Respiratory illnesses: A growing opportunity for stewardship
SEPTEMBER 2023 [This form may be photocopied. It is no longer valid for CEUs after MARCH 31, 2025.] Passing scores of 70 percent or higher are eligible for 1 contact hour of P.A.C.E. credit.
TEST QUESTIONS Circles must be filled in, or test will not be graded. Shade circles like this:
1. _____________ pathogens are the most common causes of disease in human beings.
{A. GI {B. Urogenital {C. Respiratory {D. Skin
2. Diagnosing respiratory pathogens can be difficult in a physician’s office setting because there are many respiratory viruses that are often indistinguishable from each other.
{A. True {B. False
3. The SARS-CoV-2 pandemic muted influenza for
{A. 5 months {B. 15 months {C. 2 years {D. 5 years
4. When viruses began to emerge at the end of the pandemic, flu seasons were shown to peak
{A. 2 months earlier {B. 5 months earlier {C. 2 months later {D. 5 months later
5. The COVID-19 pandemic highlighted the clinical utility of ___________ testing in order to deliver rapid and accurate diagnostics for respiratory illnesses.
{A. Culture-based {B. Antibody {C. Microscopy {D. PCR
6. Which of the following factors impacts patient outcomes in the diagnosis and treatment of respiratory illnesses?
{A. Health status and age of patient {B. Type of pathogen present {C. Speed and accuracy identified pathogen {D. All of the above
Not like this:
7. Studies have shown that without laboratory testing, ______ percent of the patients with respiratory infections were identified with skilled medical observation.
{A. 8 {B. 22 {C. 37 {D. 45
8. Multiplex testing studies have shown that this type of testing can identify over ____ percent of co-infections, which are not detected by low-plex testing.
{A. 90 {B. 93 {C. 95 {D. 98
9. The CDC does not currently support multiplex PCR testing when multiple respiratory symptoms are circulating in a patient.
{A. True {B. False
10. Syndromic testing has shown to lessen the impacts of misdiagnosis by
{A. Supporting antimicrobial stewardship programs and improving patient
outcomes
{B. Reducing overall healthcare costs {C. Both A. and B. {D. None of the above
11. __________ ___________________ refers to the appropriate use of laboratory testing to guide patient management, optimize patient outcomes, and limit the spread of antimicrobial resistance.
{A. Diagnostic stewardship {B. Misdiagnosis stewardship {C. Antimicrobial stewardship {D. None of the above
12. Who is involved in a diagnostic stewardship program in which appropriate treatment decisions are made?
{A. Pharmacists {B. Infectious disease clinicians {C. Clinical laboratories {D. All of the above
13. Appropriate treatment decisions will help to advance antimicrobial stewardship.
{A. True {B. False
14. Which organization provides educational resources to mitigate the misuse of antibiotics for respiratory infections?
{A. WHO {B. CDC {C. FDA {D. CARB
15. Across several studies, use of syndromic testing to diagnose and guide treatment for respiratory infections led to a ____ percent reduction in antibiotic therapy duration, a _____ percent reduction in antibiotic prescriptions, and one fewer days in median antimicrobial duration in adult influenza patients.
{A. 10; 25; two {B. 13; 25; two {C. 13; 30; one {D. 30; 13; one
16. Syndromic testing showed per patient ICU cost saving of over $50,000.
{A. True {B. False
17. Multiplex testing in the clinical laboratory has reduced the turnaround time by
{A. 12.6 hours {B. 23.3 hours {C. 30.4 hours {D. 50.8 hours
Tests can be taken online or by mail. Easy registration and payment options are available through NIU by following the links found at
www.mlo-online.com/ce. The certificate is automatically awarded with a passing online test score.
PLEASE PRINT CLEARLY NAME CITY PHONE STATE ZIP MAILING ADDRESS INSTITUTION/FACILITY E-MAIL ADDRESS
Send your $20 check payable to Northern Illinois University with this form to: University Outreach Services, Northern Illinois University, DeKalb, IL 60115-2860 email:
outreach_helpdesk@niu.edu. FEE NOT REFUNDABLE OR TRANSFERABLE
P = Poor; E = Excellent
1. To what extent did the article focus on or clarify the objectives?
P E
2. To what extent was the article well-organized and readable?
P E
3. How will you use the CE units? state license
recertification
employment other
CE Licensure Information for FL and CA:
FL: Your FL license number:____________________ (required for CE credit)
CA: Accrediting Agency: 0001 (for use in submitting your CE credits to CA)
MLO and Northern Illinois University (NIU), DeKalb, IL, are co-sponsors in offering continuing education units (CEUs) for this issue’s CE article. CEUs or contact hours are granted by the College of Health and Human Sciences at Northern Illinois University, which has been approved as a provider of continuing education programs in the clinical laboratory sciences by the ASCLS P.A.C.E.®
program. Approval as a provider of continuing education programs has been granted by
the state of Florida (Provider No. JP0000496). Continuing education credits awarded for successful completion of this test are acceptable for the ASCP Board of Registry Continuing Competence Recognition Program. Readers who pass the test successfully (scoring 70% or higher) will receive a certificate for 1 contact hour of P.A.C.E.®
credit. Participants should allow three to five weeks for receipt of certificate. The fee for this continuing education test is $20. This test was prepared by Amanda Voelker, MPH, MT(ASCP), MLS, Clinical Education Coordinator, School of Health Studies, Northern Illinois University, DeKalb, IL
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