day?


a. 3.5

b. 5.0

c. 6.5

d. 8.0


6. According to the Beers criteria, a medication considered potentially inappropriate in older adults is


a. Diazepam

b. Bupropion

c. Sertraline

d. Memantine


THE FEMALE ATHLETE TRIAD

7. Which of the following is NOT included in the diagnostic criteria for the female athlete triad?


a. Failure to meet current energy requirements 

b. Anorexia/bulimia

c. Osteoporosis

d. Amenorrhea


8. Using diagnostic criteria defined by the World 
Health Organization, what percent of long distance 
runners have osteopenia?


a. 20

b. 35

c. 50

d. 65


9. The definition of secondary amenorrhea is an absence 
of menses


a. Followed by a prolonged (>35 days) menstrual cycle

b. After age 16 years 

c. After appearance of secondary sex characteristics

d. For more than 90 days after menarche


10. In the absence of adequate energy, the hypothalamus ceases production of


a. Gonadotropin-releasing hormone 

b. Luteinizing hormone 

c. Follicle-stimulating hormone 

d. Estrogen


11. The gold standard test for measuring bone mineral 
density is


a. A bone scan

b. Dual-energy absorptiometry 

c. Ultrasonography

d. MRI


12. The recommended daily allowance of vitamin D is


a. 200 IU

b. 400 IU

c. 600 IU

d. 800 IU


CME EXPIRATION DATE: APRIL 2012

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.