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Volume 20, Number 2—February 2014

CME ACTIVITY - Online Report

Peer Reviewed Report Available Online Only

Centers for Disease Control and Prevention Expert Panel Meetings on Prevention and Treatment of Anthrax in Adults

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:
Centers for Disease Control and Prevention Expert Panel Meetings
on Prevention and Treatment of Anthrax in Adults

CME Questions

1. You are seeing a 48-year-old man brought into the emergency department with fever, shortness of breath, and confusion. The patient appears to be septic, and you consider anthrax on your differential diagnosis. Which of the following types of anthrax is associated with the worst mortality prognosis, even after treatment?

A. Inhalation anthrax

B. Anthrax meningitis

C. Gastrointestinal anthrax

D. Injection anthrax

2. Initial testing reveals that this patient has probable anthrax meningitis. Which of the following antimicrobial regimens is recommended for him?

A. Cefotaxime and levofloxacin

B. Clindamycin and rifampin

C. Ciprofloxacin, meropenem, and linezolid

D. Ciprofloxacin, doxycycline, and imipenem-cilastatin

3. The patient experiences further complications of systemic anthrax infection. What should you consider as you continue to treat him?

A. He should receive anthrax immune globulin regardless of his clinical status

B. Intravenous dexamethasone should be initiated promptly given his probable anthrax meningitis

C. Surgery is recommended for the treatment of cutaneous lesions among acutely ill patients

D. Small to moderate pleural effusions should not be drained

4. What should you consider regarding postexposure prophylaxis for adult contacts of this patient?

A. Adults who receive the anthrax vaccine do not require antimicrobial prophylaxis

B. The anthrax vaccine appears effective following a single dose

C. First-line antimicrobial prophylaxis includes ciprofloxacin and doxycycline

D. Exposure to Bacillus anthracis spores mandates at least 30 days of antimicrobial prophylaxis

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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