Journal of the American Academy of Physician Assistants:
doi: 10.1097/01.JAA.0000446860.85399.17


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All post-tests must be completed and submitted online.

Earn Category I CME Credit by reading both CME articles in this issue, reviewing the post-test, then taking the online test at 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.


1. A 56-year-old Marine returned 10 days ago from his fifth tour of duty in He directed intensive urban combat operations and witnessed injury and death of men and women under his He reported disruptive symptoms of flashbacks, hyperarousal, and anxiety for 3 weeks after returning home, but the symptoms have since Which is the most likely diagnosis?

a. acute stress disorder

b. generalized anxiety disorder

c. complicated grief disorder

d. PTSD with psychosis

2. The symptoms of PTSD can be grouped into four main Which is not a symptom cluster of PTSD according to the DSM-5 criteria?

a. alterations in arousal and reactivity

b. avoidance of trauma-related stimuli

c. difficulty relaying feelings about combat experiences

d. re-experiencing the trauma

3. Which of the following is a recommended first-line therapy for relief of PTSD symptoms?

a. amitriptyline

b. mirtazapine

c. trazodone

d. venlafaxine

4. Which of the following is a sympatholytic and an adjunctive therapy for recurring nightmares in patients with PTSD?

a. clonazepam

b. haloperidol

c. prazosin

d. propranolol

5. Which type of psychotherapy is aimed at accessing and processing traumatic memories to bring them to adaptive resolutions in patients with PTSD?

a. CBT

b. exposure-based therapy

c. eye movement desensitization and reprocessing

d. group-based therapy

6. Which of the following is a risk factor for PTSD development?

a. intensity of urban combat

b. personal injury

c. prolonged or multiple tours

d. all of the aboveESOPHAGEAL DYSPHAGIA

7. Which is notcommonly associated with oropharyngeal dysphagia?

a. facial muscle weakness

b. diminished cough reflex

c. heartburn

d. history of stroke

8. A 68-year-old white man presents with progressive dysphagia over the past 3 months associated with weight loss, chest pain, and iron-deficiency What is the most likely diagnosis?

a. eosinophilic esophagitis

b. esophageal carcinoma

c. nutcracker esophagus

d. scleroderma

9. Which of the following is most commonly associated with infectious esophagitis?

a. Candida albicans

b. cytomegalovirus

c. Epstein-Barr virus

d. varicella zoster

10. A 58-year-old woman presents with dysphagia to solids and liquids, chronic cough, and regurgitation of undigested Physical examination reveals What is the most likely diagnosis?

a. epiphrenic diverticula

b. esophageal carcinoma

c. traction diverticula

d. Zenker diverticulum

11. What is the first-line treatment for nutcracker esophagus?

a. acid suppression

b. botulinum toxin injections

c. calcium channel blockers

d. longitudinal esophagomyotomy

12. Which medication can cause decreased lower esophageal sphincter tone?

a. ferrous sulfate

b. haloperidol

c. ibuprofen

d. metoprolol

© 2014 American Academy of Physician Assistants.


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