Summer CME 2022 July 20 Quiz SPC2022 July 20 Quiz Name First Last Email How to Interpret Pulmonary Functions, Screenings, Diagnostics and Treatments – Juan (Danny) Pulido, M.D.(Required)What test is ordered for Lung cancer screening high risk patients (age > 55 and > 20 pk/yr)? A. Chest X-ray B. Pulmonary Function Test C. Low dose CT scan of the lungs D. Sputum culture Did not attend this lecture. Restless Leg Syndrome and Other Common Sleep-Related Movement Disorders – Bridget Keller, M.D.(Required)1. A 45-year-old newspaper editor, who drinks 6-8 cups of coffee daily, presents to his primary care doctor complaining of a feeling of creepy crawly in his legs that occurs when he is trying to fall asleep. He experiences relief when he moves his legs in bed. He is eventually able to fall asleep but it just really annoying to him. Which of the following is the next best step in management? A. Start Pramipexole 0.125mg 2 hours before bedtime B. Start Gabapentin 100mg ghs C. Decrease caffeine intake D. Reassure patient to just live with it Did not attend this lecture. Restless Leg Syndrome and Other Common Sleep-Related Movement Disorders – Bridget Keller, M.D.(Required)Which of the following is NOT one of the 5 main diagnostic criteria for restless legs syndrome? A. An urge to move the lower extremities that is usually, but not always accompanied by unpleasant sensations in the legs B. The urge to move the legs is worse in the evenings C. The urge to move the legs and any accompanying unpleasant sensations is relieved my moving the legs D. The presence of periodic limb movements of sleep without evidence of disease or medications that may cause or increase them. Did not attend this lecture. Palliative Care: Essential, Like An Umbrella On A Rainy Day! – Alison Salib, D.O.(Required)1. 68 year old African American male patient presents to his Primary Care Physician (PCP) as a hospital follow up after a fall with fracture. Hospital discharge summary noted Orthopedic intervention as well as Oncology consultation for a new diagnosis of multiple myeloma. The patient informs his PCP that he would like to pursue treatment for his cancer; however, the pain he is experiencing is uncontrolled and he cannot continue on this way. He currently has enough pain medication to last him for 1 more week. What is the next best step? A. Send the patient back to Ortho, as this is a postoperative pain issue B. Consult Hospice C. Start the patient on Fentanyl 50 mcg patch q72h along with Oxycodone 10 mg PO q4-6h PRN breakthrough pain D. Consult Palliative Care for symptom management Did not attend this lecture. Palliative Care: Essential, Like An Umbrella On A Rainy Day! – Alison Salib, D.O.(Required)79-year-old male patient presents to his Primary Care Physician (PCP) as a follow up after recent diagnosis of Stage IV Pancreatic Cancer. The patient informs his PCP that after long discussion with his wife and family he has decided against active treatment, including chemotherapy, immunotherapy, radiation, and resection. He states that he is able to perform all his ADLs and is able to manage in his home. The patient is amenable to hospice services. When is the best time to consult hospice? A. Now – he currently has a prognosis of 6 months or less should the disease follow its normal course B. After jaundice develops, as that is an indicator that his tumor is progressing and causing biliary obstruction C. Not until he has difficulty performing his ADLs and needs DME in his home D. Wait until he would need to be admitted under general inpatient level of care Did not attend this lecture. Managing Common Soft Tissue and Bony injuries – Anthony Ferretti, D.O.(Required)What is the most common type of fracture in adults? A. Distal radius B. Clavicle C. Hip D. Proximal Humerus E. Ankle Did not attend this lecture. Evaluating the Patient with Syncope – Carmine D'Amico, D.O(Required)A 62-year-old male presents to the emergency department following a “blackout” that occurred while had his head turned to look behind him when he was backing his car (which was not equipped with a rear-view camera) out of the driveway. Fortunately, he was not injured, as the car stalled when he lost consciousness. Interestingly, he states that this is his third “blackout” in the past two months, and both of the other “blackouts” also occurred when he was turning his head to look behind him. Based on this information, which of the following is the most likely cause for this patient’s syncope? A. Carotid sinus hypersensitivity B. Glossopharyngeal neuralgia C. Neurocardiogenic syncope D. Orthostatic hypotension E. Subclavian steal syndrome Did not attend this lecture.
