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Volume 19, Number 11—November 2013

CME ACTIVITY - Synopsis

Tropheryma whipplei Endocarditis

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:
Tropheryma whipplei Endocarditis

CME Questions

1. Which of the following statements regarding epidemiologic factors among patients with Tropheryma whipplei endocarditis in the current study is most accurate?

A. All patients were male

B. Most patients acquired the infection in Africa or Asia

C. Nearly all patients were older than 70 years

D. Most patients had previous cardiac valve disease

2. What was the most common presenting symptom of T. whipplei endocarditis in the current study?

A. Fever

B. Neurologic complications of stroke

C. Arthralgias

D. Weight loss

3. Which of the following statements regarding laboratory findings among patients with T. whipplei endocarditis is most accurate?

A. C-reactive protein levels were normal in most patients

B. Nearly all patients had positive findings on heart valve analysis for T. whipplei

C. Nocardia spp. were frequently found as co-infections with T. whipplei

D. Nearly all saliva and fecal samples were positive for T. whipplei

4. What other findings were present among patients with T. whipplei endocarditis in the current study?

A. Valves infected with T. whipplei demonstrated rare signs of inflammation

B. Valvular infiltrates consisted primarily of neutrophils

C. Most patients had a positive serological profile for classic Whipple disease

D. There was wide variability in the genotypes represented

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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