Download Self-Evaluation Quiz - Pediatrics in Review

Self-Evaluation
B. Exercise
C. Function
Quiz
The questions
in this sell-evaluation
quiz are based on the
articles
in this issue of the journal.
Each of the questions
or
statements
is followed by five possible answers or completions.
Select all of the correct answers
to each of the questions and
circle the corresponding
letters. The answers appear on the inside
front cover of this issue.
As an organization
accredited for continuing medical education,
the American Academy of Pediatrics certifies that this continuing
medical education activity, when used and completed
as directed,
meets the criteria for two hours of credit in Category 1 of the
Physician’s
Recognition
Award of the American
Medical Association and two hours of PREP credit.
To earn two hours of Category 1 credit and two hours of PREP
credit for this quiz, you must currently be enrolled in PREP or
subscribing to PEDIATRICS
IN REVIEW.
You will receive two
boy is brought to
you for evaluation
of repeated
respiratory
infections
accompanied
by wheezing.
Which of
the following
symptoms
would
be least helpful in differentiating
asthma from cystic fibrosis (CF)
In such a patient?
cough.
diarrhea
smelling stools.
C. Nasal polyps.
D. Failure to thrive.
E. Digital clubbing.
foul-
2. A type of feeding with which
young infants with CF will generally not require dietary supplementation
with pancreatic
enzymes is:
A. Breast milk.
B. Cow milk based commercial
formulas.
C. Soybean-based
formulas.
D. Elemental or predigested for-
mulas.
E. None of the above.
3. Recent
research
findings
In
CF include each of the following
except:
A. CF gene has been found to
be on the long arm of chromosome 7.
B. More than 2% of patients
with CF have persistently
normal sweat test results.
C. Measurement
of immunoreactive
trypsingogen
in
fol-
A.
B.
C.
D.
E.
Klinefelter
syndrome.
xvy syndrome.
Head trauma.
Overt psychosis.
Temporal lobe epilepsy.
7. Each of the following
meats is true except:
A. Adolescents
who
drugs are at increased
stateabuse
risk for
vitamin deficiency.
B. Delinquent adolescents
have
an increased likelihood of untreated visual, hearing,
or
serum appears
to be an effective procedure
for screening of the newborn.
D. Antenatal
diagnosis and de-
tection of carriers is possible
for more than 60% of families
in which
there
agents
(ie,
corticosteroids)
may reduce
the rate of progression
of
lung disease.
4. Each of the following statements
regarding
the development of diabetes
mellitus in patients with CF is true except:
A. More than 50% of patients
with CF will have abnormal
glucose
tolerance
test resuits.
B. More than 7% of patients
with CF will have clinical diabates meIlitus.
C. Onset ofdiabetes
mellitus will
hasten the progression
of
pulmonary
disease.
D. Patients with CF in whom diabetes mellitus develops are
relatively unlikely to have ketoacidosis.
E. Such patients are sensitive to
exogenous
insulin therapy.
5. Patients
with
larly participate
aerobic
exercise
C. Hyperactive
children have an
increased
incidence of sarious antisocial
behaviors
in
CF who reguin moderate
are least likely
to show improvement in:
A. Cardiopulmonary
fitness.
11. Of the following congenital
lesions, which would be
likely to cause cardiogenic
D. Early substance
abuse is
more common in those teenagers who are most prosocial
in their behaviors.
E. Delinquent
adolescents
at increased risk for
flicted trauma.
8. WhIch
of the aorta.
E. Anomalous
tory.
left coronary
12. In a newborn
following findbe least typical
of
Involved
in drug
A. Drug use by peers.
B. Good relationships
with par-
ants.
C. Social isolation.
9. A 15-year-old boy is brought
to the emergency
room with hyperactive
and combative
behavior. Which of the following drugs
would be the least likely cause
of such behavior?
A. An opiate.
B. Phencyclidine.
C. LSD.
0.
Mescaline.
E. Amphetamine.
pediatrics
in review
which
would
A. A 36-hour period of restlessness and tachypnea
before
other
B.
C.
D.
E.
signs
of
congestive
heart failure appear.
Uttle change
in heart rate
with activity level.
A fixed AR interval on ECG.
Absence of P waves on ECG.
A ventricular
rate of 180
beats per minute.
13. The major etlologic categories of cardiogenic
shock in
the newborn include each of the
following except:
A. Congenital left heart obstruction.
B. Myocardial
C. Pulmonary.
disorders.
D. Dysrhythmias.
disease.
14. True statements
pertaining
to cardiogenic
shock in the newborn Include
each of the following except:
A. If a structural cardiovascular
abnormality
is the cause, the
infant may be helped by ad-
ministration
of prostaglandin
E1.
B. Ventricular
tachycardia
is
often associated
with cardiac
tumors.
10. A 2-day-old infant is lethargic and has mottled
blue-white
skin, tachycardia, weak pulses,
hypotension.
infant with su-
praventhcur
tachycardia,
of the following
findings
be least likely?
E. Metabolic
D. Poor academic
performance.
E. Low self-esteem.
and
ar-
are
self-in-
of the
ings would
adolescents
abuse?
in the neonatal period?
Hypoplastic left heart.
Aortic stenosis.
Ventricular septal defect.
D. Coarctation
adolescence.
is an individual
affected with CF.
following
findings
in this infant
would be least consistent
with a
diagnosis of cardiogenic
shock?
A. Gallop rhythm.
B. Low systemic venous pressure.
C. Gross cardiomegaly.
D. Low voltage QRS complexes
and T wave abnormalities
on
ECG.
E. Slow capillary refill.
heart
least
shock
A.
B.
C.
dental problems.
E. Anti-inflammatory
with
of mucus
vincing?
IL 60009-0927.
1. A 7-year-old
A. Chronic
B. Chronic
func-
6. For whIch of the following disorders is evidence for an assoclation with increased
likelihood
of delinquent
behavior least con-
cards, or send them directly to: PEDIATRICS IN REVIEW, Amercan Academy of Pediatrics, 141 Northwest
Point BIvd, P0 Box
‘
culature.
D. Results of pulmonary
lowing exercise.
1988.
We invite your specific comments
about the relevance of each
of the articles and any other comments you wish to make about
the journal. You may enclose your comments
with your quiz reply
Elk Grove Village,
mus-
tion tests.
E. Expectoration
quiz reply cards this year along with a letter acknowledging
your
enrollment or subscription.
Each card provides space to answer
the questions from five issues of the journal. Please use CARD
#1 for responses to the questions in the July through November
issues and CARD #2 for the December
through April issues. To
receive proper credit, both cards MUST be returned
by June 30,
927,
tolerance.
of respiratory
Which
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C. Ventricular fibrillation is charactensticof
long QT interval”
syndrome.
D. Efforts to establish a definitive diagnosis should precede
symptomatic
treatment.
E. High venous pressure
suggests cardiac tamponade.
vol. 9 no. 8 february
1988
PIR
267
Education
1988
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