CME Quiz Questions
346 American Family Physician www.aafp.org/afp Volume 94, Number 5 ◆ September 1, 2016
Diagnosis and Treatment of Obstructive Sleep Apnea
in Adults (p. 355)
Q1. A 46-year-old healthy man expresses concern about
daytime sleepiness. Which one of the following most accurately supports a diagnosis of obstructive sleep apnea (OSA)
in this patient? (check one)
❏ A. History of nighttime snoring.
❏ B. A measurement of 3% oxygen desaturation for
10 seconds recorded on a home sleep apnea
❏ C. A score of 2 on the STOP-Bang questionnaire.
❏ D. Five or more hypopneic-apneic episodes per hour
in the presence of symptoms noted in a sleep
Q2. Which one of the following is the most effective
treatment for OSA? (check one)
❏ A. Positional therapy.
❏ B. Continuous positive airway pressure.
❏ C. Oral appliances.
❏ D. Surgical interventions.
Q3. Which one of the following statements about the
diagnosis or treatment of OSA is correct? (check one)
❏ A. Home monitors are more accurate than sleep
laboratory monitors for diagnosing OSA.
❏ B. Bilevel positive airway pressure should be considered in patients who have difficulty exhaling
against a fixed pressure.
❏ C. Pillows should be used to help patients maintain a
❏ D. Patients with significant comorbidities should be
instructed in auto-titration of their positive airway
Update on Office-Based Strategies for the Management
of Obesity (p. 361)
Q4. Which one of the following statements about weight loss
management is generally recommended? (check one)
❏ A. Restrictive rather than permissive advice results in
greater behavioral change.
❏ B. Waist circumference should not be used to
❏ C. Patients should aim to cut 500 kcal per day from
❏ D. Low-carbohydrate diets are preferred over low-fat
diets for long-term weight loss maintenance.
Q5. Which one of the following medications is most likely to
promote weight gain? (check one)
❏ A. Metformin.
❏ B. Risperidone (Risperdal).
❏ C. Bupropion (Wellbutrin).
❏ D. Topiramate (Topamax).
Q6. Which one of the following is the most effective
treatment for obesity? (check one)
❏ A. Mediterranean diet combined with three-times-weekly exercise.
❏ B. Naltrexone-bupropion (Contrave).
❏ C. Phentermine-topiramate (Qsymia).
❏ D. Roux-en-Y gastric bypass.
Complementary/Integrative Therapies That Work:
A Review of the Evidence (p. 369)
Q7. Which one of the following statements about coenzyme
Q10 for heart failure is correct? (check one)
❏ A. It can be substituted for traditional therapies.
❏ B. It does not affect net ejection fraction.
❏ C. It improved symptoms of heart failure in a
❏ D. It is associated with serious adverse effects.
Q8. Which one of the following sentences about Ginkgo
biloba extract EGb 761 is correct? (check one)
❏ A. At a dosage of 240 mg per day, it can prevent
Alzheimer-type dementia as well as prescription
❏ B. At a dosage of 240 mg per day, it has similar effect
sizes as prescription drugs for the treatment of
❏ C. It is less likely to be studied by industry-funded
investigators than prescription drugs.
❏ D. It increases bleeding risk.
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