CME Quiz: July 2015
Choosing wisely 2.0: ACEP’s 2nd list (part 2)
1. All patients who present to the Emergency Department with low back pain require imaging.
a. True
b. False
2. “Red flags” for the evaluation of patients with low back pain include all of the following EXCEPT:
a. Fever
b. History of malignancy
c. Pain worse with walking
d. History of IV drug abuse
3. A large number of asymptomatic people have bulging discs and degenerative disease on MRI,
suggesting that anatomic abnormality alone is not enough to explain the cause of low back pain.
a. True
b. False
4. The overwhelming majority of patients with sinusitis have a viral etiology for their illness.
a. True
b. False
c. It’s complicated
5. It is reasonable to consider prescribing antibiotics to each of the following groups EXCEPT:
a. Persistent symptoms lasting >10 days without improvement
b. Patients with small children at home
c. Patients with severe disease (high fever and facial pain >3-4 days)
d. Patients who initially improve, but then worsen again before complete resolution
6. The use of CT scanning for evaluation of kidney stone disease has increased nearly threefold in the
last 2 decades, without any change in patient outcomes.
a. True
b. False
7. Ultrasound can be used effectively to evaluate patients with recurrent stone disease.
a. True
b. False
8. Which patient with recurrent stone disease is NOT likely to benefit from early imaging?
a. A 46 year-old male with a history of multiple spontaneously passed stones
b. A 37 year-old male with high fever, dysuria, and flank pain
c. A 45 year old female with a solitary kidney
d. A 54 year-old male with flank pain and new-onset renal failure