Clinical Quiz questions are based on selected articles and selected items in “Tips from Other Journals” in this issue. Answers appear in this issue.
AFP’s clinical quizzes are eligible for AAFP Prescribed credit, depending on the number of article pages covered in the quiz. This program has been reviewed and is acceptable for up to 4 Prescribed credit hours by the American Academy of Family Physicians.
The AAFP is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. The AAFP designates this issue’s CME activity for 4 credit hours in Category 1 of the Physician’s Recognition Award of the American Medical Association (AMA/PRA).
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My least favorite drugs
AAFP Credit
Each copy of AFP contains a Clinical Quiz answer card. AAFP members may use this card to obtain the designated number of Prescribed credit hours for the year in which the card is postmarked.
AMA/PRA Category 1 Credit
AAFP members who satisfy the Academy’s continuing medical education requirements are automatically eligible for the AMA/PRA.
Physicians who are not members of the AAFP are eligible to receive the designated number of credit hours in Category 1 of the AMA/PRA on completion and return of the Clinical Quiz answer card. AFP keeps a record of AMA/PRA Category 1 credit hours for nonmember physicians. This record will be provided on request; however, nonmembers are responsible for reporting their own Category 1 CME credits when applying for the AMA/PRA or other certificates or credentials.
For health care professionals who are not physicians and are AFP subscribers, a record of CME credit is kept by AAFP and will be provided to you on written request. You are responsible for reporting CME hours to your professional organization.
note: The full text of American Family Physician is available online (http://www.aafp.org/afp), including each issue’s Clinical Quiz. The table of contents for each online issue will link you to the Clinical Quiz. Just follow the online directions to take the quiz and, if you’re an AAFP member, you can submit your answers for CME credit.
Instructions
* Read each article, answer all questions on the quiz pages and transfer your answers to the Clinical Quiz answer card (bound into your copy of AFP). This will help you avoid errors and permit you to check your answers against the correct answers.
* Mail the Clinical Quiz answer card within one year (by May 31, 2000). The bar code on the answer card contains your identification for CME credit hours.
Before beginning the test, please note:
Each Clinical Quiz includes two types of questions: Type A and Type X.
Type A questions have only one correct answer. Here is a typical Type A question:
Q1. Most allergic reactions to foods are:
* A. Due to IgA deficiency.
* B. Due to IgG and IgM antibodies.
* C. IgE-mediated.
* D. Due to enzyme deficiencies.
* E. Due to toxins.
Type X questions may have one or more correct answers. They are multiple true-false questions with four options. Here is a typical Type X question:
Q2. Causes of varicosities in pregnancy
include:
* A. Hormonal changes.
* B. Venous compression.
* C. Familial tendency.
* D. Prolonged sitting and standing.
Clinical Quiz questions are written by the associate and assistant editors of American Family Physician.
Diagnosis and Management of Gout (p. 1799)
Q1. Which one of the following drugs would not be an
appropriate treatment choice during an acute gout attack?
* A. Orally administered colchicine.
* B. Intravenously administered colchicine.
* C. Allopurinol (Zyloprim).
* D. A nonsteroidal anti-inflammatory drug.
* E. Intra-articular injection of a corticosteroid.
Q2. Which one of the following statements about the use of colchicine for the treatment of gout is incorrect?
* A. Colchicine should be given every hour until joint
symptoms are relieved or side effects develop.
* B. zovirax. Side effects of colchicine include nausea, vomiting and diarrhea.
* C. Intravenously administered colchicine is associated with an increased risk of toxic side effects compared with orally administered colchicine.
* D. Intravenously administered colchicine is associated with fewer gastrointestinal effects than orally administered colchicine.
* E. Colchicine is the agent of choice for the treatment of gout attacks.
Safety of Radiographic Imaging During Pregnancy (p. 1813)
Q3. Which one of the following radiographic studies would expose a developing fetus to the greatest amount of radiation?
* A. Thoracic spine films.
* B. Lumbosacral spine films.
* C. Pelvic radiographs.
* D. Abdominal films (multiple views).
* E. Intravenous pyelography.
Chronic Abdominal Pain in Childhood: Diagnosis and Management (p. 1823)
Q4. Which one of the following should be the first imaging investigation performed in a child with undiagnosed abdominal pain?