CME Quiz

AAFP members and other physicians and health care professionals who
receive the print version of AFP in their own name can submit responses for
CME credit at https://www.aafp.org/afpquiz. Quiz questions are featured below
for your convenience. This issue is approved for up to 5 Prescribed and AMA PRA
Category 1 credits. The total credit for this issue is based on one credit for each
article included in the Quiz. Credits may be claimed for one year from the date
of this issue. Questions? Call 800-274-2237.

Q3. Which one of the following childhood vaccine series

Articles has the lowest completion rate? (check one)
l A. Measles, mumps, and rubella (MMR).
Health Maintenance in School-Aged Children:​
Part I. History, Physical Examination,
l B. Meningococcal.
Screening, and Immunizations (p. 213)
l C. Tetanus toxoid, reduced diphtheria toxoid, and
Q1. Which one of the following is the definition of obesity
acellular pertussis (Tdap).
for school-aged children? (check one)
l D. Varicella.
l A. Body mass index at or above the 85th percentile
for age and sex. Health Maintenance in School-Aged Children:​
l B. Body mass index at or above the 95th percentile Part II. Counseling Recommendations (p. 219)
for age and sex.
Q4. Which one of the following is recommended by the
l C. Weight at or above the 85th percentile for age U.S. Preventive Services Task Force? (check one)
l A. Screen children 11 years and younger for
and sex.
l D. Weight at or above the 95th percentile for age depression.
l B. Screen children 12 years and older for drug use.
and sex.

Q2. Which one of the following statements about
hypertension and dyslipidemia screening in school-aged
children is correct? (check one)
l A. The American Academy of Pediatrics (AAP) and
U.S. Preventive Services Task Force (USPSTF) rec-
ommend annual screening for both conditions.
l B. The AAP and USPSTF recommend one-time
screening for both conditions between nine and
11 years of age.
l C. The AAP and USPSTF recommend screening for
hypertension only in children with risk factors for
elevated blood pressure.
l D. The AAP recommends screening for both con-
ditions, but the USPSTF concludes that there is
insufficient evidence to assess the balance of
benefits and harms of routine screening for either
condition.
l C. Screen children 12 years and older for alcohol
use.
l D. Screen children 12 years and older for depression.
Q5. Which one of the following should be recommended
as part of dietary counseling for school-aged children?
(check one)
l A. Increase intake of refined grains.
l B. Limit fruits to three times weekly.
l C. Minimize intake of sugary beverages.
l D. Limit fish intake to once weekly.
Q6. Which one of the following is an appropriate recom-
mendation for school-aged children? (check one)
l A. Bone-strengthening activities at least five days
a week.
l B. Moderate to vigorous physical activity for 60 min-
utes seven days a week.
l C. Vigorous-intensity aerobic activity at least once
a week.
l D. Muscle-strengthening activities at least once
a week.

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Electronic Cigarettes:​Common
Questions and Answers (p. 227)
Q7. Which one of the following is a health benefit of
e-cigarettes over traditional cigarettes? (check one)
l A. Reduced exposure to non-nicotine toxic
chemicals.
l B. No exposure to nicotine.
l C. Children exposed to e-cigarette liquid have less
risk of hospital admission than children exposed
to cigarettes.
l D. No exposure to heavy metals and toxicants.
Q8. Which one of the following accurately describes an
outcome of e-cigarette use? (check one)
l A. Precise dosing calibration facilitates stepwise
decreases in e-cigarette use.
l B. Many people who quit cigarette smoking con-
tinue to use e-cigarettes at one year.
l C. Continued e-cigarette use reduces long-term
cardiovascular mortality.
l D. e-Cigarettes help prevent teens from trying tradi-
tional cigarettes.
Q9. Which one of the following statements about
e-cigarettes is correct? (check one)
l A. Accidental ingestion of e-cigarette liquid is less
hazardous than cigarette ingestion.
l B. They are recommended as an alternative to tradi-
tional cigarettes in pregnant smokers.
l C. Secondhand exposure may provoke asthma
attacks in youth with asthma.
l D. They are approved as smoking cessation devices
by the U.S. Food and Drug Administration.
206 American Family Physician
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CME QUIZ
Point-of-Care Guides
Identifying Outpatients with Acute Cough
at Very Low Risk of Pneumonia (p. 246)
Q10. Which one of the following identifies patients with
acute cough who are at very low risk of community-
acquired pneumonia? (check one)
l A. Normal blood pressure and fever higher than
100.5°F (38°C).
l B. Normal vital signs and normal lung examination
findings.
l C. Normal vital signs and no history of chronic
obstructive pulmonary disease.
l D. Normal vital signs with C-reactive protein level of
35 mg per L (333.3 nmol per L).
Practice Guidelines
Maintenance Intravenous Fluids in Children:​
AAP Provides Recommendation (p. 251)
Q11. According to the American Academy of Pediatrics
(AAP), which one of the following intravenous mainte-
nance fluids would be most appropriate for a two-year-
old child admitted for vomiting? (check one)
l A. Normal saline with 5% dextrose and 20 mEq of
potassium chloride per liter.
l B. 0.2% sodium chloride solution.
l C. 1/2 normal saline with 5% dextrose.
l D. 1/2 normal saline with 5% dextrose and 20 mEq of
potassium chloride per liter.
Answers to this issue’s quiz are on the inside back cover.
www.aafp.org/afp Volume 100, Number 4 ◆ August 15, 2019
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