Welcome to the EMS CME examination. Click on the appropriate answer. If it is correct, you will be allowed to continue the exam. If incorrect, you will be prompted to choose another answer.

Before taking the following exam, we recommend to read this article.

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

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1. Initial management of brain abscess includes all of the following EXCEPT:

Emergent neurosurgical consultation
Dexamethasone 10mg IVP
Vancomycin 1g IVPB
Aggressive fluid resuscitation

 2. Possible etiologies of brain abscess include:

Endocarditis
Mastoiditis
Sinusitis
All of the above

3. The physiologic mechanism believed to allow for abscess development is:

Hematologic seeding from endocarditis
History of CVA
Ischemia secondary to increased ICP
Intracerebral hemorrhage

4. Abscesses of sinus origin are typically composed of what bacteria:

E. Coli
S. Aureus
K. Pneumonia
S. Pneumonia
H. Influenzae

5. The most common symptom associated with brain abscess is:

Headache
Stiff neck
Visual disturbances
Nausea/vomiting
Focal weakness


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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.