Acute Idiopathic Thrombocytopenic Purpura of Childhood ... - sepeap

Panepinto and Brousseau Pediatric Emergency Care Volume 21, Number 10, October 2005
Instructions for the Pediatric Emergency Care CME Program Examination
To earn CME credit, you must read the designated article and complete the examination below, answering at least 80%
of the questions correctly. Mail a photocopy of the completed answer sheet to the Office of Continuing Education, Wolters
Kluwer Health, 530 Walnut Street, 8th Floor East, Philadelphia, PA 19106. Only the first answer form will be considered for
credit and must be received by Wolters Kluwer Health by December 15, 2005. Answer sheets will be graded and certificates
will be mailed to each participant within six to eight weeks after WKH receipt. The answers for this examination will appear in
the January 2006 issue of Pediatric Emergency Care.
Credits
Wolters Kluwer Health designates this educational activity for a maximum of 1 category 1 credit toward the AMA
Physician’s Recognition Award. Each physician should claim only those credits that he/she actually spent in the activity.
Accreditation
Wolters Kluwer Health is accredited by the Accreditation Council for Continuing Medical Education to provide
continuing medical education for physicians.
CME EXAMINATION
October 2005
Please mark your answers on the ANSWER SHEET.
Acute Idiopathic Thrombocytopenic Purpura of Childhood—Diagnosis and Therapy, Panepinto and Brousseau
1. The clinical manifestations of ITP are due to:
a) altered platelet function
b) decreased production of platelets in the bone marrow
c) autoimmune destruction of platelets
d) increased consumption of platelets from mucosal
bleeding
2. All of the following are common signs/symptoms in ITP
except:
a) splenomegaly
b) petechiae
c) ecchymoses
d) hemorrhagic blisters in the mouth
e) epistaxis
3. Which of the following treatments would be least appropriate
for a child with ITP and mild to moderate
symptoms?
a) oral corticosteroids
b) IVIg
c) platelet transfusion
d) IV anti-D Ig
4. A child with known ITP presents with the acute onset of a
severe headache and focal neurological findings. Which
treatment(s) should be given or strongly considered at this
time?
a) high-dose IV steroids
b) platelet transfusion
c) IVIg
d) splenectomy
e) all of the above
5. Which of the following is correct about the treatment of
childhood ITP?
a) Observation is never indicated due to the risk of
intracranial hemorrhage.
b) Treatment should be based on the platelet count alone.
c) The natural course of ITP is a return to normal platelet
count without sequelae.
d) A bone marrow aspiration is required for all children
treated for ITP.
e) Children between 3 and 5 years of age have the
highest risk of progression to chronic ITP.
696 n 2005 Lippincott Williams & Wilkins
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