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Volume 18, Number 5—May 2012

CME ACTIVITY - Research

Invasive Haemophilus influenzae Serotype e and f Disease, England and Wales

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: Invasive Haemophilus influenzae Serotype e and f Disease, England and Wales

CME Questions

1. Which of the following statements regarding the overall epidemiology of Haemophilus influenzae f (Hif) and Haemophilus influenzae e (Hie) in the current study is most accurate?

A. There was a progressive increase in the incidence of Hif

B. Rates of Hie rose between 2001 and 2006, and then fell significantly

C. The annual incidence of invasive Hie disease was higher than the rate of invasive Hif disease

D. Older adults were much more likely to have Hif vs Hie infection

2. Which of the following statements regarding mortality related to Hif and Hie in the current study is most accurate?

A. The overall case fatality ratio was higher for Hif vs Hie

B. After adjustment, the risk of dying was higher with Hie vs Hif

C. Hif pneumonia was particularly associated with a higher risk of mortality compared with Hie pneumonia

D. Most fatal cases of invasive Hif and Hie were due to septicemia

3. What should you consider regarding infection with Hif and Hie among children and adolescents in the current study?

A. Children accounted for more than half of all cases

B. Nearly all infections among children less than one year old were clustered in the age range of less than 3 months of age

C. Most cases among infants involved meningitis

D. Cases were evenly distributed between early and late childhood

4. What should you consider regarding infection with Hif and Hie among older adults in the current study?

A. Older adults accounted for half of all cases

B. Only 30% of cases had comorbidity

C. Septicemia was the most common presentation of illness

D. They demonstrated infection with a wide variety of phylogenetic types of Hif and Hie

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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