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All posttests must be completed and submitted online.

Journal of the American Academy of PAs: April 2013 - Volume 26 - Issue 4 - p 45

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. Atypical manifestations of acute myocardial infarction (AMI) include

a. Absence of chest pain

b. Isolated weakness

c. Cough

d. All of the above

2. According to one study, elderly patients experiencing an AMI are more likely to have

a. Back pain

b. Dyspnea

c. Hypotension

d. Sense of doom

3. In a study comparing whites to patients with other backgrounds, the groupleastlikely to present without chest pain was

a. Hispanic

b. Chinese

c. North American Indian

d. African American

4. In the same study, an unusual feature of AMI seen in Southeast Asians was

a. Neck pain

b. Chest fullness

c. Confusion

d. Syncope

5. A retrospective study found that white women with AMI were more likely to report

a. Feeling hot and flushed

b. Generalized chest discomfort

c. Pain in the jaw

d. Indigestion

6. “Silent MI” tends to present in patients who have

a. Hypertension

b. Chronic obstructive pulmonary disease

c. Atrial fibrillation

d. Diabetes

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7. The risk for major depression is significant in women in menopausal transition who experience

a. Poor memory and concentration

b. Vasomotor symptoms

c. Urogenital atrophy

d. Paresthesias

8. Factors that may contribute to the onset of major depression during the menopausal transition include

a. Poor social support

b. Smoking

c. Increased body mass index

d. All of the above

9. When taken with an antidepressant medication, St. John's wort may result in

a. Arrhythmias

b. CNS depression

c. Serotonin syndrome

d. Hepatic impairment

10. Taking a selective serotonin reuptake inhibitor (SSRI) or serotonin-norepinephrine reuptake inhibitor (SNRI) without an accompanying mood stabilizer may result in mania in women suspected of having

a. Anxiety disorder

b. Bipolar disorder

c. Substance disorder

d. Eating disorder

11. When prescribing an SSRI, consider assessing

a. Bone mineral density

b. Fasting blood sugar

c. ECG findings

d. Thyroid function

12. Women taking atypical antipsychotics may experience

a. Weight loss

b. Agitation

c. Diarrhea

d. Dry mouth

Copyright © 2013 American Academy of Physician Assistants