bpac: quiz

Bones, Joints & CVD Quiz

This quiz is available for completion by all New Zealand based GPs. 2 CME points will be awarded for all participants at the conclusion of the quiz period, along with a quiz feedback.
Please complete this quiz by 28 November 2008.
To return to the feedback click here or the submit button

Name:
NZMC No.:
Practice:
Email:

1.	Assessment of bone mineral density by DEXA scan is:
		The gold standard for diagnosing osteoporosis
		Indicated for all postmenopausal women
		Required for all people who have had an osteoporotic fracture
		Reported as a T score when compared to the young adult mean
		Required before treatment with a bisphosphonate can commence

2.	Risk factors for generalised osteoporosis include:
		Crohn’s disease
		Thyrotoxicosis
		Use of regular inhaled corticosteroids
		Diabetes
		Māori ethnicity

3.	Core therapies for osteoarthritis include:
		Rest for reducing pain induced movement
		Weight reduction (if overweight)
		Using shock absorbing shoes
		Learning psychological strategies for coping
		Acupuncture

4.	Recommended pharmacological treatments for osteoarthritis include:
		Topical NSAIDs
		Capsaicin cream
		Heat rub e.g. Deep Heat
		Oral NSAIDs
		Codeine

5.	Disease modifying anti-rheumatic drugs (DMARDs):
		Should be initiated as soon as possible after diagnosis of rheumatoid arthritis
		Should not be tried unless all other pharmacological treatment has failed
		Should never be used in combination with each other
		Have an onset of action between two to six months
		Can be associated with blood dyscrasias

6.	By what age should cardiovascular risk assessment begin for a European woman with no risk factors?
		35 years
		45 years
		55 years

7.	For the woman above, what risk factors would indicate performing cardiovascular risk assessment earlier?
		Sedentary lifestyle
		Drinking >14 units alcohol per week
		Smoking
		Truncal obesity

8.	What is the best approach for undertaking cardiovascular risk assessments?
		Scheduling a formal cardiovascular risk assessment with high risk patients
		Opportunistic risk assessment with eligible patients
		Building a picture over time by collecting details of risk factors over several consultations
		Only undertaking cardiovascular risk assessments when requested by patients

9.	Which of the following statements about communicating cardiovascular risk are true?
		Understanding risk can be confusing for many people
		Crowd diagrams are the most powerful tool for communicating risk
		Analogies should be tailored to situations familiar to the patient
		At the first consultation it is best to outline all the changes a patient should make

10.	Which of the following statements are true?
		Māori and Pacific men aged over 35 are at increased risk of CVD
		Māori and Pacific rates of assessment for CVD are low compared with European New Zealanders
		Māori and Pacific people are less motivated to make lifestyle changes
		Whānau can play an important role in healthcare decisions

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