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Volume 17, Number 12—December 2011

CME ACTIVITY

Risk for Rabies Importation from North Africa

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 (with a minimum 70% passing score) and earn continuing medical education (CME) credit, please go to www.medscape.org/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.org. If you are not registered on Medscape.org, 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 may be acceptable as evidence of participation in CME activities. If you are not licensed in the US, please complete the questions online, print the certificate and present it to your national medical association for review.

Article Title: Risk for Rabies Importation from North Africa

CME Questions

1. What is the most common animal vector associated with fatal cases of rabies?

A. Bat

B. Cat

C. Squirrel

D. Dog

2. Which of the following statements regarding efforts to prevent rabies in North Africa is most accurate?

A. Greatest access to rabies postexposure prophylaxis (PEP) is in Sudan

B. Least access to rabies PEP is in Tunisia

C. Mass vaccination campaigns and the elimination of free-roaming dogs have been somewhat effective in Tunisia

D. The elimination of free-roaming dogs has been largely effective in Egypt

3. Which of the following statements regarding the management of rabies cases in France is most accurate?

A. Most patients in ARMC were exposed to animals outside of France

B. The use of rabies PEP for injuries incurred in other countries increased between 1996 and 2009

C. Sudan is the country at highest risk for rabies exposure requiring rabies PEP

D. The use of rabies PEP is similar regardless of injury in North Africa vs. other international locations

4. Which of the following groups of patients should be most strongly considered for rabies preexposure vaccination prior to travel to North Africa?

A. Tourists visiting for a limited time

B. Older adults

C. Visitors to countries with the mouse brain rabies vaccine

D. Women

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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