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Volume 17, Number 5—May 2011

CME ACTIVITY

Severe Imported Plasmodium falciparum Malaria, France, 1996–2003

Earning Medscape 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.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 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.

Severe Imported Plasmodium falciparum Malaria, France, 1996–2003

Medscape CME Questions

1. You are seeing a 30-year-old man with fever for 5 days. He returned from a trip to Kenya 3 days ago.

Which of the following statements regarding malaria among travelers is most accurate?

A. Malaria is the most common cause of fever among travelers returning from the developing world

B. Most cases of malaria among returning travelers are classified as severe

C. Death due to malaria, even severe malaria, is extremely rare among returning travelers

D. Adults from endemic areas are at the highest risk for death from malaria acquired during travel to areas with a high prevalence of malaria

2. You suspect malaria in the patient described in question 1. What were characteristics of patients with malaria in the current study?

A. Malaria was most common among European travelers

B. Most patients had received appropriate chemoprophylaxis

C. Most patients had symptoms before returning from travel

D. 75% of patients were hospitalized

3. The patient in question 1 is diagnosed with malaria. Which of the following demographic and travel variables was most associated with a higher risk for severe malaria in the current study?

A. Male sex

B. African origin

C. Travel to East Africa

D. Lower socioeconomic status

4. Which of the following medical variables was most associated with a higher risk for severe malaria in the current study?

A. Thrombocytopenia

B. Initial presentation to a hospital

C. Absence of chemoprophylaxis

D. Normal serum leukocyte count

Activity Evaluation

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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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