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.

REVERSIBLE DEMENTIAS

1. The most common cause of vitamin B12 deficiency is


a. Alcohol abuse

b. Pernicious anemia

c. Malabsorption

d. A vegan diet


2. Which medication should be avoided 
in patients with dementia and depression?


a. Mirtazapine

b. Bupropion

c. Sertraline

d. Amitriptyline


3. Which medication is associated with a reversible
dementia in an older person?


a. Topiramate

b. Phenytoin

c. Gabapentin

d. Carbamazepine


4. A cause of normal pressure hydrocephalus is


a. Sjögren syndrome

b. Subarachnoid hemorrhage

c. Behcet disease

d. Neurosarcoidosis


5. Cases of neurosyphilis may be accompanied by


a. Argyll-Robertson pupil 

b. Anisocoria

c. Horner's syndrome

d. Oculomotor nerve paralysis


6. Canadian Consensus Conference indications 
for neuroimaging in the evaluation of dementia 
include


a. Age younger than 60 years

b. Use of anticoagulants

c. Gait ataxia

d. All of the above


ATTENTION-DEFICIT/HYPERACTIVITY DISORDER

7. Decreased levels of norepinephrine are linked to


a. Impulsivity

b. Poor concentration

c. Hyperactivity

d. Anxiety


8. According to the epidemiology of attention-deficit/hyperactivity disorder (ADHD), males, in contrast to females, are more likely to


a. Receive a misdiagnosis

b. Have subtle signs of inattention

c. Display disruptive behavior disorders

d. Have their ADHD go unrecognized


9. Items on commonly used standardized checklists for ADHD are related to


a. School performance

b. Interactions with siblings

c. Personal hygiene

d. Comorbidities 


10. According to the DSM-IV-TR diagnostic criteria,
symptoms of ADHD must


a. Be present for 6 months

b. Begin between the ages of 3 and 7 years

c. Occur in two or more settings

d. All of the above


11. A characteristic of the most common form of ADHD 
that is diagnosed is


a. Sleep disturbances

b. Language delays

c. Substance abuse

d. Depression


12. Which nonstimulant medication is considered a second-line choice for ADHD?


a. Clonidine

b. Atomoxetine

c. Bupropion

d. Desipramine

CME EXPIRATION DATE: MARCH 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.