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Volume 19, Number 12—December 2013

CME ACTIVITY - Synopsis

Epidemiologic Investigations into Outbreaks of Rift Valley Fever in Humans, South Africa, 2008–2011

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:
Epidemiologic Investigations into Outbreaks of Rift Valley Fever in Humans, South Africa, 2008–2011

CME Questions

1. A 28-year-old man presents to your clinic in South Africa with fever and malaise. Your differential diagnosis includes Rift Valley fever (RVF). What should you consider regarding this diagnosis?

A. It is primarily endemic to Asia, but there have been outbreaks in Africa

B. RVF virus is transmitted through direct contact with infected animals only

C. Most infections are self-limited

D. The mortality rate of RVF approaches 40%

2. What does the current study suggest regarding temporal trends and demographics of RVF?

A. There was only 1 outbreak of RVF during a 7-year period

B. Most cases were diagnosed during winter

C. RVF was equally common among men and women

D. Farmers and farm workers constituted the majority of patients with RVF

3. What was the most common mode of transmission of RVF virus in the current study?

A. Mosquito bite

B. Drinking unpasteurized milk

C. Consuming infected meat

D. Direct contact with infected animals

4. What specifically was the greatest risk factor of acquiring RVF among patients in the current study?

A. Handling and disposal of fetal material after abortions

B. Physical contact with animal carcasses

C. Slaughter of animals in commercial abattoirs

D. Slaughter of animals in areas apart from farms

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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