CME Self Test
Accredited by the American College of Sports Medicine
This CME activity was planned and produced in accordance with the Accreditation Council for Continuing Medical Education (ACCME) Essentials. The American College of Sports Medicine (ACSM) is accredited by the ACCME to sponsor continuing medical education for physicians.
The ACSM designates this continuing education activity for 2.75 hours in Category 1 of the Physician's Recognition Award of the American Medical Association (AMA). ACSM CEC or National Athletic Trainers' Association (NATA) CEU credit is also offered.
To participate in this program, you must read the material carefully, answer the test questions, obtain a passing grade (a minimum score of 60% must be obtained), and complete the credit evaluation form.
After answering the test questions, go to the end of this test to score your exam. To receive credit verification, fill out and sign the form confirming you have read the materials and obtained a minimum passing score.
Print out this test and circle the best answer for each of the following questions.
Nutrition Adviser: Nutrition Knowledge (page 15)
1. Who would be the best candidate for taking a multivitamin? A. An athlete who eats fewer than 1,500 calories a day B. An athlete who trains regularly C. An elderly active person D. An obese sedentary person
2. If a person is exercising and eating a nonfat diet, but still not losing weight, he or she should try A. drinking more water B. exercising more C. replacing some carbohydrate calories with fat calories D. skipping one meal a day
Rehab Adviser: Using RICE for Injury Relief (page 33)
3. Ice massage should be used for how many minutes? A. 5-10 B. 11-15 C. 16-20 D. 21-25
Neck Pain: Part 1: Narrowing the Differential (page 37)
4. Which spinal nerve radiates pain to the posterior arm, dorsal forearm, and index and middle fingers? A. C-5 B. C-6 C. C-7 D. C-8
5. Which test is most likely to help detect cervical radiculopathy? A. Adson's B. Elbow flexion C. Phalen D. Spurling
6. A 22-year-old crew member who had 1 week of neck and shoulder pain experienced upper-extremity numbness into the index and middle fingers after strenuous rowing. Which of the following is most useful to rule out a significant nerve root injury? A. Electromyography B. Magnetic resonance imaging C. Plain radiographs D. Reflex, strength, and foraminal compression tests
Pitted Keratolysis: A Common Infection of Active Feet (page 51)
7. Which symptom listed below is not typically associated with pitted keratolysis? A. Considerable inflammation B. Craterlike lesions C. Hyperhidrosis D. Pungent odor
8. Which of the following is not one of the recommendations regarding footwear use during treatment for pitted keratolysis? A. Always wear socks with shoes B. Change socks often C. Wash socks with antibacterial detergent D. Wear shoes that "breathe"
9. Which topical treatment is not available over the counter for treatment of pitted keratolysis? A. Clindamycin B. Clotrimazole C. Miconazole D. Whitfield's ointment
Detecting and Treating Common Fractures of the Foot and Ankle: Part 2: The Midfoot and Forefoot (page 58)
10. An opponent fell on the heel of a 17-year-old football player's plantar-flexed foot. The patient had immediate pain and couldn't walk. Examination reveals extreme tenderness in his midfoot region with mild flattening of his arch. The next step is to A. apply a short-leg walking cast and have the patient bear weight as tolerated with crutches and return in 3 weeks B. begin physical therapy that includes edema-reducing modalities C. obtain anteroposterior, lateral, and oblique radiographs to rule out tarsometatarsal disruption D. prescribe a compression wrap, icing, and weight bearing as tolerated until tenderness subsides
11. A 35-year-old overweight man has dull pain along his lateral midfoot of about 2 weeks' duration. Radiographs reveal a transverse, nondisplaced fracture at the metaphyseal-diaphyseal junction of the fifth metatarsal. Treatment should include A. open reduction and internal fixation with a bone graft B. a short leg non-weight-bearing cast for 6 weeks C. a short leg walking cast and range of motion exercises D. a stiff-soled shoe and low-impact activities
12. A 23-year-old female soccer player sustains a displaced fracture of the fifth toe during a collision with another player. Treatment will likely involve A. "buddy taping" to the adjacent toe B. follow-up radiographs C. a nonwalking cast for 3 weeks D. surgical repair to prevent osteoarthritis
When Is Disqualification From Sports Justified? (page 75)
13. The Rehabilitation Act of 1973 and the Americans With Disabilities Act of 1990 A. apply to almost all intercollegiate and interscholastic sports programs B. do not apply to professional sports teams C. expressly prohibit discrimination against injured athletes D. render a physician liable for determining medical ineligibility
14. Which of the following characteristics of a medical condition is least likely to be grounds for excluding an athlete from competition? A. Poses a risk that can be effectively reduced by medication B. Poses an unreasonable risk of personal harm C. Presents a significant risk to other participants D. Prevents an athlete from playing well enough to compete successfully
15. Which condition is least likely to be grounds for excluding an athlete from competition? A. Heart disease B. Missing paired organ C. Spinal stenosis
Exercise Adviser: Exercising When You're Overweight (page 81)
16. Of the activities listed, the best for an obese person just starting an exercise program is A. bicycling 45 minutes daily B. jogging 15 minutes daily C. step aerobics three times a week D. walking 20 minutes daily
Preferred credit hour type (check only one): ___ AMA (CME Category 1) ___ ACSM (CEC) ___ NATA (CEU) Evaluation of credit offering: 1. Was material: ___ New or ___ Review for you? 2. Was material: Presented clearly? ___ Yes ___ No Covered adequately? ___ Yes ___ No 3. Did material meet the objectives as stated in the abstract ("In brief")? ___ Yes ___ No 4. Will you be able to use the information learned from this credit offering in your profession? ___ Yes ___ No If yes, how:___________________________________________________ Please attach business card, print legibly, or type on each form: Name: _________________________________ Degree: _____________ Address: ______________________________________________________ City: _____________________ State: _____ Zip: _______________ Business Phone: (_____)____________________ Fax: (_____)____________________ ___ ACSM Member (ACSM ID# ______________________) ___ Nonmember (ID# ___________________________) I attest that I have read the articles and answered the test questions using the knowledge gained through the articles provided in this issue and received a passing grade (minimum score 60%). Signature: ____________________________________ Date: __________ ___ Change my address as shown above, effective date: __________ To receive credit, mail these pages or photocopies of them, with check or money order in the amount of $15 (ACSM members) or $20 (nonmembers) for each CME Self Test to: Education Department American College of Sports Medicine Box 1440, Indianapolis, IN 46206-1440 USA.
Answers: 1. A, 2. C, 3. A, 4. C, 5. D, 6. D, 7. A, 8. C, 9. A, 10. C, 11. B, 12. A, 13. A, 14. A, 15. B, 16. D
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