HERPES ZOSTER
1. The rarest manifestation of the prodrome of herpes zoster is
a. Headache
b. Malaise
c. Fever
d. Photophobia
2. The rash associated with shingles typically begins as
a. Numerous pale pink, almond-shaped macules
b. Slightly elevated, dark red to purple maculopapules
c. Fluid-filled bullae and cutaneous blisters
d. Grouped vesicles arising out of initial papular lesions
3. A well-established risk factor for postherpetic neuralgia is
a. Greater rash severity
b. Younger age
c. Male sex
d. Absence of a prodrome
4. An effective therapy for severely immunocompromised
patients with herpes zoster is intravenous
a. Valacyclovir
b. Acyclovir
c. Famciclovir
d. Foscarnet
5. An ocular complication associated with herpes
ophthalmicus is
a. Cataracts
b. Glaucoma
c. Episcleritis
d. Corneal ulcer
6. An effective treatment for herpetic neuralgia is gabapentin
or carbamazepine taken in conjunction with
a. Amitriptyline
b. Sertraline
c. Olanzapine
d. Fluoxetine
FOURNIER'S GANGRENE
7. A typical patient with Fournier's gangrene is a
a. Young adult male with body piercing
b. Recently circumcised male infant
c. Young adult postpartum female
d. Man older than 50 with vascular disease of the pelvis
8. A common cause of Fournier's gangrene is
a. Femoral heroin injection
b. Anorectal abscess
c. Vasectomy
d. Hydrocele aspiration
9. The most frequent systemic illness associated with
Fournier's gangrene is
a. Diabetes mellitus
b. Systemic lupus erythematosus
c. Crohn's disease
d. HIV infection
10. The most common organism cultured in Fournier's
gangrene is
a. Staphylococcus aureus
b. Enterobacteriaceae species
c. Escherichia coli
d. Clostridium difficile
11. The hallmark of Fournier's gangrene is
a. Erectile dysfunction
b. Intense genital pain and tenderness
c. Urinary tract infection
d. Erythema of the overlying skin
12. According to one study, an increase in mortality rate is
associated with
a. Sepsis at presentation
b. Hepatic dysfunction
c. Extensive disease
d. A delay in debridement
CME EXPIRATION DATE: NOVEMBER 2008 – EXPIRED
Successful completion of the self-assessment is required to earn Category I CME credit. Successful completion is defined as a cumulative score of at least 70% correct.