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Journal CME Quiz:
The Maryland Family Doctor, Fall 2010

The Maryland Family Doctor has been reviewed and is acceptable for Prescribed credits by the American Academy of Family Physicians (AAFP). This Fall, 2010 edition (vol. 47, No. 2) is approved for 2 Prescribed credits. Credit may be claimed for two years from the date of this edition.

AAFP Prescribed credit is accepted by the American Medical Association (AMA) as equivalent to AMA PRA Category 1 credit toward the AMA Physicians Recognition Award. When applying for the AMA PRA, Prescribed credit earned must be reported as Prescribed credit, not as Category I.

Articles

1. Global Health: Challenges and Opportunities - p. 8
2. Travel Medicine and the Maryland Family Physician - p. 10
3. Dengue Fever: Will a Tiger Bring a Devil to Our Doorstep - p. 14
4. Purple Spots in Africa - p. 16
5. Putting Theory into Practice: Methods….. Diabetes Care - p. 18

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Indicate Each Correct Answer

Questions Article #1:

 

1. Areas within global health include the following:

 

 A.

Injury prevention

B. Rehabilitation

C. Entertainment Education

D. A and B only

E. A, B and C

   

 2. The 2009 Global Health Initiative will not focus on Tuberculosis

 

 A.

True

B. False

 

Questions Article #2:

 

3. Which of the following are important topics of discussion at a pre-travel consultation (check all that apply)?
 

 A.

Food and water precautions

B. Insect avoidance

C. Environmental precautions

D. Malaria chemoprophylaxis

E. Vaccine-preventable illness


4. What is the disease from which a traveler is most likely to suffer (one best answer)?

 

 A.

Malaria

B. Deep venous thrombosis (DVT)

C. Altitude sickness

D. Cardiac ischemia

E. Travelers’ diarrhea


5. In a malaria-endemic region, which of the following are beneficial in preventing malaria (check all that apply)?

 

 A.

Bednets

B. Ultrasonic insect repellants

C. Behavioral insect-avoidance measures

D. Chemoprophylaxis

E. Bottled water


Questions Article #3:

6. Which of the following insect vectors, present in Maryland, have the ability to transmit dengue virus and West Nile virus infection to humans?

 

 A.

Dermacentor variabilis, also a vector for tularemia and called the “American Dog Tick”

B. Ctenocephalides felis, also a vector for Bartonellosis and known as “The Cat Flea”

C. Aedes albopictus, also known as “The Asian Tiger Mosquito”

D. Anopheles quadrimaculatus, a mosquito that is also a vector for malaria


7. Which one of the following statements about dengue virus infection is true?

 

 A.

Recent studies have demonstrated that administration of ribavirin within 48 hours of symptoms for patients with dengue reduces their risk of death or serious morbidity.

B. Travelers who use bed nets and insect repellant at night will significantly reduce their risk of dengue.

C. In a recent traveler with the acute onset of severe retro-orbital headache, fever, arthralgia and thrombocytopenia, if the malaria smear is negative, dengue virus infection should be considered.

D. Infection with one serotype of dengue virus induces cross-reactive antibodies that will protect a patient from subsequent infection with the other three dengue serotypes.


8. Which one of the following statements about dengue virus infection in the United States is false?

 

 A.

The incubation period for dengue infection is 2-3 months, therefore dengue should be considered in any febrile patient with travel to a dengue endemic area within the prior 12 weeks.

B. A patient with recent travel to Key West, Florida is at risk for dengue virus infection.

C. A patient with recent international travel and a fever is more likely to have dengue than malaria.

D. Following the acute onset of fever, headache, rash and arthralgia, patients with dengue virus infection can experience generalized weakness, myalgia and arthralgia for weeks.


Questions Article #4:

 

9. Kaposi’s sarcoma (KS) is only seen in HIV/AIDS patients.
 

 A.

True

B. False


10. KS is not a true sarcoma.
 

 A.

True

B. False


11. What are the modes of transmission of HHV8?

 

 A.

Sexual contact

B. Saliva

C. Organ transplant

D. Blood transfusion

E. All of the above


12. KS is a curable condition.

 

 A.

True

B. False


13. KS is a treatable condition.
 

 A.

True

B. False


Questions Article #5:

14. To improve delivery of health care to patients James Brent recommends that health care providers:

 

 A.

Try out different models of health care delivery

B. Increase variation of delivery from one patient to another

C. Continuously evaluating level of adherence to care protocol

D. Provide the patient with as many different treatment options as possible


15. The ADA Recommends that diabetic patients have the following tests completed at least annually:
 

 A.

Renal ultrasound

B. Complete Blood Count

C. Pap smear

D. Urine Microalbumin

 

16. Diabetes is one of the leading causes of mortality in the United States.

 

 A.

True

B. False


17. Physicians are hesitant to prescribe opioids because of concerns about the potential for misuse, abuse, addiction, side effects (respiratory depression), tolerance, diversion and fear of regulatory action.

 

 A.

True

B. False

C. Completing a checklist or diabetic patient form at the time of each office visit

D. Performing all laboratory testing every other year if patients are stable

                                                            

 
     

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