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Volume 14, Number 10—October 2008

CME ACTIVITY - Research

Microbial Interactions during Upper Respiratory Tract Infections

Earning CME Credit

To obtain credit, you should first read the journal article. After reading the article, you should be able to answer the following, related, multiple-choice questions. To complete the questions and earn continuing medical education (CME) credit, please go to http://www.medscape.com/cme/eid. Credit cannot be obtained for tests completed on paper, although you may use the worksheet below to keep a record of your answers. You must be a registered user on Medscape.com. If you are not registered on Medscape.com, please click on the New Users: Free Registration link on the left hand side of the website to register. Only one answer is correct for each question. Once you successfully answer all post-test questions you will be able to view and/or print your certificate. For questions regarding the content of this activity, contact the accredited provider, CME@medscape.net. For technical assistance, contact CME@webmd.net. American Medical Association's Physician's Recognition Award (AMA PRA) credits are accepted in the US as evidence of participation in CME activities. For further information on this award, please refer to http://www.ama-assn.org/ama/pub/category/2922.html. The AMA has determined that physicians not licensed in the US who participate in this CME activity are eligible for AMA PRA Category 1 Credits™. Through agreements that the AMA has made with agencies in some countries, AMA PRA credit is acceptable as evidence of participation in CME activities. If you are not licensed in the US and want to obtain an AMA PRA CME credit, please complete the questions online, print the certificate and present it to your national medical association.

CME Questions

1. Which of the following bacteria was most commonly isolated from nasopharyngeal swabs in the current study?

A. Staphylococcus aureus

B. Moraxella catarrhalis

C. Streptococcus pneumoniae

D. Haemophilus influenzae

2. Which of the following associations between bacteria in the current study is most accurate?

A. Colonization with H. influenzae was positively associated with S. pneumoniae colonization

B. Colonization with M. catarrhalis was positively associated with S. pneumoniae colonization

C. Colonization with S. pneumoniae was positively associated with M. catarrhalis colonization

D. Colonization with H. influenzae and M. catarrhalis was positively associated with S. pneumoniae colonization

3. Which of the following variables was associated with a significant decrease in the rate of colonization with S. pneumoniae?

A. Antibiotic use in the past 7 days

B. Younger age

C. Up-to-date vaccination with pneumococcal vaccine (PCV7)

D. Breast-feeding

4. Day care promoted colonization with which of the following bacteria?

A. S. aureus

B. M. catarrhalis

C. S. pneumoniae

D. H. influenzae

Activity Evaluation

1. The activity supported the learning objectives.
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2. The material was organized clearly for learning to occur.
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3. The content learned from this activity will impact my practice.
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4. The activity was presented objectively and free of commercial bias.
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