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To claim CME credit, complete this case-based posttest online at http://www.aad.org/JAAD/. Note:CME quizzes are available after the first of themonth in which the article is published. Aminimum scoreof 70% must be achieved to claim CME credit. If you have any questions, please contact the MemberResource Center of the American Academy of Dermatology at toll-free (866) 503-SKIN (7546), (847)240-1280 (for international members), or by e-mailing mrc@aad.org.

CME examination

Identification No. JB0313

March 2013 issue of the Journal of the American Academy of Dermatology.

Questions 1-5, Hong J, Nguyen TV, Prose NS. J Am Acad Dermatol 2013;68:364-73.

Directions for questions 1-5: Choose the single bestresponse.

A 30-year-old manwho immigrated to the United States is anew patient and presents with psoriasis. He has neverheard of this diagnosis in his past.

1. What is the most appropriate initial step in the patient

encounter?a. Because he is a recent immigrant, an interpreter

should be called immediatelyb. He should be asked what language he prefers to

speak and receive his medical carec. He should be given written information in English

with diagrams if he does not speak English welld. Ask his 7-year-old daughter to translate informa-

tion for her fathere. Immediately proceed to the physical examination

A handout is given to the patient regarding psoriasis andmedications used for the treatment of psoriasis.

2. Why is this handout useful for educating this patient?

a. It replaces the need to discuss the diagnosis and

treatment options with the patientb. The medication information discusses the side

effects first, followed by how the medication istaken and, finally, the name and purpose of themedication

c. It is written at a fifth grade reading leveld. It contains no diagrams or picturese. It is written in all capital letters to emphasize the

importance of the handout

3. After the treatment plan has been described to thepatient and he has been nodding in agreement, whatshould occur next?a. The patient should be asked to repeat back the

treatment plan in his own wordsb. No further explanation on the medication instruc-

tions needs to be given because the instructionsare already written on the bottle

c. Give the patient additional information in morecomplex medical terminology because he under-stands everything so far

d. End the visit, because his nodding reflects his clearunderstanding of the plan

e. He should be told that searching the Internet willgive him accurate information on psoriasis

A 70-year-old woman has just been diagnosed with a basalcell carcinoma and also has laboratory results obtainedbecause of chronic pruritus.

4. Which of the following is a phrase that avoids using

medical jargon?a. ‘‘The pathology showed a micronodular basal cell

carcinoma’’b. ‘‘Your laboratory studies were negative’’c. ‘‘The biopsy was malignant’’d. ‘‘You have a type of skin cancer called basal cell

carcinoma’’e. ‘‘The complete blood cell count and chemistry

panel were normal’’

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VOLUME 68, NUMBER 3CME examination 375

5. What is the best method for using educational tools toteach this patient about basal cell carcinoma?a. Give her a handout to review without any verbal

discussionb. Discuss the diagnosis at the patient visit and give

her a handout to take homec. Tell her to use an Internet search engine to learn

about the diagnosisd. Give her a video to watch without any verbal

discussione. Print a review article on basal cell carcinoma from

a scientific journal for her to read