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CME Questions - Volume 4; Number 2: 2005

Readers who submit answers to the questions that accompany the CME/CPD articles become eligible for CME/CPD credits in Category 1. To claim credit, the reader has to be registered in the MPC Program, the answers should be received by the CME Center before 31st December 2006, and all questions related to the article should have been attempted. Readers would then receive a certificate from the CME Center indicating the credit data.

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First Name: Middle Name: Surname:
     
CME Registration No.:  
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After you have completed reading the CME/CPD articles, take the test given. Check T (True) or F (False) to show the correct answer to each question.
Clinically pertinent and cost-effective use of laboratory investigations in musculoskeletal diseases
Anand N. Malaviya
(1 CME credit point)
1.
ESR is a useful laboratory investigation for distinguishing inflammatory from non-inflammatory musculoskeletal diseases. True False
2.
Most patients with chronic inflammatory rheumatic diseases have low platelet count. True False
3.
In chronic inflammatory rheumatic diseases polyclonal diffuse increase in total serum globulin levels is commonly observed. True False
4.
Serum alkaline phosphatase is invariably high in active rheumatoid arthritis because of increased osteoblastic activity in the bone marrow. True False
5.
Classical rheumatoid factor is an autoantibody of IgM class reactive against the Fab-portion of aggregated IgG immunoglobulin. True False
6.
Systemic lupus erythematosus (SLE) would be a highly UNLIKELY diagnosis if the fluorescent anti-nuclear antibody test (FANA) is NEGATIVE. True False
7.
Despite its high specificity, most of the routinely available laboratory techniques for performing tests for anti-DNA antibody make it unreliable. True False
8.
Anti-DNA antibody test may be negative even when a patient has active SLE. True False
9.
A patient with small finger-hand joint swelling and tenderness only of a few days’ duration can still be diagnosed as having definite rheumatoid arthritis if antibodies to cyclic citrullinated peptide (anti-CCP) are positive. True False
10.
In the presence of low-back pain a positive test for HLA B27 is still considered non-specific for early ankylosing spondylitis (AS). True False

An update on common skin problems: a guide for general practitioners
Nawaf Al-Mutairi, Ebtesam Al-Adawy
(1 CME credit point)
11. Autoantibodies to anagen hair follicles can be present in up to 90% of the patients with alopecia areata. True False
12. Crash dieting can cause telogen effluvium. True False
13. ‘Exclamation point’ hairs are a hallmark of androgenetic alopecia. True False
14. IgE levels are elevated in up to 80% of patients with atopic dermatitis. True False
15. Type I hypersensitivity reaction is the most common type of immunologic mechanism involved in patients with urticaria. True False
16. Contact urticaria usually occurs after 30 minutes of contact with the urticarial contact allergen. True False
17. Psoriasis is primarily a disorder of hyper-proliferation. True False
18. Destruction of melanocytes is the cause of depigmented macules seen in vitiligo. True False
19. Koebner’s phenomenon is seen in both psoriasis and vitiligo. True False
20. White dermatographism is a feature of physical urticaria. True False

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