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Volume 14, Number 11—November 2008

CME ACTIVITY - Research

Antimicrobial Drug Use and Resistance in Europe

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.

Microbial Interactions during Upper Respiratory Tract Infections

CME Questions

1. Which of the following classes of antimicrobial drugs is least likely to be used in European countries?

A. Lincosamides

B. Fluoroquinolones

C. Cotrimoxazole

D. Macrolides

2. Which of the following regions in Europe has the highest outpatient utilization of antimicrobial drugs?

A. Southern

B. Northern

C. Eastern

D. Central

3. Which of the following is the most widely used antimicrobial drug class in Europe?

A. Macrolides

B. Penicillins

C. Nonpenicillin beta-lactams

D. Fluoroquinolones

4. Which of the following European countries showed both the greatest use of antimicrobial drugs in ambulatory care and the highest resistance proportions?

A. France

B. Croatia

C. Italy

D. Greece

5. Among European countries with high antimicrobial drug resistance rates, a robust and consistent association was most likely to be found between utilization and resistance for which of the following drugs?

A. Penicillins and macrolides

B. Lincosamides and macrolides

C. Penicillins and streptogramins

D. Penicillins and fluoroquinolones

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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