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Volume 16, Number 11—November 2010

CME ACTIVITY

Sulfadoxine/Pyrimethamine Intermittent Preventive Treatment for Malaria during Pregnancy

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: Sulfadoxine/Pyrimethamine Intermittent Preventive Treatment for Malaria during Pregnancy

CME Questions

1. Which one of the following pregnant women is likely to be most vulnerable and least protected from malaria?

A. Gravida 1 para 0 (G1P0)

B. G2P1

C. G3P2

D. G4P3

2. A 21-year-old woman residing in a stable malaria transmission area of Africa comes to the attention of the local clinic. She reports that she is feeling well and denies recent illness with or without fever.

Which of the following represents current recommendations for malaria prophylaxis in this scenario?

A. Continuous chloroquine

B. Intermittent sulfadoxine/pyrimethamine

C. Continuous sulfadoxine/pyrimethamine

D. Intermittent chloroquine

3. The clinic’s staff discusses malaria prophylaxis with the young woman who questions whether it is necessary. The clinic’s most appropriate response would be:

A. Prophylaxis is not indicated at this time because she is not currently infected

B. Prophylaxis will reduce her chances of having a low-birth-weight baby

C. Prophylaxis will reduce her chances of infection during pregnancy, but is unlikely to affect the outcome of the baby

D. Prophylaxis is not useful because she resides in an area with documented high resistance rates in children

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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