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Volume 19, Number 4—April 2013

CME ACTIVITY

Risk Factors for Influenza among Health Care Workers during 2009 Pandemic, Toronto, Ontario, Canada

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:
Risk Factors for Influenza among Health Care Workers during 2009 Pandemic, Toronto, Ontario, Canada

CME Questions

1. A 40-year-old nurse at your local hospital presents to your office for a physical examination. She reports a one-day history of fever. That morning, you received a notice that we are currently in the first wave of a pH1N1 pandemic. This is defined as periods for which the weekly proportion of respiratory specimens which yielded pH1N1 was greater than:

A. 1%

B. 5%

C. 10%

D. 25%

2. You suspect the patient in question 1 may have pH1N1 when she reported the following symptoms:

A. Current urinary tract infection symptoms

B. Sore throat and cough

C. Runny nose and headache

D. Answers B and C

3. The patient in question 1 asks you if her risk of influenza is higher due to her occupation. You inform her that:

A. Her risk is higher compared to non-healthcare workers (HCWs)

B. Her risk is lower compared to non-HCWs

C. There is no difference in risk compared to non-HCWs

D. None of the above is correct

4. What other risk factors should you inquire about the patient in question 1 that would increase her risk of influenza?

A. Performing aerosol-generating medical procedure

B. Recent pH1N1 vaccination

C. High adherence to hand hygiene recommendations

D. Working in the pediatric ward

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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