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                                            Expiration date: August 2011

  The Nurse Practitioner Associates for Continuing Education (NPACE) is an approved provider of continuing education by the
  Massachusetts Association of Registered Nurses, Inc. (MARN), an accredited approver by the American Nurses Credentialing Center’s
  Commission on Accreditation (ANCC).
  The Nurse Practitioner Associates for Continuing Education designates this educational activity for a maximum of 1.0 contact hours of
  credit. Participants should only claim credit commensurate with the extent of their participation in the activity. Posttests must
  be completed and submitted online. NPs may register at no charge at www.mycme.com. You must receive a score of 70% or better
  on each test taken to obtain credit.

CREDITS: 0.5                                   CREDITS: 0.25                                   CREDITS: 0.25
Feature                                        Dermatology Clinic                              Dermatologic Look-Alikes
PAGE 21                                        PAGE 39                                         PAGE 53

Imaging options for patients                   Case #1: Aquagenic syringeal                    Case #1: Pyoderma gangrenosum
with acute abdominal pain                      acrokeratoderma
                                                                                               1. What is the hallmark symptom
1. Plain radiography is the initial study      1. What is considered to be a                      of pyoderma gangrenosum (PG)?
   of choice for                                  pathognomonic sign of aquagenic                 a. Well-demarcated border
   a. Appendicitis                                syringeal acrokeratoderma?                      b. Pain at the lesion site
   b. Bowel obstruction                           a. Darier’s sign                                c. Leaves atrophic scar
   c. Nephrolithiasis                             b. Hand-in-bucket sign                          d. Contains central plug
   d. Diverticulitis                              c. Russell’s sign
                                                                                               2. Which systemic disease is commonly
                                                  d. Stocking-glove sign
2. Rapid ultrasound at the bedside is                                                             associated with PG?
   the imaging test of choice for              2. Aquagenic syringeal acrokeratoderma             a. Sarcoidosis
   a. Pancreatitis                                is distinguished from hereditary                b. Ehlers-Danlos syndrome
   b. Pulmonary embolism                          papulotranslucent acrokeratoderma               c. Lupus erythema
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