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Volume 14, Number 5—May 2008

CME ACTIVITY

Invasive Group A Streptococcal Disease in Nursing Homes, Minnesota, 1995–2006

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 one of the following is least likely to be a risk factor for invasive group A streptococcal (GAS) disease?

A. Diabetes mellitus

B. Cancer

C. Chronic obstructive pulmonary disease

D. Depression

2. The incidence of invasive GAS disease among persons older than 65 years compared with the general population is best described by which one of the following?

A. Similar

B. Two times higher

C. Three times higher

D. Four times higher

3. Which one of the following is least likely to be a cause of outbreaks of invasive GAS disease among nursing home residents in the United States?

A. Frequent invasive procedures

B. Resident-to-resident spread

C. Inadequate infection control

D. Chronically infected resident

4. Which one of the following best describes the case-fatality ratio of invasive GAS disease in nursing home residents over 65 years under the surveillance program described for Minnesota?

A. 12%

B. 20%

C. 35%

D. 50%

5. The pattern of invasive GAS disease in nursing homes is best described by which one of the following?

A. Sporadic

B. Chronic

C. Epidemic

D. Staff-transmitted

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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