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.

RHEUMATOID ARTHRITIS

1. A limitation of the 1987 diagnostic criteria for rheumatoid arthritis (RA) is that they

a. Require rheumatoid nodules to occur at presentation
b. Do not include radiographic evaluation
c. Cannot identify persons with early-stage disease
d. Focus on single-joint involvement

2. In addition to occurring in RA, a positive rheumatoid factor is common in

a. Polymyalgia rheumatica
b. Pseudogout
c. Reiter syndrome
d. Lupus erythematosus

3. A study showed that after the onset of RA symptoms, the rate of radiographic progression is most prominent

a. In the first 6 months
b. In the first 2 years
c. In the second through fifth years
d. After 5 years

4. A feature of the 2010 diagnostic criteria for RA is

a. Duration of symptoms less than 1 week
b. A negative anti-CPP antibody
c. The presence of synovitis in at least one joint
d. Shoulder involvement

5. According to the 2010 diagnostic criteria, a score of 5 is assigned to

a. High positive anti-CCP CCP antibody
b. Involvement of more than 10 joints with at least 1 small joint
c. Abnormal erythrocyte sedimentation rate (ESR)
d. Synovitis lasting 6 weeks or longer

6. What is pathognomonic for RA?

a. A high positive rheumatoid factor
b. Involvement of 1 to 3 small joints
c. Involvement of 2 large joints
d. Nothing

VERTIGO

7. A feature of peripheral vertigo is that it

a. Persists for hours to weeks
b. Has a gradual onset
c. Is associated with a rotational sensation
d. Causes visual disturbances

8. Hearing loss, tinnitus, aural fullness, nausea, and vomiting are associated with

a. Migrainous syndrome
b. Meniere disease
c. Hyperventilation
d. Multiple sclerosis

9. Vertigo can be caused by

a. Macrolide antibiotics
b. Quinolone antibiotics
c. Cephalosporin antibiotics
d. Aminoglycoside antibiotics

10. Spontaneous horizontal nystagmus with or without rotary nystagmus is consistent with

a. Vestibular neuronitis
b. Cerebellar infarction
c. Anxiety disorder
d. Stroke/transient ischemic attack

11. The most valuable clinical vestibular test is thought to be the

a. Fukuda-Unterberger test
b. Vestibulo-ocular reflex (VOR) test
c. Dix-Hallpike maneuver
d. Romberg test

12. Patients with vestibular schwannoma may complain of

a. Symptoms that are provoked when looking up
b. Aural fullness, headache, and/or facial numbness
c. Intense vertigo for a few days followed by disequilibrium and imbalance
d. Inability to walk without support