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Volume 23, Number 7—July 2017

CME ACTIVITY - Research

Risk Factors for Legionella longbeachae Legionnaires’ Disease, New Zealand

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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 http://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.

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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 this activity, contact the accredited provider, CME@medscape.net. For technical assistance, contact CME@medscape.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 go to https://www.ama-assn.org. 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 AMA PRA CME credit certificate, and present it to your national medical association for review.

Article Title:
Risk Factors for Legionella longbeachae Legionnaires’ Disease, New Zealand

CME Questions

1. You are seeing a 40-year-old woman with a 1-week history of cough with hemoptysis and fever. She is an avid gardener, and you consider whether she might have Legionnaires’ disease. What should you consider regarding the background of Legionnaires’ disease?

A. The mortality rate among inpatients is approximately 10%

B. It is often overdiagnosed

C. The urinary antigen test detects all Legionella species

D. Approximately 95% of cases resolve with no intervention

2. Which of the following health conditions was most strongly associated with L. longbeachae pneumonia in the current study?

A. HIV/AIDS

B. Congestive heart failure

C. Pulmonary fibrosis

D. Chronic obstructive pulmonary disease (COPD)

3. Which of the following statements regarding variables associated with a higher risk for L. longbeachae infection in the current study is most accurate?

A. Female sex and younger age were risk factors for infection

B. There was a dose-response effect of smoking in increasing the risk for infection

C. Homemade compost was associated with the highest risk for infection

D. Hand-to-face contact with compost did not increase the risk for infection

4. Which of the following methods was most proven to reduce the risk for infection with L. longbeachae in the current study?

A. Hand hygiene only

B. Hand hygiene and wearing gloves

C. Wearing gloves only

D. Wearing gloves and/or a mask

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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