CME Quiz

AAFP members and other physicians and health care professionals who
receive the print version of AFP in their own name can submit responses for
CME credit at https://www.aafp.org/afpquiz. Quiz questions are featured below
for your convenience. This issue is approved for up to 5 Prescribed and AMA PRA
Category 1 credits. The total credit for this issue is based on one credit for each
article included in the Quiz. Credits may be claimed for one year from the date
of this issue. Questions? Call 800-274-2237.

Abnormal Uterine Bleeding

Articles in Premenopausal Women (p. 435)
Current Concepts in Concussion:​
Q4. Which one of the following statements about endo-
Initial Evaluation and Management (p. 426) metrial sampling in women with abnormal uterine bleed-
Q1. Which one of the following statements about con- ing is correct? (check one)
l A. It is indicated for all women with abnormal uter-
cussion is correct? (check one)
l A. Loss of consciousness is required for diagnosis. ine bleeding.
l B. Headache is the most common symptom. l B. It is generally indicated only for women 45 years
l C. Loss of consciousness is highly predictive of pro- and older.
longed recovery. l C. It is indicated for all women 45 years and older,
l D. Symptoms typically present 72 hours after injury. and for selected younger women at increased
risk.
Q2. A family physician has volunteered to treat injuries for l D. Endometrial biopsy is not recommended in the
a school sports team. Which one of the following state- primary care setting.
ments about evaluating concussions is correct? (check
one) Q5. Which one of the following is the most effective
l A. Preinjury baseline testing is recommended, espe- medical therapy for patients with chronic abnormal uter-
cially in younger children. ine bleeding? (check one)
l B. The tests in the Sport Concussion Assessment l A. Levonorgestrel-releasing intrauterine system
Tool 5 series are considered the most compre- (Mirena).
hensive sideline assessment tools available. l B. Estrogen-progestin oral contraceptives.
l C. Magnetic resonance imaging is the modality of l C. Oral tranexamic acid (Lysteda).
l D. Nonsteroidal anti-inflammatory drugs.
choice.
l D. Plain radiography should be obtained if concus-
sion is suspected. Q6. Which one of the following statements about the
treatment for heavy or emergent uterine bleeding is cor-
Q3. An athlete was unconscious for a short period after a rect? (check one)
l A. Hysterectomy is often needed.
blow to the head. He is sent home the same day, and his
main symptom is a headache. Which one of the following
statements is correct? (check one) l B. Uterine tamponade is not recommended because
l A. He may return to play in 24 to 48 hours.
of a high risk of infection.
l C. Uterine artery embolization is not a treatment
l B. A five-day period of strict rest is recommended. option in this setting.
l C. He will have a prolonged recovery because of l D. Oral treatment is sufficient for most hemody-
loss of consciousness. namically stable patients.
l D. Gradual resumption of activities may expedite
recovery.

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 CME QUIZ

Febrile Seizures:​Risks, Evaluation, Practice Guidelines

and Prognosis (p. 445) Mild TBI in Children:​Guidance from the CDC
Q7. Which one of the following diagnostic tests should for Diagnosis and Treatment (p. 462)
be included in the routine evaluation of a well-appearing Q11. According to the Centers for Disease Control and
child with a simple febrile seizure? (check one) Prevention (CDC), which one of the following statements
l A. Laboratory tests for serum sodium and blood about the evaluation and management of mild traumatic
glucose levels. brain injury (TBI) in children is correct? (check one)
l B. No routine diagnostic testing is recommended. l A. Magnetic resonance imaging is the modality of
l C. Electroencephalography within two weeks. choice in children with acute symptoms.
l D. Magnetic resonance imaging of the head within l B. Hypertonic saline 3% is the preferred rehydration
two weeks. solution for acute headache in the emergency
department setting.
Q8. Which one of the following statements about the use l C. There are no validated clinical decision rules to
of antipyretic medications after immunizations to prevent determine the appropriateness of computed
febrile seizures is correct? (check one) tomography.
l A. They should be given after all childhood l D. Most symptoms resolve in one to three months
immunizations. after TBI, with significant difficulties rarely lasting
l B. They should be given only after measles-
longer.
mumps-rubella-varicella vaccination.
l C. They should be given only after influenza
vaccination.
l D. They are not recommended after any
immunizations.

Q9. Which one of the following is not a feature of a com-

plex seizure? (check one)
l A. Duration of 15 minutes or more.
l B. Focal neurologic signs.
l C. Patient age younger than three years.
l D. Recurs within 24 hours.

Cochrane for Clinicians

Direct Oral Anticoagulants vs. Warfarin
to Prevent Stroke and Embolic Events in Patients
with Atrial Fibrillation and CKD (p. 422)
Q10. Which one of the following statements about the
use of direct oral anticoagulants vs. warfarin for the
prevention of stroke and thromboembolism in patients
with atrial fibrillation and chronic kidney disease (CKD) is
correct? (check one)
l A. Patients treated with direct oral anticoagulants
have an equivalent risk of stroke.
l B. Patients treated with direct oral anticoagulants
have a decreased risk of major bleeding events.
l C. Patients treated with direct oral anticoagulants
have a decreased risk of all-cause mortality.
l D. All of the above.

Answers to this issue’s quiz are on the inside back cover.

April 1, 2019 ◆ Volume 99, Number 7 www.aafp.org/afp American Family Physician 419

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Answers to This Issue’s CME Quiz

Q1. B Q4. C Q7. B Q10. A Advanced Life Support in Obstetrics (ALSO ) ®

Q2. B Q5. A Q8. D Q11. D

Q3. D Q6. D Q9. C Effectively manage and respond to obstetrical
emergencies with comprehensive training that
saves lives.
• Standardized, multi-disciplinary approach
• Prepare for real-life, emergency situations
• Hands-on simulation training
• Helpful testing tools and mnemonics
Schedule an essential ALSO training
for you and your team today.
(800) 274-2237, ext. 8722
aafp.org/ALSO

Advanced Life Support in Obstetrics

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