CME Posttest: The role of HPV testing; Osteonecrosis of the jaws

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.

THE ROLE OF HPV TESTING

1. One of the most commonly occurring high-risk types of human papillomavirus (HPV) infection in the United States is
a. HPV-6
b. HPV-11
c. HPV-18
d. HPV-30

2. According to American Society for Colposcopy and Cervical Pathology (ASCCP) guidelines, colposcopy may not be required if the cytology findings indicate
a. ASC-US
b. ASC-H
c. LSIL
d. HSIL

3. The liquid-based cytology media used to preserve cervical specimens can also be used to test for
a. Trichomonas vaginalis
b. Treponema pallidum
c. Bacterial vaginosis
d. Neisseria gonorrhoeae

4. The ASCCP recommends using HPV testing with cytology as a primary cervical cancer screen in females who are
a. Not yet sexually active
b. 30 years and older
c. Newly sexually active
d. At menarche

5. Unless cytology indicates ASC-US, patients should be referred for colposcopy when screening test results are
a. Cytology negative, HPV negative
b. Cytology positive, HPV positive
c. Cytology negative, HPV positive
d. Cytology positive, HPV negative

6. The suggested strategy for patients with colposcopically confirmed grade I cervical intraepithelial neoplasia is
a. Repeat cytology every 6 months, with repeat colposcopy if the results are positive
b. Repeat HPV testing at 3 and 6 months, with colposcopy only after two positive results
c. Repeat cytology and HPV testing at 1 year, with repeat testing in 6 months if both are positive
d. Repeat cytology every 6 months, either with or without colposcopy

OSTEONECROSIS OF THE JAWS

7. IV bisphosphonates are used to manage lesions in patients with
a. Paget's disease of bone
b. Rickets
c. Multiple myeloma
d. Perthes' disease

8. The risk of developing bisphosphonate-related osteonecrosis of the jaws (BRONJ) increases 7-fold in patients with
a. Dental abscesses
b. Aphthous ulcers
c. Bruxism
d. Impacted wisdom teeth

9. In the early stages of BRONJ, symptoms
a. Include mucosal bleeding
b. Can result in limited jaw movement
c. Manifest as jaw popping
d. Typically go unnoticed

10. To establish the diagnosis of BRONJ, panoramic radiography should be followed by
a. MRI
b. CT
c. Ultrasonography
d. Radionuclide bone scan

11. A condition that is most commonly misdiagnosed as
BRONJ is
a. Sinusitis
b. Migraine
c. Impacted wisdom tooth
d. Septic arthritis

12. The American Academy of Oral and Maxillofacial Surgeons recommends a staging system for treatment of BRONJ.Stage II is best described as
a. Exposed/necrotic bone in an asymptomatic patient
b. Exposed/necrotic bone with no evidence of infection
c. Exposed/necrotic bone with pain and infection
d. Exposed/necrotic bone with evidence of a fracture

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.