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: Low Pathogenic Avian Influenza A (H7N2) Virus Infection in Immunocompromised Adult, New York, USA, 2003

CME Questions

1. You are seeing a 48-year-old man who complains of 2 weeks of severe malaise, tactile fever, cough, and weight loss.

You consider whether this patient has influenza. Which of the following statements best characterizes the majority of low pathogenic avian influenza (LPAI) viral infections?

A. The mortality rate approaches 50%

B. Almost all cases are diagnosed in the hospital

C. Most infections are mild in nature

D. They are characterized by higher rates of secondary pneumonia compared with other influenza infections

2. You want to offer targeted antimicrobial therapy for this patient. What was the patient in the current case study treated for originally?

A. Community-acquired pneumonia

B. Primary influenza infection

C. Primary HIV infection

D. Tuberculosis

3. The patient is confirmed to have infection with LPAI. How did the patient in the current case study acquire LPAI?

A. Keeping pigeons above his home

B. Working in a poultry processing plant

C. Direct contact with infected coworkers

D. Unknown

4. What else should you consider regarding the current case study as you treat this patient with LPAI infection?

A. The presence of conjunctivitis suggests something different from infection with H7 subtype viruses

B. Concomitant HIV infection has been definitively associated with an increased risk of lower respiratory tract infection with H7N2 virus

C. The case patient recovered without specific treatment for influenza

D. The influenza A isolate grew rapidly in culture

Activity Evaluation