Clinical Quiz questions are based ...

Clinical Quiz questions are based onward selected articles in this issue of American Family Physician. Answers appear in this issue. AFP has been reviewed by dint of the American Academy of Family Physicians as having contentment acceptable for Prescribed credit. denomination of approval is for single year from the beginning distribution date of January 2006 This issue has been reviewed and is acceptable for up to 50 Prescribed credits, of which 15 credits conform to AAFP criteria for evidence-based continuing medical education (EB CME) clinical contented When reporting continuing medical education (CME) credits, AAFP members should report total Prescribed credits earned for this activity. It is not necessary for members to label credits as EB CME for reporting purposes

The AAFP is accredited by dint of the Accreditation Council for Continuing Medical Education to provide CME for physicians.

The AAFP designates this educational activity for a maximum of 50 Category 1 credits toward the American Medical Association Physician's Recognition Award (AMA/PRA). Each physician should claim solitary those credit hours that he or she actually exhausted in the activity.

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Each transcript of AFP contains a Clinical Quiz answer card. AAFP members may use this card to obtain the designated number of Prescribed credit hours for the year in which the card is postmarked.

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For health care professionals who are not physicians and are AFP subscribers, a record of CME credit is kept by way of the AAFP and will be provided to you onward written request. You are responsible for reporting CME credits to your professional organization.

NOTE: The glutted text of AFP is available online (http://www.aafp.org/afp), including each issue's Clinical Quiz. The table of peaces for each online issue will link you to the Clinical Quiz. chase the online directions to take the quiz and, if you are an AAFP member, you can submit your answers for CME credit.</p> <pre> emblem A Questions Each question has solely one correct answer. Articles Acute Finger Injuries: Part I. Tendons and Ligaments(p. 810) The following scenario applies to Questions 1 and 2 A basketball player currents with a finger injury after a game. During the game, his fingers were increaseed when the ball hit his index finger, causing forced flexion of the proximal interphalangeal joint. The dorsal aspect of the middle phalanx is feeble and the player cannot actively prolong the finger. Radiography does not display a fracture. Q1. Which the same of the following injuries is the correct diagnosis?

[] A. Disruption of the flexor digitorum profundus (jersey finger). [] B Extensor tendon injury at the distal interphalangeal

joint (mallet finger). [] C Collateral ligament injury.

[] D Central slip extensor tendon injury. Q2 Which single in kind of the following treatments is commended for the injury described above?

[] A. Splinting the PIP joint in extension for six weeks. [] B Splinting the PIP joint in flexion for four weeks. [] C Buddy taping for six weeks. [] D Surgical wires. Acute Finger Injuries: Part II. Fractures, Dislocations, and Thumb Injuries (p 827) The following scenario applies to Questions 3 and 4 A 40-year-old man existings with a swollen right hand a not many hours after he was in a bar fight. He says that he accidentally hit the wall with his fist. Radiography point out tos that the fifth digit is fractured at the neck of the metacarpal bone with a volarly displaced distal fragment. The angulation is les than 40 steps Q3. Which one of the following diagnoses is in the greatest degree likely?

[] A. Boxer's fracture. [] B Coach's finger. [] C Ulnar collateral ligament injury. [] D Stener lesion. Q4 Which single in kind of the following treatment options is the greatest in quantity appropriate next step for this patient? [] A. Referral to an orthopedic or hand surgeon

[] B Thumb spica casting. [] C Splinting followed on buddy taping. [] D Ulnar brace and reduction. Diagnosis and Management of Diastolic Dysfunction and Heart Failure (p 841) Q5 Which the same of the following statements about diastolic heart failure is correct?

[] A. All patients with diastolic heart failure have concomitant

systolic heart failure. [] B It may be exacerbated by dint of treatment of systolic heart failure. [] C It arises less often with increasing age. [] D It is more public in older men than in women Q6 Which single of the following tests is the preferr system for diagnosing diastolic heart failure in day-to-day clinical practice? [] A. Brain natriuretic peptide plains [] B Two-dimensional echocardiography with Doppler. [] C Chest radiography. [] D Clinical examination. Discharge measures for Healthy Newborns (p. 849) Q7 Which common of the following statements about feeding an infant is correct? [] A. Supplementation with bottle of water is approveed [] B Vitamin D supplementation is commited for exclusively breastfed infants. [] C Formula should be provided in sterilized bottle [] D Honey should be added to formula to encourage intake. [] E Solid meats should be introduced to the infant at couple month of age. Q8 Which single in kind of the following statements about genital care in newborns is correct?