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School of Medicine, UAB
   
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Online CME Courses
Community-Acquired Pneumonia


Certified for 1 AMA PRA Category 1 Credit


Co-Sponsored by the University of Alabama School of Medicine
Division of Continuing Medical Education and
The Alabama Quality Assurance Foundation

Release Date: December 6, 2005
Expiration Date: December 6, 2008

TARGET AUDIENCE:
Primary care physicians

OBJECTIVES:
Upon completion of this CME activity, clinicians should be able to:
  • Review factors that increase susceptibility of death from community-acquired pneumonia
  • Recognize the newest pathogens in community-acquired pneumonia (CAP)
  • Become familiar with new and important issues associated with treatment of CAP, including rapid initiation of treatment and newly available drugs
  • Learn abour adjunctive measures available for treatment of CAP
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SOURCE:
FACULTY:

Martin Rodriguez, MD
Clinical Fellow in Infectious Diseases
Massachusetts General Hospital

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DISCLOSURE:
Dr. Rodriguez has no commercial affiliations to disclose.
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CME PARTICIPATION:
To participate in this program for CME credit, please review the objectives before beginning the program. Take the course, complete the case questions and evaluation before December 6, 2008 to receive CME credit. Your certificate will then be available online. This process should take approximately 60 minutes.

ACCREDITATION:

The University of Alabama School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Alabama School of Medicine designates this educational activity for a maximum of 1 AMA PRA Category 1 credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The boards of nursing in many states, including Alabama, recognize Category 1 continuing medical education courses as acceptable activities for the renewal of license to practice nursing.

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DISCLAIMER: 
Dosages, indications, and methods of use of any drug referred to in this online course may reflect the clinical experience of the authors, clinical literature, or other clinical resources. Therefore, please see the full prescribing information before using any product mentioned.

Case 1:

A 40 year-old female comes to your office complaining of 4 days of increasing cough, sputum production, and fever. She is otherwise healthy and takes no medications other than oral contraceptives. She denies taking any antibiotics in the recent years. She is not a smoker and drinks alcohol only in social events. She works as a clerk in a local office. Physical examination reveals a temperature of 101 F, a respiratory rate of 22, BP of 116/74, heart rate of 90, pulse oximetry of 96% on room air, and bronchial breath sounds in the right lower lobe. A chest-X-ray demonstrates an ill-defined opacity with air bronchogram in the right lower lobe. A sputum sample is sent for Gram stain and culture.

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Case 1, Question 1 of 8

1. Based on the history and physical exam findings, which of the following is the most appropriate management for this patient?

A. Outpatient therapy with amoxicillin
B. Inpatient therapy with a newer macrolide
C. Outpatient therapy with doxycycline
D. Inpatient therapy with a third-generation cephalosporin and a newer macrolide
E. Outpatient therapy with amoxicillin/clavulanate




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