PHYSICIANS WHO read selected articles in this issue of Archives of Family Medicine, answer the Self-assessment Quiz, complete the CME Evaluation, and mail in the Answer Card are eligible for category 1 credit toward the American Medical Association (AMA) Physician's Recognition Award (PRA). There is no charge to subscribers or nonsubscribers.
The AMA is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. The AMA designates this education activity for up to 3 hours of category 1 credit per issue toward the AMA PRA. Each physician should claim only those hours of credit that he or she actually spent in the educational activity.
In addition, Archives of Family Medicine has been approved by the American Academy of Family Physicians (AAFP) as having educational content acceptable for Prescribed credit hours. This issue has been approved for up to 3 Prescribed credit hours. Credit may be claimed for 1 year from date of individual issue.
EARNING CREDIT
To earn credit, read the articles designated for CME credit carefully and take the following Self-assessment Quiz. Mark your responses on the accompanying Answer Card and complete the CME Evaluation. Then fax your Answer Card to the Blackstone Group at (312) 269-1636 or mail it to the address on the back of the card. Answers are provided in Figure 1 so that you can immediately assess your performance.
Answer Cards must be submitted within 1 year of the issue date. The AMA maintains no permanent record of individual quiz scores. A certificate specifying the total amount of credit received for this educational activity will be returned to you by mail or fax. Please allow up to 4 weeks for your certificate to arrive. Questions about CME processing should be directed to the Blackstone Group; tel: (312) 419-0400, ext 225; fax: (312) 269-1636.
CME EVALUATION
Our goal is to continually assess the educational needs of our readership for the purpose of enhancing the educational effectiveness of the Archives of Family Medicine. To achieve this goal, we need your help. You must complete the CME Evaluation on the Answer Card to receive credit. Participants are encouraged to reply within 2 months of the issue date, to facilitate the assessment of its educational value.
STATEMENT OF EDUCATIONAL PURPOSE
The Archives of Family Medicine is devoted to strengthening the science, practice, and art of family medicine. Its emphasis is on original research that is clinically practical and academically sound. A flexible curriculum of article topics is developed annually by the journal's editorial board and is then supplemented throughout the year with information gained from readers, authors, reviewers, and editors.
Readers of the Archives of Family Medicine should be able to attain the following educational objectives: (1) use the latest information on diagnosis and treatment of diseases commonly seen in clinical practice to maximize patient health; (2) recognize uncommon illnesses that present with common symptoms to the family physician and treat or refer as appropriate; (3) use practical tools for health promotion and disease prevention; and (4) learn the clinical indications and adverse effects of pertinent new drugs or new uses for available drugs.
Self-assessment Quiz
Questions for June 2000
Heart Disease Risk and Prevention Among American Women (SEE ARTICLE)
Q1. Cardiovascular disease:
A. Is the second leading cause of death among women.
B. Is responsible for twice as many deaths as breast cancer among women.
C. Accounts for about $27 billion in direct health costs and indirect costs, including lost productivity, according to the American Heart Association.
D. Is underdiagnosed and undertreated among women.
Q2. Among women asked about their knowledge of risk factors and perception of heart disease:
A. Approximately 60% noted cancer (in general) as the greatest health problem for women.
B. Roughly 70% rated themselves as either very well– or well-informed regarding their knowledge of heart disease.
C. Only 25% perceived heart disease to be the greatest health problem facing women.
D. Sixty-five percent reported that their physicians ever discussed heart disease when discussing their health.
Preventive Attitudes and Beliefs of Deaf and Hard of Hearing Individuals (SEE ARTICLE)
Q3. Regarding people who are deaf and hard of hearing:
A. They were more likely than hearing persons to report avoiding the physician because of communication problems.
B. They were more likely than hearing persons to report receiving preventive medicine information from their physician.
C. They rated nearly every physician-dependent health maintenance procedure as more important than their hearing peers did.
D. They were significantly more likely to rate well-known beneficial behaviors as improving overall health.
Prediction of Probable Alzheimer Disease Using the Mini-Mental State Examination (SEE ARTICLE)
Q4. The Mini-Mental State Examination:
A. Is an infrequently used diagnostic tool for dementia.
B. Is highly sensitive in the diagnosis of Alzheimer disease.
C. Lacks specificity in the diagnosis of Alzheimer disease.
D. Requires approximately 5 to 10 minutes to administer.
An Exploration of White-Coat Normotension (SEE ARTICLE)
Q5. Regarding patients with white coat normotension:
A. They tend to consume less alcohol than those with true normotension.
B. They tend to be younger than those with true normotension.
C. They tend to smoke more than those with true normotension.
D. They included a greater percentage of women compared with those with true normotension.
Infantile Henoch-Schonlein Purpura (SEE ARTICLE)
Q6. Regarding Henoch-Schonlein Purpura (HSP):
A. It is the third most common systemic vasculitic disease of childhood.
B. Peak incidence is in the summer and fall.
C. It is characterized by the triad of nonthrombocytopenic palpable purpuric rash, abdominal pain or renal involvement, and arthritis.
D. The etiology of HSP is known.
Q7. Regarding the infantile form of HSP:
A. The clinical spectrum of HSP is identical in younger (infants) and older children.
B. Temperature less than 38°C is incompatible with a diagnosis of infantile HSP.
C. Systemic steroids are very effective in shortening the duration of symptoms.
D. Erythrocyte sedimentation rates are usually normal or minimally elevated in infantile HSP.
Methicillin-Resistant Staphylococcus aureus Infections in Pediatric Outpatients (SEE ARTICLE)
Q8. Community-acquired methicillin-resistant Staphylococcus aureus (MRSA) infections:
A. Are common in children.
B. Can be successfully treated with high-dose cephalosporins.
C. Have the same drug resistance patterns as nosocomial-acquired MRSA infections.
D. Should be considered in the context of outpatient antibiotic treatment failure.
Failure of Cephalexin Therapy for Lyme Disease (SEE ARTICLE)
Q9. Lyme disease:
A. Can be successfully treated with amoxicillin or cefuroxime.
B. Can only be diagnosed by laboratory-based means.
C. Is easily confused with bacterial cellulitis in its classic presentation.
D. Presents with erythema migrans in fewer than 50% of patients.
