CME Posttest

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HEREDITARY HEMOCHROMATOSIS, PAGE 18

1. Women with hereditary hemochromatosis (HH) typically present with symptoms

a.   During menses
b.   During pregnancy
c.   After menopause
d.   When lactating

2. Clinical manifestations of HH most commonly occur in the

a.   Liver
b.   Endocrine system
c.   Skin
d.   Cardiovascular system

3. The best single screening test for HH is

a.   Serum iron
b.   Total iron-binding capacity
c.   Ferritin concentration
d.   Transferrin saturation

4. Regardless of whether the patient is symptomatic, therapeutic phlebotomy should be initiated in men when serum ferritin levels are

a.   50 ng/L or lower
b.   100 ng/L or higher
c.   200 ng/L or higher
d.   300 ng/L or higher

5. Patients with HH should be advised not to consume more than 500 mg/d of supplemental

a.   Calcium
b.   Vitamin C
c.   Magnesium
d.   Vitamin B₁₂

6. Patients with HH should avoid consuming raw

a.   Seafood
b.   Potatoes
c.   Kidney beans
d.   Eggs

BALANCE PROBLEMS, PAGE 38

7. Falls are a precipitating factor in up to what percent of nursing home admissions?

a.   10%
b.   25%
c.   40%
d.   55%

8. The skeletal abnormality that interferes with normal gait and mobility and that patients with diabetes are at increased risk of having is

a.   Heberden’s node
b.   Bouchard’s node
c.   Joints of Luschka
d.   Charcot’s joint

9. The Dizziness Handicap Inventory is a questionnaire used to quantify the effects of dizziness on

a.   Quality of life
b.   Performance of activities of daily living
c.   Fear of falling
d.   Physical symptoms of vertigo

10. The Beers criteria identify

a.   Exercises that can improve balance
b.   Supplements that may impair balance
c.   Risk factors for falls
d.   Medications that should be avoided in the elderly

11. Lateral stability is assessed by

a.   The Chediak test
b.   Ewald’s test
c.   The sharpened Romberg’s test
d.   Schiff’s test

12. The timed 360-degree turn test assesses

a.   Subtle balance impairments
b.   Dynamic balance
c.   Lower extremity strength
d.   Slow and fast gait

EXPIRATION DATE: OCTOBER 2009

Successful completion of the self-assessment is required to earn Category I CME credit. Successful completion is defined as a cumulative score of at least 70% correct.