CME quiz

American Family Physician,  May 1, 2008  

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Continuing Medical Education (CME) Quiz questions are based on selected articles in this issue of American Family Physician. The questions are written and reviewed by the AFP medical editors. The answers appear in this issue at the end of the Practice Guidelines department. Each copy of AFP contains a CME Quiz answer card. Physicians and other health care professionals are invited to submit answer cards for CME credit.

AAFP Credit

This issue of AFP has been reviewed and is acceptable for up to 4.75 Prescribed credits by the American Academy of Family Physicians (AAFP). Of these credits, 0.75 conforms to the AAFP criteria for evidence-based (EB) CME clinical content. CME credit has been increased to reflect two-for-one credit for the EB CME portion only; AAFP accreditation begins January 2008. The term of approval is for one year from this date. When reporting AAFP credit, report total Prescribed credit for this activity. It is not necessary to label credit as EB CME for reporting purposes.

The EB CME credit awarded for this activity was based on practice recommendations that were the most current and had the strongest level of evidence available at the time. Because clinical research is ongoing, the AAFP recommends that learners verify sources and review these and other recommendations before incorporating them into practice (http://www.aafp.org/ ebcme). Other health care organizations may or may not accept the two-for-one EB CME credits. The AAFP is accredited by the Accreditation Council for Continuing Medical Education to provide CME for physicians.

AMA/PRA Category 1 Credit

The AAFP designates this educational activity for a maximum of 4.0 American Medical Association Physician's Recognition Award (AMA/PRA) Category 1 Credits. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Health care professionals who satisfy the Academy's CME requirements are automatically eligible for the AMA/PRA. Health care professionals who are not family physicians are eligible to receive the designated number of credits in Category 1 of the AMA/PRA on completion and return of the answer card. AAFP keeps a record of AMA/PRA Category 1 credit for non-family physicians. This record will be provided upon written request; however, non-family physicians are responsible for reporting their own CME credits when applying for the AMA/PRA or other certificates or credentials.

Online Quiz

The full text of AFP, including each issue's CME Quiz, is available at http:// www.aafp.org/afp. The online table of contents for each issue will link to the CME Quiz. Online directions are provided to take the quiz, and learners who are AAFP members may submit their answers for CME credit.

Instructions

(1) Read each article, answer all questions on the quiz pages, and transfer your answers to the CME 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.

(2) Mail the CME Quiz answer card within one year (by May 31, 2009). The bar code on the answer card contains your identification for CME credit hours.

Before beginning the test, please note: Each CME Quiz includes two types of questions: Type A and Type X.

Type A questions have only one correct answer and may have four or five choices. Here is a typical Type A question:

Q1. Which one of the following causes allergic reactions to foods?

   [] A. IgA deficiency.
   [] B. IgG and IgM antibodies.
   [[check]] C. IgE antibodies.
   [] D. Enzyme deficiencies.
   [] E. 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. Which of the following is/are causes of varicosities in pregnancy?

   [check] A. Hormonal changes.
   [check] B. Venous compression.
   [check] C. Familial tendency.
   [check] D. Prolonged sitting and standing.

CME Quiz questions are written by the associate and assistant editors of AFP.

Type A Questions

Each question has only one correct answer.

A Practical Approach to Neonatal Jaundice (p. 1255)

Q1. Which one of the following statements about assessment of newborns for jaundice is correct?

[] A. Measurement of transcutaneous bilirubin levels is much less accurate than that of total serum bilirubin levels.

[] B. All newborns should be assessed for jaundice once every 24 hours.

[] C. Visual inspection to determine bilirubin levels is accurate.

[] D. Predischarge measurement of bilirubin levels can help determine timing of follow-up examinations.

Stuttering: An Overview (p. 1271)

Q2. Which one of the following statements about speech dysfluency in children is correct?

[] A. About three fourths of preschool-age children who stutter spontaneously recover within four years.

[] B. In the United States, stuttering is more common in children from upper socioeconomic groups.

[] C. Stuttering is commonly associated with hearing problems.