Clinical Quiz questions are based on selected articles in this issue. Answers appear in this issue.

American Family Physician has been approved by the American Academy of Family Physicians as having educational content acceptable for Prescribed credit hours. Term of approval covers issues published within one year from the beginning distribution date of January 2003. This issue has been reviewed and is acceptable for up to 3 Prescribed credit hours. Credit may be claimed for one year from the date of this issue. When reporting CME credit hours, AAFP members should report total Prescribed credit hours earned for this activity. It is not necessary for members to label credit hours as evidence-based or Prescribed for CME reporting purposes.

The American Academy of Family Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The AAFP designates this educational activity for a maximum of 3 hours in Category 1 credit toward the American Medical Association Physician’s Recognition Award. Each physician should claim only those hours of credit that he or she actually spent in the educational activity.

AAFP Credit

Each copy 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.

AMA/PRA Category 1 Credit

AAFP members who satisfy the Academy’s continuing medical education requirements are automatically eligible for the AMA/PRA.

Physicians who are not members of the AAFP are eligible to receive the designated number of credit hours in Category 1 of the AMA/PRA on completion and return of the Clinical Quiz answer card. AFP keeps a record of AMA/PRA Category 1 credit hours for nonmember physicians. This record will be provided on request; however, nonmembers are responsible for reporting their own Category 1 CME credits when applying for the AMA/PRA or other certificates or credentials.

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

Instructions

Read each article, answer all questions on the quiz pages, and transfer your answers to the Clinical Quiz answer card (bound into your copy of AFP). This will help you avoid errors and permit you to check your answers against the correct answers.

A Mail the Clinical Quiz answer card within one year (by April 30, 2004). The bar code on the answer card contains your identification for CME credit hours.

Before beginning the test, please note: Each Clinical Quiz includes two types of questions: Type A and Type X.

Type A questions have only one correct answer and may have four or five choices. Here is a typical Type A question:

Q1. Most allergic reactions to foods are:

A. Due to IgA deficiency.

B. Due to IgG and IgM antibodies.

C. IgE-mediated.

D. Due to enzyme deficiencies.

E. Due to toxins.

Type X questions may have one or more correct answers. They are multiple true-false questions with four options. Here is a typical Type X question:

Q2. Causes of varicosities in pregnancy include:

A. Hormonal changes.

B. Venous compression.

C. Familial tendency.

D. Prolonged sitting and standing.

Clinical Quiz questions are written by the associate and assistant editors of AFP.

Type A Questions

Each question has only one correct answer.

Articles

Prevention and Treatment of Common Eye Injuries in Sports (p. 1481)

Q1. Which one of the following sports is most commonly associated with eye injuries in persons 15 to 64 years of age?

A. Baseball.

B. Basketball.

C. Racquet sports.

D. Hockey.

Q2. Which one of the following conditions is suggested by the finding of paresthesia in the infraorbital distribution of the trigeminal nerve?

A. Zygomatic fracture.

B. Orbital rim fracture.

C. Nasal bone fracture.

D. Fracture of the orbital floor.

Nocturnal Enuresis (p. 1499)

Q3. Which one of the following is the most common finding in children with monosymptomatic nocturnal enuresis?

A. Anatomically small bladder.

B. Normal bladder anatomy but decreased capacity on urodynamic testing.

C. Urethral or meatal stenosis.

D. Normal bladder function.

Osteoporosis in Men (p. 1520)

Q4. In assessing risk factors for osteoporosis in men, for which one of the following findings is there no appropriate clinical intervention?

A. The patient smokes cigarettes.

B. The patient has low estradiol levels.

C. The patient is a hypogonadal young man.

D. The patient is taking glucocorticoids.

E. The patients is taking phenytoin (Dilantin).

Q5. Which one of the following statements about osteoporosis in men is correct?

A. Electrophoresis is useful as part of routine laboratory testing.

B. Heel ultrasonography is useful for monitoring response to therapy.

C. T scores with standard deviations that are 2 to 2.5 below the reference mean are an indication for therapy.