Clinical Expert Series
Puerperal Group A Streptococcal Infection: Beyond Semmelweis
Brenna L. Anderson, MD, MSc
Obstet Gynecol 2014;123:874–82
Continuing Medical Education credit is provided through joint sponsorship with
The American College of Obstetricians and Gynecologists.
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equivalent to College Cognate Credits.
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Submission
Before submitting this form, please print a completed copy as confirmation of your program participation.
College Fellows: To obtain credits, complete and return this form by e-mail (obgyn@greenjournal.org) or fax (202-479-0830).
Your score, and a copy of the answer key, will be e-mailed to you after receipt of a completed quiz. Credit will be recorded for
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Non–College Fellows: To obtain credits, submit the printout of the completed quiz to your accrediting institution. The printout of
the completed quiz is documentation for your continuing medical education credits.
Continuing medical education credit for “Puerperal Group A Streptococcal Infection: Beyond Semmelweis” will be available
through April 2017.
1. In addition to blood cultures, a rapid diagnostic tool for diagnosing Group A streptococcus (GAS) is:
Pelvic magnetic resonance imaging (MRI)
Endometrial aspiration
Antigen typing
Differential white blood count
Urinalysis
CME Quiz for the Clinical Expert Series
Obstet Gynecol 2014;123(4)
Credit available through April 2017
Page 1 of 3
2. Which of the following accounts for the majority of noninvasive Group A streptococcus (GAS)
infections?
Urinary tract infection
Superficial skin infection
Lower intestinal infection
Vaginal infection
Upper respiratory tract infection
3. The majority of deaths from Group A streptococcus (GAS) occur from:
Necrotizing fasciitis
Streptococcal toxic shock syndrome
Streptococcal pyelonephritis
Group A streptococcal pneumonia
Streptococcus pyogenes encephalitis
4. The effect of pregnancy on Group A streptococcus (GAS) is an increase in the:
Severity of disease
Frequency of disease
Duration of the disease
Risk of urinary tract involvement
Rate of antibiotic resistance of the bacteria
5. Profound hypotension and diffuse capillary leaking found in invasive Group A streptococcal
infections is due to:
M surface proteins
Inflammatory cytokines
Increased T cell production
Elaborated proteases
Tissue liquefaction
6. The tenant of invasive Group A streptococcal infection management referred to as “source control”
consists of:
Wound isolation
Surgical debridement
High-dose antibiosis
Patient isolation
Increased hand hygiene
CME Quiz for the Clinical Expert Series
Obstet Gynecol 2014;123(4)
Credit available through April 2017
Page 2 of 3
7. The most significant impact of the “Eagle Effect” in the treatment of Group A streptococcal
infections is:
An allergy to eggs
Reduced penicillin efficacy
Increased visual acuity
A red, white, and blue skin rash
The need to use only antibiotics made in America
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CME Quiz for the Clinical Expert Series
Obstet Gynecol 2014;123(4)
Credit available through April 2017
Page 3 of 3