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 6 Prescribed and AMA PRA Cate-
gory 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.

Articles Q5. Which one of the following statements about treat-

House Calls (p. 211)
Q1. Which one of the following strategies is recommended
to improve the efficiency of house calls? (check one)
l A. Schedule the visit during the lunch hour.
l B. Conduct visits to the same area over several days.
l C. Have only one member of the care team be
responsible for visits to any given patient.
l D. Use a template for documentation.
ment approaches to metabolically active Paget disease of
bone is correct? (check one)
l A. It should be treated with the anabolic bone agent
teriparatide (Forteo).
l B. Nitrogen-containing bisphosphonates are
contraindicated.
l C. A single dose of intravenous zoledronic acid
(Reclast) is the treatment of choice.
l D. Treatment with antipagetic agents is curative.

Q2. Which one of the following is recommended to
ensure physician safety during a house call? (check one)
l A. When calling to remind a patient of the visit, pro-
vide only an estimated time of arrival.
l B. Wear a white coat during house calls.
l C. Use alert codes to notify designated persons of
emergencies.
l D. Avoid traveling with a medical student or other
team member in unsafe areas.
Q3. Which one of the following statements about house
calls is correct? (check one)
l A. Many direct primary care and concierge practices
routinely offer house calls.
l B. House calls do not decrease 30-day readmissions.
l C. Grab bars and shower chairs are typically covered
by insurance.
l D. Patients with terminal cancer generally prefer to
die in the hospital.
Paget Disease of Bone for Primary Care (p. 224)
Q4. Which one of the following statements about the
clinical presentation of Paget disease of bone is correct?
(check one)
l A. The disease is usually diagnosed early in its course.
l B. The initial presentation in symptomatic individuals
is pain.
l C. Symptoms often improve at night.
l D. Symptoms are usually relieved by rest.
Q6. Which one of the following approaches to monitor-
ing initial treatment response in patients with metabol-
ically active Paget disease of bone is most appropriate?
(check one)
l A. Measurement of total serum alkaline phosphatase.
l B. Evaluation of urinary cross-linked N-terminal
telopeptide of type I collagen.
l C. Evaluation of procollagen type I N-terminal
propeptide.
l D. No laboratory evaluation is helpful.
Henoch-Schönlein Purpura (IgA Vasculitis):​
Rapid Evidence Review (p. 229)
Q7. Which one of the following statements about the
diagnosis of immunoglobulin A (IgA) vasculitis is correct?
(check one)
l A. Abnormal levels of IgA are required for the
diagnosis.
l B. Risk of long-term renal complications is highest
in children younger than 10 years.
l C. The characteristic rash may start as erythematous
papules that develop into crops of petechiae and
palpable purpura.
l D. Joint involvement and abdominal pain are more
common in adults than children.

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Q8. Which one of the following statements about the
treatment of IgA vasculitis is correct? (check one)
l A. Severe abdominal pain that does not improve
with supportive care and nonsteroidal anti-
inflammatory drugs should be treated with
systemic corticosteroids.
l B. A rash should be treated with a corticosteroid
cream.
l C. Corticosteroids have shown benefit in preventing
renal disease over placebo.
l D. Spontaneous improvement in IgA vasculitis is
uncommon.
Q9. Which one of the following statements about the signs
and symptoms of IgA vasculitis is correct? (check one)
l A. Abdominal pain is rarely severe.
l B. Gastrointestinal bleeding is rare, occurring in less
than 5% of patients.
l C. Low-grade fever and fatigue are common.
l D. Headaches and behavior changes are common.
Putting Prevention into Practice
Primary Care Interventions for Prevention
and Cessation of Tobacco Use in Children
and Adolescents (p. 241)
Q10. According to the U.S. Preventive Services Task Force
recommendations, which one of the following popu-
lations should be provided with information to prevent
initiation of tobacco use? (check one)
l A. Children and adolescents at increased risk for
tobacco use because they live in a rural area.
l B. Adolescent White males because they have the
highest smoking rates.
l C. School-aged children at increased risk of tobacco
use because they have parents who smoke.
l D. Adolescents at increased risk because they have
friends who vape.
l E. All youth, whether they have risk factors for
tobacco use or not.
208 American Family Physician
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CME QUIZ
Practice Guidelines
Colorectal Cancer Screening:​
ACP Guidance Statements (p. 250)
Q11. According to the American College of Physicians
(ACP), which one of the following statements about fecal
immunochemical testing (FIT) in patients at average risk
of colorectal cancer is correct? (check one)
l A. The risk of false-positive results is higher than
with guaiac fecal occult blood testing (FOBT),
leading to more unnecessary colonoscopies.
l B. The risk of false-negative results is higher than with
guaiac FOBT, leading to more missed cancers.
l C. Multiple samples are required for FIT.
l D. Dietary restrictions are required before obtaining
the sample for FIT.
Colorectal Cancer Screening:​BMJ Rapid
Recommendation (p. 253)
Q12. A 60-year-old patient at average risk for colorec-
tal cancer (CRC) has an estimated 15-year CRC risk of
4% using the QCancer calculator. According to the BMJ/
MAGIC Group, which one of the following statements
about screening this patient for CRC is correct? (check one)
l A. CRC screening is not recommended.
l B. Colonoscopy is the only screening method that
will reduce CRC mortality in this patient.
l C. If the patient wants to avoid colonoscopy, annual
fecal immunochemical testing (FIT) provides sim-
ilar mortality benefit.
l D. Biennial FIT is the best way to reduce CRC
incidence.
Answers to this issue’s quiz are on the inside back cover.
www.aafp.org/afp Volume 102, Number 4 ◆ August 15, 2020
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Q2: C Q5: C Q8: A Q11: A
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