Continuing Medical Education Test Lactic Acidosis in Severe Asthma. Appel et al. 580-584

The University of Alabama School of Medicine designates this continuing medical education activity for one credit hour in Category 7 of the Physician’s Recognition Award of the American Medical Association.

Answers are to be marked on the answer sheet on page A107.

1. In this study, twelve of 60 asthma patients pos- sessed a blood lactate level:

a. under 2.8 mmol/liter b. over 2.8 mmol/liter C. over 28 mmol/liter d. none of the above

2. In this study, the average asthma attack lasted: a. a few hours b. a week C. two to three days d. two to three weeks

3. The mean peak expiratory flow for the group was:

a. 61 pints per minute b. 61 liters per minute c. 6.1 liters per minute d. 0.61 liters per minute

4. Respiratory acidosis developed among: a. two of the patients b. five of the patients C. six of the patients d. eight of the patients

5. It is likely that lactic acidosis resulted from: a. drinking too much milk b. a high content of calcium in the diet C. overproduction of lactate by respiratory

muscle work d. none of the above

6. Eicheholz et al found lactate levels could be produced to result in metabolic lactosis by:

a. prolonged mechanical ventilation of dogs

b. prolonged mechanical ventilation of monkeys

C. nonmechanical hyperventilation of hu- mans

d. none of the above 7. Among these asthma patients, it was noted that

when the patients’ asthma got better, the: a. metabolic acidosis increased b. metabolic acidosis disappeared C. metabolic acidosis was stable d. metabolic acidosis persisted

6. Lactic acidosis can be suspected when: a. pH is too high for Pace, b. anion gap is too small C. anion gap is normal d. pH is too low for PaGo,

9. Electrocardiographic evidence on admission showed right heart strain in:

a. 60 percent of the patients b. 70 percent of the patients c. 50 percent of the patients d. none of the above

10. Imminent danger of respiratory failure exists when the patient has:

a. metabolic acidosis b. asthma C. obstruction of expiratory airflow d. all the above

October 1983 The American Journal of Medicine Volume 75 A103

CME Answer Sheet Lactic Acidosis in Severe Asthma

The University of Alabama School of Medicine designates this continuing medical education activity for one credit hour in Category I of the Physician’s Recognition A ward of the American Medical Association.

Mark the appropriate box with an “X.”

1. aa ba CD dn 6. an ba co dn

2. aa bu co do 7. aa bO co do

4. aa bO co da 9. aa bO co d[7

10. an bC] cm dlJ

Name Degree

(please print) Specialty

Last First Initial Social Security #

Address

City StatelZio Code

Signature Date

Be sure you have indicated the best answer for each question. To defray costs of processing, please enclose check for $10.00 payable to the Division of Continuing Medical Education, and mail with the completed answer sheet to:

Division of Continuing Medical Education Room 127 CHSB University Station Birmingham, Alabama 35294

You will receive a certificate for your records.

October 1983 The American Journal of Medicine Volume 75 A107