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.

Q5. A patient with renal colic is stable and does not have
Articles any conditions requiring immediate referral to a urologist.
Heat-Related Illnesses (p. 482) Which one of the following is recommended? (check one)
Q1. Which one of the following options lists major risk l A. Standard radiography is the imaging modality of
factors for heat-related illness? (check one) choice.
l A. Mild to moderate exercise, exposure to high l B. Recurrent stones should not be analyzed because
humidity, and wearing extra gear such as football they can be assumed to have the same composi-
pads. tion as the initial stone.
l B. Strenuous exercise, poor physical fitness, and l C. Parathyroid hormone should be assessed only if
exposure to high temperature. the serum calcium level is low.
l C. Moderate exercise, high level of physical fitness, l D. Ultrasonography should be performed within
and exposure to high temperature. 14 days.
l D. Mild exercise, exposure to high humidity, and
wearing loose-fitting clothing. Q6. Which one of the following should be advised to
prevent recurrence of kidney stones? (check one)
Q2. Which one of the following syndromes is a type of l A. Increasing daily fluid intake.
l B. Increasing intake of animal protein.
mild heat-related illness? (check one)
l A. Exercise-associated collapse.
l C. Avoidance of citrates, especially lemon juice.
l B. Exertional heat stroke.
l D. Increasing intake of carbonated drinks acidified
l C. Heat exhaustion. with phosphoric acid.
l D. Exercise-associated muscle cramps.
Common Breast Problems (p. 505)
Q3. Which one of the following is the most effective Q7. A 42-year-old woman presents with a small, mobile
treatment for heat stroke? (check one) lump on her left breast. Which one of the following state-
l A. Ice water immersion. ments is correct? (check one)
l B. Misting with water. l A. A clinical breast examination is of minimal value
l C. Ice packs on major arteries.
in this setting.
l B. The description suggests a malignancy.
l D. Application of cool, wet towels.
l C. Mammography is typically performed in this
Kidney Stones:​Treatment and Prevention (p. 490) setting.
Q4. A patient is diagnosed with renal colic due to an l D. A Breast Imaging Reporting and Data System
8-mm kidney stone. Which one of the following is the score of 2 on mammography warrants a core
most appropriate management strategy? (check one) needle biopsy.
l A. Corticosteroids to hasten expulsion.
l B. Administration of an alpha blocker.
l C. Increasing fluid intake to aid stone passage.
l D. Opioids as the first-line medication for pain
management.

Downloaded from◆ the

April 15, 2019 American
Volume Family Physician
99, Number 8 website at www.aafp.org/afp. Copyright © 2019 American Academy of Family
www.aafp.org/afp American Family
Physicians. Physician
For the 479
private, noncom-
mercial use of one individual user of the website. All other rights reserved. Contact copyrights@aafp.org for copyright questions and/or permission requests.
Downloaded for Ahmed Hemaid (aihmaid@seha.ae) at Abu Dhabi Health Services Co from ClinicalKey.com by Elsevier on
September 16, 2022. For personal use only. No other uses without permission. Copyright ©2022. Elsevier Inc. All rights reserved.
 CME QUIZ

Q8. A 40-year-old woman has a two-month history of Practice Guidelines

right breast pain unrelated to menses. Which one of the Child Passenger Safety:​AAP Updates Best
following treatments should be tried first? (check one) Practice Recommendations (p. 525)
l A. Topical diclofenac. Q11. Which one of the following statements about the
l B. Dietary modifications. American Academy of Pediatrics (AAP) best practice rec-
l C. Vitamin E. ommendations for child car safety is correct? (check one)
l D. Evening primrose oil. l A. Children 12 years and older may ride in the front
seat as long as the seatbelt fits properly.
Q9. A 29-year-old woman who delivered her first child l B. Children who are small for their age should still
one year ago stopped breastfeeding two months ago, but be evaluated based on age rather than size.
she now has intermittent leaking from her breasts. Which l C. Infants and toddlers should ride in a rear-facing
one of the following should you recommend? (check one) car seat until they reach the highest weight or
l A. Nipple expression. height allowed by the car seat manufacturer.
l B. Mammography. l D. Booster seats can be discontinued once a child is
l C. Duct excision. 8 years of age.
l D. Human chorionic gonadotropin testing.

Putting Prevention into Practice

Behavioral Weight Loss Interventions
to Prevent Obesity-Related Morbidity
and Mortality in Adults (p. 515)
Q10. A 32-year-old woman presents for her annual well-
ness visit. Recent blood work shows normal glucose and
lipid levels. Her blood pressure is 124/76 mm Hg, weight
is 100.6 kg (222 lb), height is 172 cm (5 ft, 8 in), and body
mass index is 34 kg per m2;​examination of her heart and
lungs is normal. Based on the U.S. Preventive Services
Task Force recommendation statement, which one of the
following interventions should you recommend to this
patient? (check one)
l A. Offer or refer her to combined pharmacotherapy
and behavioral intervention.
l B. Offer to start pharmacotherapy alone.
l C. Refer her for weight loss surgery.
l D. Offer or refer her to an intensive, multicompo-
nent behavioral intervention.

Answers to this issue’s quiz are on page 532.

480 American Family Physician www.aafp.org/afp Volume 99, Number 8 ◆ April 15, 2019

Downloaded for Ahmed Hemaid (aihmaid@seha.ae) at Abu Dhabi Health Services Co from ClinicalKey.com by Elsevier on
September 16, 2022. For personal use only. No other uses without permission. Copyright ©2022. Elsevier Inc. All rights reserved.
 Advertiser Index
AAFP TIPS
TM
AAFP . . . . . . . . . . . . . . . . . . . . . 477*, 497*, 498*, 500*, 502*, 504*

AAFP TIPS/AAFP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 532

Transformation 471, 520
in Practice Series
ASTRAZENECA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Family Physician Health and

Well-Being Conference/AAFP . . . . . . . . . . . . . . . . . . . . . . . . . 526

FLORIDA DEPARTMENT OF HEALTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . 477*

FMX/AAFP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 524

GILEAD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2nd Cover

Transforming Your Practice Hospice and Palliative Care

Self-Study Package/AAFP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 516

Just Got Easier Intrarosa/AMAG PHARMACEUTICALS . . . . . . . . . . . . . . . . . . 3rd Cover

Introducing AAFP TIPS Longitudinal Assessment

Self-Study Package/AAFP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 473

MiraLAX/BAYER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 475
AAFP TIPS is a new series of ready-to-use
Trelegy/GLAXOSMITHKLINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 497*
practice improvement resources designed
UNITED STATES AIR FORCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 481
to fit your team’s busy schedule.

Our Growing Library of Topics: *DOES NOT APPEAR IN ALL COPIES.

• Clinical Data Registries NEW!

• Continuity of Care NEW! Answers to This Issue’s CME Quiz
• Team Documentation NEW! Q1:​ B Q4:​ B Q7:​ C Q10:​ D
Q2:​ D Q5:​ D Q8:​ A Q11:​ C
• Empanelment
Q3:​ A Q6:​ A Q9:​ D
• Quality Improvement

Get started now.

aafp.org/aafptips

DPA18091380

Downloaded for Ahmed Hemaid (aihmaid@seha.ae) at Abu Dhabi Health Services Co from ClinicalKey.com by Elsevier on
September 16, 2022. For personal use only. No other uses without permission. Copyright ©2022. Elsevier Inc. All rights reserved.