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.

Depression and Anxiety Disorders:​Benefits

Articles of Exercise, Yoga, and Meditation (p. 620)
Apophysitis and Osteochondrosis:​Common
Q4. Which one of the following statements about yoga
Causes of Pain in Growing Bones (p. 610) for the treatment of depression and anxiety is correct?
Q1. Which one of the following findings in an eight-year- (check one)
l A. It is effective as monotherapy for treating mild
old who is active in school sports and has leg pain should
prompt consideration for more serious disease and
anxiety.
appropriate referral? (check one)
l B. It is not an effective treatment for people with
l A. Swelling over the tibial tuberosity. panic disorder.
l B. Anterior knee pain irritated by jumping. l C. One 60-minute session per week can be effective
l C. Midfoot tenderness and swelling. for treating depression.
l D. Night pain. l D. Exercise-based yoga is more effective than
meditation-based yoga in treating perinatal
Q2. Which one of the following statements about medial depression.
epicondyle apophysitis in baseball pitchers is correct?
(check one) Q5. Which one of the following statements about
l A. Increasing the pitch count may hasten pain meditation for the treatment of depression and anxiety
resolution. is correct? (check one)
l B. Recurrence rates are low. l A. It has a positive effect in people with mood and
l C. An annual four-month rest from pitching is
anxiety disorders.
recommended. l B. Positive effects are generally sustained no more
l D. Immobilization and surgery are usually required.
than two to three weeks.
l C. Evidence suggests that mindfulness works
Q3. A 10-year-old girl presents with gradually developing only when integrated into a larger therapeutic
posterior heel pain that is often aggravated by running. framework.
Which one of the following diagnostic or treatment l D. There is convincing evidence that it can be
approaches is correct? (check one) recommended as a first-line treatment for social
l A. The squeeze test. anxiety disorders.
l B. Calcaneal radiography.
l C. Magnetic resonance imaging.
l D. Immobilization.

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Q6. Which one of the following statements about
exercise for the treatment of depression and anxiety
is correct? (check one)
l A. Exercise is more effective than yoga for the treat-
ment of major depressive disorder.
l B. There is good evidence that resistance training
is more effective than interval training for the
treatment of depression.
l C. Anxiety disorders respond better than depressive
disorders to exercise.
l D. Exercise may be recommended even though
robust evidence of mental health benefits is
lacking.
Lice and Scabies:​Treatment Update (p. 635)
Q7. Which one of the following statements about the
diagnosis and management of scabies is correct?
(check one)
l A. Infants may present with pustules on the palms
and soles.
l B. Oral ivermectin (Stromectol) is the first-line
treatment.
l C. A one-time treatment is sufficient.
l D. Pruritus should resolve promptly with treatment.
Q8. A mother has been treating her child for head lice
by using a lice comb. Careful inspection identifies yellow
to white egg casings but no live lice on the hair shafts.
Which one of the following statements is correct?
(check one)
l A. The child should be treated presumptively with
permethrin 1% (Nix).
l B. The child should be excluded from school or
day care.
l C. Diagnosis requires visualization of a live louse.
l D. Prompt chemical treatment of the home
environment is recommended.
Q9. Which one of the following is the first-line
pharmacologic treatment for head lice? (check one)
l A. Permethrin 1%.
l B. Ivermectin 0.5% (Sklice).
l C. Lindane.
l D. Benzyl alcohol 5% (Ulesfia).
608 American Family Physician
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CME QUIZ
Putting Prevention into Practice
Screening for Intimate Partner Violence, Elder
Abuse, and Abuse of Vulnerable Adults (p. 649)
Q10. A 32-year-old woman presents for a health main-
tenance visit. She has no significant medical history and
has never used tobacco, alcohol, or any other substances.
She works as a senior project manager for a large com-
pany and lives alone. She is not currently in a formal
relationship, but she dates and has casual “hookups.”
According to the U.S. Preventive Services Task Force
recommendation on screening for intimate partner
violence (IPV), how should you proceed with this patient?
(check one)
l A. Ask about IPV only if she reports symptoms
suggestive of physical, sexual, or psychological
aggression.
l B. Screen for IPV because she is a woman of repro-
ductive age.
l C. Do not screen for IPV because she is not in a
formal relationship.
l D. Do not screen for IPV because the harms out-
weigh the benefits.
l E. Do not screen for IPV because she has no risk
factors.
Practice Guidelines
Chronic Cough After Acute Viral Bronchiolitis:​
Suggestions from the ACCP (p. 654)
Q11. Which one of the following management options
is recommended by the American College of Chest
Physicians (ACCP) for chronic cough in children after
viral bronchiolitis? (check one)
l A. Hypertonic saline is a preferred treatment.
l B. Children with chronic cough should have a trial of
inhaled corticosteroids.
l C. A one-week course of targeted antibiotic therapy
should be used regardless of etiology.
l D. Evaluation for cough pointers that suggest an
underlying cause can guide treatment.
Answers to this issue’s quiz are on the inside back cover.
www.aafp.org/afp Volume 99, Number 10 ◆ May 15, 2019
 Advertiser Index
AAFP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 609*, 619*, 644*, 646* QUIDEL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 619*

Aleve/BAYER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 601 TIPS/AAFP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 655

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Answers to This Issue’s CME Quiz
FMX/AAFP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 648 Q1. D Q4. C Q7. A Q10. B
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