AAPA Fellow 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.
SMOKING CESSATION
1. Clinical intervention for tobacco use should be given to tobacco users who
a. Specifically request assistance in quitting
b. Have a tobacco-related illness
c. Receive care in a health care setting
d. Want to try the nicotine patch
2. The first step in the 5As clinical intervention for tobacco users is to
a. Assist
b. Ask
c. Advise
d. Assess
3. The best way to determine the patient's willingness to make a quit attempt is to ask the patient,
a. “Are you willing to give quitting a try?”
b. “How often have you tried quitting in the past?”
c. “Do you think that you will have trouble quitting?”
d. “What has prevented you from quitting smoking?
4. When using the brief clinical intervention strategy to treat a patient who is willing to quit, before he or she leaves the office
a. Provide the patient with smoking cessation materials
b. Give the patient samples of nicotine replacement products
c. Request that the patient begin a diary of cigarette use
d. Have the patient set a quit date for 2-6 weeks later
5. There is insufficient evidence of the effectiveness of medications to treat tobacco dependence in
a. Women who are pregnant
b. Smokeless tobacco users
c. Light smokers
d. All of the above
6. The only combination therapy that has received FDA approval for smoking cessation is the
a. Patch plus nicotine gum
b. Nicotine lozenge plus inhaler
c. Patch plus bupropion, sustained release
d. Nasal spray plus varenicline
AORTIC ANEURYSM REPAIR
7. According to the Crawford classification, a type III aneurysm involves the
a. Visceral arteries
b. Entire aorta distal to the left subclavian artery
c. Distal half of the descending thoracic aorta and the entire abdominal aorta
d. Infradiaphragmatic aorta
8. Aortic aneurysm should be included in the differential diagnosis of a patient with
a. Marfan syndrome
b. Fragile X syndrome
c. Rheumatoid arthritis
d. Scleroderma
9. A multivariate analysis showed the odds of aneurysm rupture were increased by a factor of 3.6 in patients with a history of
a. Mitral valve prolapse
b. Diverticulitis
c. Type II diabetes
d. Chronic obstructive pulmonary disease
10. The progression of aneurysmal disease is minimized by treatment with
a. A nitrate
b. A beta-adrenergic blocker
c. Digitalis
d. Dipyridamole
11. During surgical resection of an aortic aneurysm, a significant predictor of paraplegia or paraparesis is
a. Total aortic clamp time
b. A history of renal dysfunction
c. Patient age
d. All of the above
12. Spinal cord tolerance to ischemia may be increased with perioperative administration of
a. An ACE inhibitor
b. A corticosteroid
c. A narcotic analgesic
d. A calcium channel blocker
CME EXPIRATION DATE: FEBRUARY 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.