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Volume 14, Number 7—July 2008

CME ACTIVITY - Research

Alcaligenes xylosoxidans Bloodstream Infections in Outpatient Oncology Office

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.

Alcaligenes xylosoxidans Bloodstream Infections in Outpatient Oncology Office

CME Questions

1. Which of the following statements about Alcaligenes xylosoxidans is most accurate?

A. A. xylosoxidans is gram-positive

B. A. xylosoxidans is hydrophobic

C. A. xylosoxidans is associated with healthcare-associated infections

D. A. xylosoxidans is found only in soil

2. Which of the following statements about the clinical presentation of A xylosoxidans infection in the current study is most accurate?

A. No patients with A. xylosoxidans infection were immunocompromised

B. Patients with A. xylosoxidans were homogeneous with regard to age and clinical diagnosis

C. Patients with A. xylosoxidans infection had symptoms that were attributed to side effects of chemotherapy

D. Only 10% of patients with A. xylosoxidans infection were successfully treated with antibiotics

3. Which of the following factors was most different in comparing case-patients and control groups in the current study?

A. Case-patients with A. xylosoxidans infection had a lower mean white blood cell count compared with controls

B. Case-patients with A. xylosoxidans infection were more likely to have a central venous catheter compared with controls

C. Case-patients with A. xylosoxidans infection had a greater number of intravenous medications administered compared with controls

D. Case-patients with A. xylosoxidans infection had more underlying diseases compared with controls

4. Which of the following sources was most likely the primary reservoir of A. xylosoxidans in the current study?

A. Tap water

B. Mixing hood

C. Hospital personnel

D. Multidose vials of heparin and saline flushes

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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