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Volume 18, Number 3—March 2012

CME ACTIVITY - Research

Nonpasteurized Dairy Products, Disease Outbreaks, and State Laws—United States, 1993–2006

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: Nonpasteurized Dairy Products, Disease Outbreaks, and State Laws—United States, 1993–2006

CME Questions

1. Your patient is a 12-year-old girl who presents for 3 days of gastroenteritis symptoms. Her father reports that most of the family has been consuming unpasteurized dairy products for the past year, and he is concerned that his children are at risk for foodborne illness.

On the basis of the current study by Langer and colleagues, what should you consider regarding the epidemiology of foodborne illness related to dairy products?

A. Fewer than 20 cases were reported to the CDC between 1993 and 2006

B. Unpasteurized dairy products accounted for most outbreaks

C. Yogurt was the dairy product implicated in most cases

D. Unpasteurized cheese was more likely to promote infection compared with unpasteurized milk

2. In your management of this patient, what should you consider from data reported in the current study regarding the clinical picture of infection associated with contaminated dairy products?

A. The rate of hospitalization was similar whether the infection was due to pasteurized or unpasteurized products

B. The overall hospitalization rate was 25%

C. The case-mortality rate approached 50% for infections due to unpasteurized products

D. Patients with infection due to unpasteurized products were younger compared with those with infection due to pasteurized products

3. What was the most common organism isolated from patients with infection due to consumption of unpasteurized dairy products in the current study?

A. Norovirus

B. Salmonella spp.

C. Escherichia coli

D. Campylobacter spp.

4. The patient's mother drinks pasteurized milk, and she, too, is not feeling well. What can you tell her was the most common source of contamination of pasteurized dairy products in the current study?

A. Infected food handlers

B. Temperature abuse

C. Consumption of dairy products beyond their expiration date

D. Poor pasteurization practices

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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