Journal of the American Academy of Physician Assistants:
doi: 10.1097/01.JAA.0000443965.46481.3c
Post-test

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Earn Category I CME Credit by reading both CME articles in this issue, reviewing the post-test, then taking the online test at http://cme.aapa.org. Successful completion is defined as a cumulative score of at least 70% correct. This material has been reviewed and is approved for 1 hour of clinical Category I (Preapproved) CME credit by the AAPA.

PELVIC ORGAN PROLAPSE

1. Which type of pelvic organ prolapse is also called a cystocele?

a. anterior compartment prolapse

b. apical prolapse

c. posterior compartment prolapse

d. procidentia

2. Which scenario associated with procidentia constitutes a surgical emergency?

a. incarceration of prolapsed contents

b. onset of bowel necrosis

c. profound uterine swelling

d. all of the above

3. The perineal membrane, perineal body, and superficial and deep perineal muscles provide what level of DeLancey support?

a. Level 1

b. Level 2

c. Level 3

d. Level 4

4. Which method of describing pelvic organ prolapse creates a numeric map of the location and extent of the defects?

a. POP-Q

b. Baden-Walker

c. Endoclip

d. TMN

5. A 65-year-old woman diagnosed with pelvic organ prolapse complains of pelvic What is the least likely cause of her pain?

a. muscle spasm

b. muscle strain

c. vaginal atrophy

d. pelvic organ prolapse

6. Which of the following patients is not a good candidate for conservative management of pelvic organ prolapse with a pessary?

a. A patient who is a poor surgical candidate

b. A patient who does not want surgery

c. A patient who is experiencing urinary retention

d. A patient who has not yet completed childbearingPULMONARY NODULES

7. What is the name given to a pulmonary lesion measuring 3.5 cm?

a. pulmonary nodule

b. pulmonary mass

c. bronchial nodule

d. subcentimeter nodule

8. A 35-year-old woman undergoes an abdominal CT scan and an incidental 4-mm pulmonary lesion is What is the most likely cause?

a. granuloma

b. hamartoma

c. malignancy

d. postinfectious scarring

9. What should the patient in question 8 be told about the risk of lung cancer?

a. risk is less than 1%

b. risk is 6% to 28%

c. risk is greater than 20%

d. risk is greater than 50%

10. What is the leading risk factor for lung cancer?

a. asbestos exposure

b. cigar smoking

c. cigarette smoking

d. a first-degree relative with lung cancer

11. A 28-year-old man presents to the family practice clinic for follow-up on a pulmonary An incidental pulmonary nodule was first seen on CT 3 years A recent chest CT shows an unchanged 8-mm dense, centrally located pulmonary nodule with a uniform calcification He has never smoked and has no family history of cancer and no history of exposure to airborne occupational What is the appropriate follow-up recommendation?

a. no follow-up is indicated

b. annual chest CT screening

c. referral to pulmonology

d. annual chest radiograph screening

12. A 28-year-old woman presents to the family practice clinic for follow-up on a pulmonary An incidental pulmonary nodule was first seen on CT 3 months A recent chest CT shows a 1 cm mixed-density lesion with ground-glass appearance that is unchanged from previous She has never smoked and has no family history of cancer and no history of exposure to airborne occupational What is the appropriate follow-up recommendation?

a. no follow-up is indicated

b. annual chest CT screening

c. referral to pulmonology

d. annual chest radiograph screening

© 2014 American Academy of Physician Assistants.

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