Clinical Geriatrics

Learning Objectives
Upon completion of this educational activity, participants should be able to:

1. Discuss the most commonly ingested minerals, trace elements, and fat-soluble vitamins in the United States.
2. Identify the dietary sources of minerals, trace elements, and fat-soluble vitamins.
3. Describe the nutritional importance of the most commonly used supplements.
4. Explain the main hazardous side effects of the most commonly used over-the-counter supplements.

Medium Used & Method of Participation
Read the article, complete the evaluation and post-test, and return both to: NACCME via fax at (610) 560-0502 or mail (see address below). You will receive your certificate in 6-8 weeks. If you would like to print your certificate immediately, go to <b>http://cme.naccme.com</b>, register as a NACCME user, and access the activity test and evaluation online.

Successful Completion
Successful completion entails participants obtaining a score of at least 70% on the post-test. A certificate of completion will be mailed to the address listed on your post-test/evaluation form within 6-8 weeks of receipt of the documents.

All post-tests/evaluations must be received by March 15, 2009.

You may fax or mail your post-test/evaluation form and receive your certificate in 6-8 weeks OR go to http://cme.naccme.com and log in to create an online account where you can access and complete the article, post-test, and evaluation and print your certificate immediately.

NACCME
83 General Warren Blvd., Suite 100
Malvern, PA  19355
Fax: (610) 560-0502

Please answer the following questions in the answer key on the next page.

1. Which of the following is not a common side effect of vitamin A toxicity?
A. Headache
B. Vomiting
C. Diplopia
D. Alopecia
E. Pruritis

2. Hypervitaminosis D is most likely to present with
A. hyperkalemia
B. hyperphosphatemia
C. hypercalcemia
D. hypocalciuria
E. hypophosphatemia

3. Significant sources of vitamin K include all of the following except
A. dairy products
B. meats
C. nuts
D. cereals
E. fruits

4. Zinc toxicity manifests clinically with
A. gastrointestinal irritation and vomiting
B. impaired immune function
C. low high-density lipoprotein cholesterol
D. All of the above
E. None of the above

5. Chromium salts taken in excess have not been associated with which of the following?
A. Blindness
B. Dermatitis
C. Gastrointestinal ulcers
D. Liver damage
E. Kidney damage

Answer and Evaluation Form
March 2008

Thomas AM, Gambert SR. Hazards from the Health Food Store—Part I. Clinical Geriatrics 2008;16(3):35-42.

Answers: Refer to the post-test. Circle ALL that apply for each question.
1.  A   B   C   D   E

2.  A   B   C   D   E

3.  A   B   C   D   E

4.  A   B   C   D   E

5.  A   B   C   D   E