MOC-2 Post-Test - 38th Annual Current Advances in Pediatrics Conference - Sept. 23 - 25, 2022

September 23-25, 2022

Thank you for attending the 38th Annual Current Advances in Pediatrics Conference on September 23-25, 2022.

For Board Certified Pediatricians Only:

To receive MOC-2 credit, please provide your ABP ID number and complete this post-test with a score of 80% or better by Friday, October 7, 2022.

You may retake the quiz as many times as necessary to receive the minimum score of 80%.

If you have any questions, contact AAP-OC Chapter's CME Coordinator at elizabeth@aap-oc.org or at (949) 752-2787.

Successful completion of this CME activity, which includes participation in the activity and individual assessment of and feedback to the learner, enables the learner to earn up to 15 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.

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* 1. Participant Information:

First Name

Last Name

Degree (e.g., MD, DO, etc.)

Date of Birth (MM/DD/YY)

Email Address

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* 2. ABP ID Number (Required to receive MOC Part 2 Credit)

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* 3. Which of the following is FALSE about apophyseal avulsion fractures of the hip?

They are more common in males

The most common locations are the ischial tuberosity, anterosuperior iliac spine and anteroinferior iliac spine.

Children aged 5-9 are most commonly affected

A prodrome period of localized pain may presage an acute fracture

Sprinters and Soccer players are particularly at risk

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* 4. Which of the following is NOT a sign of nonaccidental trauma in sport?

Sleep disturbance

Lower academic achievement

Suicidal ideation and/or self-harm

Improved sport performance

Risk-taking behavior

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* 5. Which of the following is NOT associated with physician burnout?

Decreased productivity

Low staff morale

Increased staff turnover/ attrition

Fewer medical errors

Decreased patient satisfaction

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* 6. An 18-month old infant has been treated with omeprazole since he was 2-months old when he had presented with irritability and frequent emesis. He is now doing much better and the parents inquiry about pros and cons of stopping the medication. Which among these conditions have been convincingly associated with prolonged use of acid suppression in children?

Increased risk of intercurrent enteric infections

Kidney injury

Myocardial infarction

Sudden death

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* 7. A 6-year-old boy comes to your office with symptoms classic for functional constipation (withholding behavior, intermittent passage of large and hard stools that are painful to evacuate, frequent fecal soiling). The parents express concerns about using laxatives in “such a young child.”
Which among these statements about treatment of constipation is true?

Stimulant laxatives cause damage to the colon

PEG 3350 has been convincingly associated with the onset of seizure and autism

The longer the constipation goes untreated, the longer the treatment will last

An increase in dietary water content is essential to treat functional constipation

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* 8. Which one among the following treatments has been shown to be effective in the treatment of children with IBS?

Anticholinergic

Proton pump inhibitor

Erythromycin

Cognitive behavioral therapy

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* 9. What is the risk window for post-acute sequelae of SARS-CoV-2 infection (PASC)?

0-<2 weeks after infection

2-<4 weeks after infection

1 month to 12 months after infection

6-12 months after infection

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* 10. Which groups typically review vaccine safety after a vaccine is licensed or authorized for use?

Data safety monitoring boards

Vaccines and Related Biological Products Advisory Committee

Advisory Committee on Immunizations Practices

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* 11. What types of vaccines are available for use in children <18 in the U.S.?

Protein-based vaccines

mRNA vaccines

Inactivated vaccines

Viral vector vaccines

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* 12. Stacy had developed hives that lasted for 3 days and was seen in the ED. She is coming today for a follow up visit. Stacy is happy to report that the hives have resolved, and she is doing well. She would like to know the results of the blood work done in the ED. After reviewing the labs, you see everything is within normal limits, except Stacy’s peanut IgE was 2.2 kiu/L. When you ask Stacy, she says she ate a peanut butter sandwich for lunch. What is the best next step?

Tell Stacy she should stop eating foods containing peanut as this probably caused her hives last week

Explain this test is a false positive and Stacy does not need to make any dietary changes

Tell Stacy she can keep eating peanut, but give her a prescription for an EpiPen, just in case things every get worse

Tell Stacy she can continue to eat small amounts of peanut containing foods, but she should be careful if she eats too much, the hives may recur

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* 13. Louie got stung by a bee at a summer barbeque. Shortly after the sting, his arm started to swell at the site of the sting. By the next morning, his arm had a 4-inch area of erythema and swelling. What is the best next step?

Refer for allergy for testing

Prescribe an epinephrine auto-injector

Topical hydrocortisone and ice packs as needed

Tell him he is at greater risk than most people of having anaphylaxis to bee stings

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* 14. Which of the following statements is true about food allergy and atopic dermatitis?

Most children with atopic dermatitis have a food allergy triggering their lesions

Most children with atopic dermatitis have an IgE mediated food allergy

Elimination diets have been shown to be very helpful in treating atopic dermatitis.

It is important to feed children with atopic dermatitis peanut containing foods at a young age to minimize the risk of developing a food allergy

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* 15. Which of the following infantile hemangioma scenario would NOT require urgent referral to a pediatric dermatologist?

5-cm red plaque on the right face

5-mm red papule on the left back

4-mm red papule on the eyelid margin

3-cm red plaque within the gluteal cleft

2-cm red nodule with ulceration on scalp

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* 16. Which of the following conditions has the strongest association with pediatric psoriasis?

Obesity

Hypothyroidism

Vitiligo

Hypertension

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* 17. Regarding a child with atopic dermatitis, referral to dermatology/pediatric dermatology should be considered:

When the diagnosis is made or soon after

When the first staphylococcal skin infection occurs

When a maintenance plan (use of TCIs/PDE-E inhibitors) is needed

When there is an indication for systemic drug therapy or phototherapy

When they keep coming back to office sayings the treatment isn’t working

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* 18. What is the Most Important Part of the Physical Exam in Eye Emergency?

Vision

Pupil Findings

Motility Exam

Fundus Exam

External (Eyelid and Adnexa) Exam

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* 19. Eye formation in the human embryo begins at how many weeks into embryonic development?

3 Weeks

6 Weeks

9 Weeks

12 Weeks

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* 20. What is true about Functional Amblyopia?

Most Common cause of amblyopia compared to Organic amblyopia

Anatomically abnormal Eye

Refractive Error is not a common cause of functional amblyopia

Strabismus is not a common cause of functional amblyopia