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Spring 2018 CME Quiz
The Maryland Family Doctor - Spring 2018
1. Primary Care Management of Sickle Cell Disease
Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.
The American Medical Association (AMA) accepts the American Academy of Family Physicians (AAFP) Prescribed credit as equivalent to AMA PRA Category 1 Credit for the AMA Physicians Recognition Award (PRA).
CME activities approved for AAFP Prescribed credit are recognized by the American Osteopathic Association (AOA) as equivalent to AOA Category 2 credit.
1. Complete the quiz and click the “submit” button.
2. You will then receive an immediate confirmation that your quiz has been received by MDAFP.
3. Print the confirmation for your records.
4. Directly report the indicated number of credits to AAFP (MDAFP does not report credits to AAFP)
5. Questions or in need of assistance? Contact the MDAFP office at
Quiz Answers and Article References
AAFP Membership #
Article 1 Questions
1. Hydroxyurea is an underutilized treatment for many years, yet it is now recognized that more practitioners should start incorporating it into their regular management of SCD. At what age should initiation of hydroxyurea be considered?
2. True or False. Children with SCD may be at an increased risk of stroke. In order to evaluate for the risk of stroke pediatric patients between the ages of 2-16 years old should undergo annual transcranial doppler ultrasonography.
3. Which of the following is an indication for an acute transfusion in the management of SCD?
Priapism lasting less than 4 hours
Uncomplicated painful crisis
4. True or False. Initiation of analgesic management is an important component of acute management of a sickle cell pain crisis. The goal time of initiation from arrival in triage of analgesics in within 60 minutes.
Article 2 Questions
1. You notice an incidental elevated total protein on your patient’s annual labs. You decide to order a serum protein electrophoresis, which shows an M spike. A subsequent bone marrow biopsy reveals 7% plasma cells. CMP, CBC, and skeletal survey show no other abnormalities. What is the most likely diagnosis?
Smoldering Multiple Myeloma
Monoclonal Gammopathy of Undetermined Significance (MGUS)
Active Multiple Myeloma
2. Which of the following is least likely to be the identity of a monoclonal paraprotein found in multiple myeloma?
3. Which of the following is one of the criteria of end-organ damage attributable to a clonal process required to make the diagnosis of multiple myeloma (in addition to greater than 10% marrow plasma cells)?
Calcium > 11mg/dL
AST > 2x ULN
Diffuse osteopenia on skeletal survey
Total WBC < 3 x 1000/mm3
4. Multiple myeloma patients are typically advised to have a dental exam prior to initiating bisphosphonate therapy due to the side effect of osteonecrosis of the jaw. True or False.
5. Patients with smoldering multiple myeloma can be followed every two years as their annual rate of progression to multiple myeloma is 1% in the first five years following diagnosis.