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Volume 19, Number 10—October 2013

CME ACTIVITY

Increased Incidence of Invasive Fusariosis with Cutaneous Portal of Entry, Brazil

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:
Increased Incidence of Invasive Fusariosis with Cutaneous Portal of Entry, Brazil

CME Questions

1. What was the most common underlying disease among patients with invasive fusariosis in the current study?

A. Multiple myeloma

B. Non-Hodgkin lymphoma

C. Acute myeloid leukemia

D. Chronic myeloid leukemia

2. Which of the following statements regarding the presentation of invasive fusariosis is most accurate?

A. Two-thirds of cases were notable for a cutaneous portal of entry of Fusarium spp.

B. All cases of cutaneous entry were associated with onychomycosis

C. Most cutaneous portals of entry were identified within 48 hours

D. Neutropenia was rare among cases of invasive fusariosis

3. Which of the following statements regarding the laboratory identification and management of invasive fusariosis in the current study is most accurate?

A. All patients had a positive blood culture

B. Fluconazole was the most common treatment used

C. The 30-day survival rate was 33.3%

D. Infecting Fusarium spp. were derived from the hospital’s water system

4. What were the trends in the rates of invasive and cutaneous fusariosis between 2000 and 2010?

A. Increased incidence of both invasive and cutaneous fusariosis

B. Increased incidence of invasive fusariosis; reduced incidence of cutaneous fusariosis

C. Reduced incidence of invasive fusariosis; increased incidence of cutaneous fusariosis

D. Reduced incidence of both invasive and cutaneous fusariosis

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.

Strongly Disagree

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4. The activity was presented objectively and free of commercial bias.

Strongly Disagree

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