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 the month in which the article is published. A minimum score
of 70% must be achieved to claim CME credit. If you have any questions, please contact the Member
Resource 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 best
response.
A 30-year-old man who immigrated to the United States is a
new patient and presents with psoriasis. He has never
heard 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 immediately
b. He should be asked what language he prefers to
speak and receive his medical care
c. He should be given written information in English
with diagrams if he does not speak English well
d. Ask his 7-year-old daughter to translate informa-
tion for her father
e. Immediately proceed to the physical examination
A handout is given to the patient regarding psoriasis and
medications 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 patient
b. The medication information discusses the side
effects first, followed by how the medication is
taken and, finally, the name and purpose of the
medication
c. It is written at a fifth grade reading level
d. It contains no diagrams or pictures
e. It is written in all capital letters to emphasize the
importance of the handout
3. After the treatment plan has been described to the
patient and he has been nodding in agreement, what
should occur next?
a. The patient should be asked to repeat back the
treatment plan in his own words
b. No further explanation on the medication instruc-
tions needs to be given because the instructions
are already written on the bottle
c. Give the patient additional information in more
complex medical terminology because he under-
stands everything so far
d. End the visit, because his nodding reflects his clear
understanding of the plan
e. He should be told that searching the Internet will
give him accurate information on psoriasis
A 70-year-old woman has just been diagnosed with a basal
cell carcinoma and also has laboratory results obtained
because 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 3

5. What is the best method for using educational tools to

teach this patient about basal cell carcinoma?
a. Give her a handout to review without any verbal
discussion
b. Discuss the diagnosis at the patient visit and give
her a handout to take home
c. Tell her to use an Internet search engine to learn
about the diagnosis
d. Give her a video to watch without any verbal
discussion
e. Print a review article on basal cell carcinoma from
a scientific journal for her to read