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December 2004 CME Credit Quiz

2 credits

Credits provided by the Interstate Postgraduate Medical Association

Expiration date: December 31, 2005

VOL 116 / NO 6 / DECEMBER 2004 / POSTGRADUATE MEDICINE

Accreditation information
This CME activity offers the opportunity to assess your knowledge and retention of the information presented in the clinical articles in this online issue and to earn continuing medical education credit. The Interstate Postgraduate Medical Association (IPMA) is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians.

The IPMA designates this education activity for a maximum of 2 Category 1 credits toward the Physician's Recognition Award of the American Medical Association. Each physician should claim only those credits he or she actually spent in the activity.

This activity has been reviewed and is acceptable for up to 2 Prescribed credits by the American Academy of Family Physicians. Term of approval is for 1 year from beginning distribution date of July 1, 2004, with option to request yearly renewal.

Instructions
To earn credit online, you must read the CME articles carefully, answer the quiz questions, obtain a passing score (a minimum of 75%), and complete the credit evaluation form. Any articles marked "Web-exclusive" are published on the Web site only and do not appear in the print edition.

VISA, MasterCard, Discover, and American Express will be accepted for payment of all online self-test registrations. If you prefer to mail your payment, you need to print out and complete a separate answer sheet and mail it with your payment to IPMA for scoring. Click on mail-in form and follow the instructions for mailing.

After answering all the questions online, go to the end of this quiz to determine your score. If you receive a passing score, you may request the quiz answers online. To receive credit verification, fill out the form confirming that you have read the CME articles and obtained a minimum passing score.

Reconsidering hepatorenal syndrome
by MAJ Wendy Tong, USAF, MC, MAJ Sean Hurley, USAF, MC, and Paul H. Hayashi, MD

1. Which of the following signs and symptoms is typical in a patient with hepatorenal syndrome?
a. Moderate to severe ascites
b. Hematuria
c. Urine output greater than 800 mL/day
d. Hypertension

2. Which of the following treatments has no evidence of efficacy in type 1 hepatorenal syndrome?
a. Vasopressin and its analogues
b. Midodrine hydrochloride
c. Atenolol
d. Transjugular intrahepatic portosystemic shunt

3. Which of the following is not a major diagnostic criterion for hepatorenal syndrome?
a. Absence of ultrasonographic evidence of renal tract disease
b. Spot urine sodium less than 10 mEq/L
c. Proteinuria less than 500 mg/day
d. Serum creatinine level greater than 1.5 mg/dL or 24-hour creatinine clearance less than 40 mL/min

Diabetes in the Hispanic population
by Manuel Idrogo, MD, and Roger Mazze, PhD

4. In the United States, the number of Hispanic children and adolescents with obesity and prediabetes
a. Is increasing
b. Is decreasing
c. Remains unchanged
d. Has not been studied

5. For lean Hispanic persons with no signs of insulin resistance, annual diabetes screening should begin at age
a. 20
b. 30
c. 40
d. 50

6. When a patient has both insulin resistance and insulin deficiency, the goals of therapy are to
a. "Rest" the beta cells
b. Reduce glucose challenge
c. Control body weight
d. All of these

Culturally responsive care for Hmong patients
by Cheng Her, MD, MS, and Kathleen A. Culhane-Pera, MD, MA

7. According to the US Census Bureau, the Hmong population in the United States in 2000 was
a. 87,000
b. 187,000
c. 287,000
d. 387,000

8. Christian Hmong usually do not seek care from
a. Ministers or priests
b. Herbalists
c. Shamans
d. Physicians

9. Health conditions to which Hmong are susceptible include
a. Posttraumatic stress disorder
b. Diabetes
c. Metabolic syndrome
d. All of these

When you have chosen all your answers, click the grading button below:

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RETURN TO DECEMBER 2004 TABLE OF CONTENTS

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