Primary Amebic Meningoencephalitis (PAM) Caused by Naegleria fowleri Post-Test Participant demographics: Question Title * 1. Full Name: Question Title * 2. Please indicate credentials Physician-MD/DO DDS/DMD/DPM APRN/PA Other Other (please specify) Question Title * 3. What type of certificate do you wish? CE Broker reporting only; no certificate needed Electronic Paper E-mail or physical address to send certificate Question Title * 4. Florida license number for CE Broker reporting: Question Title * 5. How many credit(s) are you claiming: 0.50 0.75 1.00 (maximum) Other (please specify) PAM Caused by Naegleria fowleri Post-test (a passing score of 80% is required). Question Title * 6. Naegleria fowleri is a thermophilic fee-living ameba found in warm freshwater. True False Question Title * 7. Which of the following are environmental factors for Naegleria fowleri? inadequately chlorinated pools, lawn hose netti pots, ritual nasal ablutions diving and wakeboarding in warm fresh water lakes all of the above Question Title * 8. Naegleria fowleri infection route is through nasal mucosa migrating through the cribriform plate into the central nervous system. True False Question Title * 9. The median time from exposure of Naegleri fowleri to early symptoms of infection is five days. True False Question Title * 10. What key patient history should alert a clinician to the possibility of PAM? nausea and vomiting fatigue, earache recent fresh water exposure fever, headache all of the above Question Title * 11. If a clinician suspects primary amebic meningoencephalitis due to patient's fresh water exposure within 14 days, which of the following clinical guidelines steps should be taken? Call CDC at 770-488-7100 for 24/7 consultation Collect Cerebrospinal fluid - order specific lab tests STAT Report suspected case to local health department All of the above Question Title * 12. The clinician should await lab confirmation before implementing full PAM treatment protocol. True False Question Title * 13. Proven effective treatment for PAM include which of the following? Induced coma Ventilation PaCO2 Lower cerebral edema with therapeutic hypothermia Certain antibiotics All of the above Next