Skip directly to search Skip directly to A to Z list Skip directly to page options Skip directly to site content

Volume 20, Number 9—September 2014

CME ACTIVITY - Research

Pneumocystis jirovecii Pneumonia in Patients with or without AIDS, France

CME Logo

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 75% 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 “Register” link on the right 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/about-ama/awards/ama-physicians-recognition-award.page. 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:
Pneumocystis jirovecii Pneumonia in Patients with or without AIDS, France

CME Questions

1. Your patient is a 42-year-old man with AIDS admitted to the hospital for respiratory distress and suspected Pneumocystis jirovecii pneumonia, also known as pneumocystis pneumonia (PCP). According to this prospective, multicenter observational study, which one of the following statements about presentations of PCP in patients with AIDS and with other immunosuppressive disorders is correct?

A. More than half of patients with PCP had AIDS

B. One third of patients with PCP had been taking PCP prophylaxis

C. Median time from the onset of respiratory tract symptoms to PCP diagnosis was 5 days (range, 1–15 days) in patients without AIDS and 21 days (range, 7–30 days) in patients with AIDS (p<0.0001)

D. Hypoxemia at presentation was more severe in patients with AIDS

2. According to this prospective, multicenter observational study, which one of the following statements about outcomes of PCP is correct?

A. Fewer patients without AIDS vs patients with AIDS required intensive care unit admission and ventilation

B. Hospital mortality rate was 17.4% overall, 4% in patients with AIDS, and 27% in patients without AIDS

C. Hospital mortality rates did not differ significantly between patients with AIDS and those without AIDS

D. Shock was more common in patients with AIDS and was significantly associated with pulmonary microbial coinfection

3. According to this prospective, multicenter observational study, which one of the following statements about risk factors for mortality in PCP, as determined by multivariable analysis, would most likely be correct?

A. Hospital mortality was not associated with age

B. Solid-organ transplantation was associated with twice the risk for hospital mortality

C. Hospital mortality was not associated with time to treatment

D. Patients receiving immediate oxygen had approximately 4-fold the risk for hospital mortality

Activity Evaluation

1. The activity supported the learning objectives.

Strongly Disagree

Strongly Agree

1

2

3

4

5

2. The material was organized clearly for learning to occur.

Strongly Disagree

Strongly Agree

1

2

3

4

5

3. The content learned from this activity will impact my practice.

Strongly Disagree

Strongly Agree

1

2

3

4

5

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

Strongly Disagree

Strongly Agree

1

2

3

4

5

>

Article Navigation

TOP