CE
POSTTEST Expiration date: April 2014
Nurse Practitioner Associates for Continuing Education (NPACE) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. The Nurse Practitioner Associates for Continuing Education designates this educational activity for a maximum of 1.0 contact hours of credit. Participants should only claim credit commensurate with the extent of their participation in the activity. Posttests must be completed and submitted online. NPs may register at no charge at www.myCME.com.You must receive a score of 70% or better on each test taken to obtain credit.
CREDITS: 0.5
CREDITS: 0.5
Feature
Dermatology Clinic
Dermatologic Look-Alikes
page 41
page 73
page 79
Vaginal bleeding in the early stages of pregnancy
Case #1: Lupus erythematosus profundus
1. What is the most common cause of fetal demise and subsequent spontaneous abortion? a. Reproductive tract abnormalities b. Toxin exposure c. Chromosomal abnormalities d. Infection 2. Approximately 75% of women with confirmed ectopic pregnancy (EP) will report a history of a. Midline abdominal pain b. Amenorrhea c. Hyperemesis d. High fever 3. EP is most frequently diagnosed with a. Serum progesterone level b. Qualitative ß-hCG c. Transabdominal ultrasound d. Transvaginal ultrasound 4. What is the best option for a stable patient with an unruptured EP measuring <3.5 cm, no detectable fetal heartbeat on ultrasound, and ß-hCG <15,000 mIU/mL? a. Observation and IV fluids b. Methotrexate (Abitrexate, Folex, Mexate) c. Misoprostol d. Open surgery
Case #1: Geographic tongue 1. Geographic tongue occurs with higher frequency in patients who have 1. How does lupus erythematosus a. Atopic dermatitis profundus (LEP) commonly present? b. Pityriasis rosea a. Discrete umbilicated papules c. Psoriasis b. Indurated and firm, tender, or d. Dyshidrosis asymptomatic nodules c. Flat-topped violaceous papules 2. What is a classic clinical feature of d. Solid, firm, thick plaques geographic tongue? a. White plaques that resemble 2. What is considered first-line cottage cheese treatment of LEP? b. Multiple demarcated erythematous a. Cyclosporine patches b. Cyclophosphamide c. Yellow-white serpiginous border c. Hydroxychloroquine around atrophic region d. Azathioprine d. Adherent white keratotic plaques Case #2: Lichen planopilaris Case #2: Oral candidiasis 3. Approximately 20% to 40% of 3. Candida albicans affects patients with patients with lichen planopilaris a. Xerostomia (LPP) have evidence of involvement b. Immunosuppression in what area? c. Broad-spectrum antibiotic use a. Skin d. All of the above b. Mouth c. Upper extremities 4. What is a feature of chronic d. Face hyperplastic candidiasis? a. Most often appears on the pharynx 4. What is a mainstay of b. Plaques cannot be scraped off treatment for LPP? c. Mucosa is friable and bleeds easily a. UV phototherapy d. Loss of piliform papillae on the b. Electrodessication dorsal tongue c. Cryosurgery d. Intralesional corticosteroids
TO TAKE THE POSTTEST please go to CliniAd.com/16fE8Tu
84 THE CLINICAL ADVISOR • APRIL 2013 • www.ClinicalAdvisor.com
TO TAKE THE POSTTEST please go to CliniAd.com/YRWSCf