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Journal of the American Academy of PAs: January 2013 - Volume 26 - Issue 1 - p 55

All posttests must be completed and submitted online.

AAPA members should complete and submit posttests on the AAPA Web site by going to and searching for keyword JAAPA post-tests. All others may complete and submit posttests online at no charge at To obtain 1 hour of AAPA Category I CME credit, PAs must receive a score of 70% or better on each test taken.

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1. One of the most common causes of hyponatremia is

a. Primary hypodipsia

b. Aggressive administration of IV fluid

c. Profuse sweating

d. Vomiting and diarrhea

2. A manifestation of central pontine myelinolysis is

a. Flaccid paralysis

b. Sudden, severe headache

c. Ataxia

d. Altered mental status

3. ECG findings associated with hypokalemia include

a. Flat T waves

b. ST-segment depression

c. U-wave formation

d. All of the above

4. When severe, an electrolyte disturbance that can precipitate torsades de pointes is

a. Hypernatremia

b. Hyperkalemia

c. Hypocalcemia

d. Hypomagnesemia

5. One cause of hyperphosphatemia is

a. Antacid abuse

b. Vitamin D toxicity

c. Refeeding syndrome

d. Prolonged immobilization

6. A BUN-to-creatinine ratio greater than 20:1 may be caused by

a. Acute tubular necrosis

b. Glomerulonephritis

c. Chronic kidney disease

d. Volume depletion

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7. Polysomnography is recommended to assess

a. Sleep apnea

b. Early morning awakening

c. Daytime sleepiness

d. Nonrestorative sleep

8. Middle of the night and early morning awakenings and trouble falling asleep are more common in women who

a. Have a history of sexual abuse

b. Are experiencing increased stress

c. Consider themselves in poor health

d. All of the above

9. The sleep pattern most likely to affect perimenopausal women is

a. Fragmentation of sleep

b. Elimination of physiologic stages of sleep

c. Sleep restriction

d. Sleep efficiency

10. Sleep quality was improved in otherwise healthy perimenopausal and postmenopausal women taking 10 to 20 mg/day of

a. Triazolam

b. Zolpidem

c. Venlafaxine

d. Escitalopram

11. A side effect associated with mirtazapine is

a. Headache

b. Weight gain

c. Anorexia

d. Tremor

12. In one study of postmenopausal women, improvement in PSG-measured sleep efficiency was seen with

a. Isoflavones

b. Yoga

c. Therapeutic massage

d. Passive movement

© 2013 American Academy of Physician Assistants.