All posttests must be taken on the AAPA Web site.
To complete and submit a posttest, please go to www.aapa.org and search for “JAAPA post-tests."
Shoulder instability
1. The typical cause of a primary anterior shoulder dislocation is a traumatic injury resulting from a
a. Force along the arm while in internal rotation and slight adduction
b. Direct blow to the outstretched arm with the wrist flexed
c. Direct blow to the acromion with the humerus in adduction
d. Fall or collision with the arm in abduction and external rotation
2. The classic sign of a posterior dislocation is
a. A deformity near the distal clavicle
b. Pain with elbow flexion
c. An arm that is internally rotated
d. Pain and weakness with overhead activity
3. Which of the following is pathognomonic for multidirectional instability?
a. A positive Tinel's sign
b. A positive inferior sulcus sign
c. A positive result on Lachman's test
d. A positive result on the anterior drawer test
4. The most common reduction technique is
a. The traction-countertraction method
b. The external rotation method
c. The Stimson method
d. The leverage method
5. MRI is ordered when the suspected injury is
a. A bony Bankart lesion
b. A Hill-Sachs lesion
c. A clavicular fracture
d. A rotator cuff tear
6. The most significant prognostic factor in determining the rate of recurrence is
a. Number of prior dislocations
b. Type of injury that occurred
c. Age at initial dislocation
d. Use of exercise rehabilitation programs
Type 2 diabetes
7. The first criteria for screening children and adolescents for type 2 diabetes is
a. A high body mass index
b. Glucosuria on a dipstick test
c. A positive family history
d. Borderline hypertension
8. Insulin resistance is frequently seen in patients with
a. Irritable bowel syndrome
b. Rheumatoid arthritis
c. Lactose intolerance
d. Polycystic ovary syndrome
9. Patients at high risk of developing diabetes should be screened initially at age
a. 8 years and every 3 years thereafter
b. 10 years and every 2 years thereafter
c. 12 years and every 1 year thereafter
d. 14 years and every 2 years thereafter
10. To distinguish between type 1 and type 2 diabetes, evaluate
a. Fasting plasma glucose
b. Glycosylated hemoglobin
c. C-peptide levels
d. Oral glucose tolerance
11. The drug currently approved by the FDA for use in children is
a. Repaglinide
b. Metformin
c. Rosiglitazone
d. Glimepiride
12. The drug class that works especially well in children and adolescents with an irregular eating schedule is
a. Meglitinide
b. Thiazolinedione
c. Alpha-glucosidase inhibitor
d. Sulfonylurea
CME EXPIRATION DATE: MARCH 2008 (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.