MOC Part II Credit Claiming – Focused Topics in Pediatrics

A 17 yo rugby player sustains her first lateral ankle sprain. Which of the following should be recommended to prevent future ankle sprains?

Immediate application of ice, compression, and elevation

Use of a weight-bearing boot

Early mobilization with range of motion exercises

Taping the ankle for sports

Referral for a neuromuscular training program

Which of the following are potential indications for contraceptive use either based on FDA indication or through medical research and literature review:

Acne vulgaris

Primary Dysmenorrhea and/or Premenstrual Syndrome (PMS)

Pregnancy prevention

Polycystic Ovarian Syndrome (PCOS)

Endometriosis

Heavy and/or disruptive menstrual bleeding that may can lead to iron deficiency, menstrual hygiene challenges or be caused by bleeding disorders such as Von Willebrand Disease

Pain Crisis prevention in Sickle Cell Disease for females

Catamenial seizure prevention in Epilepsy for females

All of the above

The American Academy of Pediatrics Clinical Practice Guideline recommends that pediatricians and other PHCPs should offer adolescents 12 y and older with obesity (BMI ≥95th percentile) weight loss pharmacotherapy, according to medication indications, risks, and benefits, as an adjunct to health behavior and lifestyle treatment. Which of the following is true about this recommendation?

Monotherapy with weight loss medications is often the most appropriate course of action for patients with severe obesity.

“Should recommend” means that medication should be started as soon as possible with these patients.

Weight loss medications should always be used in conjunction with intensive health behavior and lifestyle treatment.

All pediatricians and other PHCP’s should be facile with the prescription and management of weight loss medications.

Weight loss pharmacotherapy should not be considered under age 12.

A 12-year old male patient presents with acne at the forehead, chin, and cheeks. He has open and closed comedones, but no nodular lesions or scarring. No individual lesion is larger than 5 mm in diameter. The patient has tried a 2.5% salicylic acid over the counter facewash. In addition to benzoyl peroxide 4%, which of the following is the most appropriate next step in treatment?

Referral to dermatologist

Oral Erythromycin

Oral Isotretinoin

Topical Retinoid

Topical Retinoid + Topical Clindamycin

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