Welcome to the EMS CME examination. Click on the appropriate answer. Only a correct answer will allow you to continue the exam.

This test is based on the EM Forum Case #165.

We hope you find this CME activity informative and worthwhile. Please send any comments to EM Forum Manager, Charlene B. Irvin, MD, FACEP at charleneirvinmd@gmail.com or St. John CME Coordinator, Nancy DeRita at nancy.derita@stjohn.org

1. True or false. The Kernig test is performed in a supine patient by flexing the hip to 90° while the knee is flexed at 90°. Then an attempt to further extend the knee produces pain in the hamstrings and resistance to further extension indicating meningeal irritation.

True
False

2. True or false. If an immuno-competent patient has no fever, no headache, and no altered mental status then it is unlikely they have meningitis.

True
False

3. True or false. N meningitides meningitis has a lower mortality rate than S pneumonia meningitis.

True
False

4. True or false. In 1/3 of presumed viral meningitis cases, no virus is identified.

True
False

5. True or false. Enterovirus meningitis can be spread through the respiratory route.

True
False

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Disclaimer
The information provided at this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

Accreditation
St. John Hospital and Medical Center is accredited by the Michigan State Medical Society Committee on CME Accreditation to provide continuing medical education for physicians.

Credit Designation
St. John Hospital and Medical Center designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

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