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://​w ww.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.

Depression in Children and Adolescents:​ The Changing Climate:​Managing

Evaluation and Treatment (p. 609) Health Impacts (p. 618)
Q1. Which one of the following statements about the Q4. Which one of the following is the greatest risk factor
treatment of major depressive disorder in children and for heat injury? (check one)
adolescents is correct? (check one) l A. Lack of social support.
l A. Most antidepressants are approved by the U.S. l B. Previous acute kidney injury.
l C. Female sex.
Food and Drug Administration for use in adoles-
cents 12 years and older.
l D. Age older than 50 years.
l B. Benefit of monotherapy with an antidepressant or
psychotherapy is high.
l C. Tricyclic antidepressants are the first-line medica-
Q5. Which one of the following is most likely to become
more of a health threat in the United States because of
tion recommended for children and adolescents
climate change? (check one)
with depression.
l A. Tetanus.
l D. The combination of cognitive behavior therapy
and an antidepressant is more effective than l B. Chikungunya virus.
either treatment alone. l C. Histoplasmosis.
l D. Respiratory syncytial virus.
Q2. Which one of the following statements about screen-
ing for depressive disorder in children and adolescents is Q6. Which one of the following should family physicians
correct? (check one) consider recommending to their patients to improve
l A. The U.S. Preventive Services Task Force found health and reduce greenhouse gas emissions? (check
insufficient evidence to recommend for or against one)
screening for major depressive disorder. l A. Moving to an inland state to avoid coastal
l B. The American Academy of Family Physicians rec- changes.
ommends screening up to 19 years of age. l B. Installing solar panels on the roof of their house.
l C. The American Academy of Pediatrics recom- l C. Transitioning to active transport (e.g., bicycling,
mends annual screening of adolescents with a jogging).
l D. Avoiding outdoor exercise.
self-report tool.
l D. The Guidelines for Adolescent Depression in
Primary Care recommends one-time screening at
15 years of age.

Q3. Which one of the following medications is U.S. Food

and Drug Administration approved for depression in chil-
dren and adolescents eight years and older? (check one)
l A. Fluoxetine (Prozac).
l B. Sertraline (Zoloft).
l C. Paroxetine (Paxil).
l D. Escitalopram (Lexapro).

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Specific Learning Disabilities:​
The Family Physician’s Role (p. 628)
Q7. Which one of the following statements about a
school-based eligibility evaluation of a child with aca-
demic underachievement is correct? (check one)
l A. A visual impairment corrected by glasses is
considered to be a combined school-based and
medical eligibility category.
l B. Intellectual disability and specific learning disabil-
ity are mutually exclusive eligibility categories.
l C. Response-to-intervention protocols help deter-
mine if the child’s individualized education pro-
gram (IEP) is successful.
l D. The cognitive adverse effects of antiepileptic
drugs are excluded from IEP eligibility criteria.
Q8. Which one of the following statements about the IEP
is correct? (check one)
l A. It is transferred automatically from the school to
the medical setting.
l B. It is difficult for a physician to make ongoing
changes to an IEP.
l C. Children who do not qualify for an IEP may be
eligible for a 504 plan.
l D. It is ineffective for children with specific learning
disabilities.
Q9. Which one of the following statements about the
medical evaluation of a child with academic under-
achievement is correct? (check one)
l A. The physician provides a summary of identified
medical needs or medical evaluation steps.
l B. The physician determines whether a child has a
specific learning disability.
l C. A subspecialty referral for neurodevelopmental
disorders is managed through the child’s school.
l D. School evaluations and services for conditions
such as asthma or epilepsy, which can result
in absenteeism, can proceed without medical
evaluation.
608 American Family Physician
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CME QUIZ
Putting Prevention into Practice
Screening for HIV Infection and Preexposure
Prophylaxis for the Prevention of HIV
Infection (p. 637)
Q10. A 29-year-old transgender woman presents for a
maintenance visit with a new family physician. It has been
three years since her previous visit with a primary care
physician. She is sexually active with men, engages in oral
and anal intercourse, and uses condoms about two-thirds
of the time. She requests to be screened for HIV infection.
She returns for a follow-up visit to review her laboratory
results. The HIV test was negative, and the other tests
for sexually transmitted infections (STIs) were negative.
According to the U.S. Preventive Services Task Force,
which one of the following behaviors or factors makes
her a candidate for preexposure prophylaxis? (check one)
l A. She regularly receives STI screenings by visiting
urgent care centers.
l B. She is a transgender woman.
l C. She has never tested positive for STIs.
l D. She occasionally does not use condoms when
having sex with partners who are at high risk of
HIV infection.
l E. She has never engaged in transactional sex work.
Practice Guidelines
Gestational Hypertension and Preeclampsia:​
A Practice Bulletin from ACOG (p. 649)
Q11. According to the American College of Obstetricians
and Gynecologists (ACOG) recommendations, which one
of the following patients should receive low-dose aspirin
prophylaxis starting between 12 and 28 weeks’ gestation?
(check one)
l A. A 28-year-old in her first pregnancy.
l B. A 23-year-old with two previous pregnancies
without preeclampsia, but whose mother had
preeclampsia.
l C. A 24-year-old in her first pregnancy who has
taken medication for chronic hypertension for
three years.
l D. A 21-year-old female with obesity and one previ-
ous pregnancy without preeclampsia.
Answers to this issue’s quiz are on the inside back cover.
www.aafp.org/afp Volume 100, Number 10 ◆ November 15, 2019
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