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CME Posttest

You are required to answer all questions. To receive a certificate you must answer at least 8 of the questions correctly.

1.	Which of the following is not one of the top three causes of death in adolescents (15-24)?
		a. Motor vehicle accidents
		b. Drug overdoses
		c. Homicide
		d. Suicide

2.	The 1999 Youth Risk Behavior Survey distributed by the CDC found all of the following in adolescents in the 9th through 12th grades except:
		a. 17% carried a weapon in the previous 30 days
		b. 5% carried a gun
		c. 28% reported sadness for greater than 2 weeks in the previous 12 months
		d. 19% considered suicide in the past 12 months
		e. All of the above were reported

3.	The national mean age of sexual debut in the US is:
		a. 12
		b. 16
		c. 18 for inner city children
		d. 20

4.	The number of adolescents reporting having sex prior to the age of 13 is:
		a. 1%
		b. 2%
		c. 8%
		d. 25%
		e. 33%

5.	Strategies for making a pediatric practice adolescent-friendly include scheduling all adolescents well child visits on the same day and, where possible, doing the following:
		a. Removing infant toys from the waiting room
		b. Putting out age-appropriate pamphlets for teens in the exam room
		c. Having pamphlets available for parents in the waiting room on how to discuss sensitive topics with their children
		d. Getting parental and adolescent agreement on your confidentiality policies at the beginning of the first visit
		e. All of the above

6.	Adolescents who become pregnant usually should be encouraged to discuss this with:
		a. Their parents
		b. Their friends
		c. Their siblings
		d. No one

7.	The Guidelines for Adolescent Preventive Services developed by the American Medical Association recommend comprehensive physical exams:
		a. Every year
		b. Never
		c. Once during the early adolescent years, once during the middle adolescent years and once during the late adolescent years
		d. With every well child visit
		e. Only as needed

8.	One of the versions of the mnemonic used to get a psychosocial history from the adolescent in an organized way is:
		a. HEADDS (Home, Education, Activities, Diet/Exercise, Depression, Sex/Drugs)
		b. HOME (Home, Outside activities, Misbehavior, Education)
		c. HAPPI (Health, Activities, Parenting, Pot, Interests)
		d. HEAR (Health, Education, Activities, Recklessness)

9.	During a portion of each adolescent visit the parent should be:
		a. Answering the family history questions
		b. Left at home
		c. Out of the room
		d. Not informed of disclosures if the adolescent expresses a desire to harm themselves or someone else

10.	During the adolescent visit it is important to:
		a. Congratulate and reinforce positive behaviors
		b. Respect confidentiality
		c. Focus on the psychosocial history
		d. Teach adolescents to take responsibility for their health
		e. All of the above