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Volume 16, Number 10—October 2010

CME ACTIVITY

Bloodstream Infections among HIV-Infected Outpatients, Southeast Asia

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 www.medscapecme.com/journal/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.

Article Title: Bloodstream Infections among HIV-Infected Outpatients, Southeast Asia

CME Questions

1. Based on the above southeast Asia study by Dr Varma and colleagues, which of the following statements about prevalence of overall bloodstream infections (BSIs) and of specific BSIs in HIV-infected persons is correct?

A. BSIs are commonly encountered in HIV-infected outpatients, noted in up to 5%

B. The most common bacterial infection was Streptococcus pneumoniae

C. Mycobacterium tuberculosis was the most common pathogen responsible for BSI

D. M. tuberculosis accounted for approximately one quarter of all BSI

2. Your patient is a 23-year-old Cambodian male recently diagnosed with HIV infection. Based on the above study, which of the following is most likely to be associated with increased risk for overall BSI?

A. CD4 = 150 cells/mm3

B. Vomiting and abdominal tenderness

C. Generalized rash

D. Subnormal temperature

3. Based on the above study, which of the following statements regarding increased risk for specific BSI is most likely correct for the patient in question 2?

A. Hilar adenopathy on chest x-ray suggests tuberculosis infection

B. Difficulty breathing suggests fungal BSI

C. Jaundice was not a significant predictor of any class of pathogen

D. Loss of appetite was a specific predictor of bacterial infection

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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