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CME Questions -- Please select the one correct answer for each question.

1. Which of the following symptoms is not typically associated with West Nile virus neuroinvasive disease?
   a. Change in mental status b. Weakness c. Hemorrhage d. Gastrointestinal symptoms
2. Interpretation of laboratory results for dengue fever can be complicated by:
   a. Cross-reactivity among the flaviviruses in antibody tests b. Variability in sensitivity & specificity of commercial test kits c. The potential for prior exposure of a patient from an endemic country d. All of the above
3. Which of the following is a true statement?
   a. St. Louis encephalitis virus is normally transmitted from human to human via the bite of an infected mosquito b. Individuals infected with dengue virus more than once are at higher risk for dengue hemorrhagic fever during the subsequent infection c. Eastern equine encephalitis cases reported in Florida occur primarily in people 60 or older d. Malaria vectors are not present in Florida
4. The case fatality rate for patients with encephalitis caused by Eastern equine encephalitis virus is:
   a. Less than 5% b. 15% c. 35% d. 50%
5. Arbovirus surveillance tools now used in Florida include:
   a. Bird mortality surveillance b. Veterinary (equine) surveillance c. Sentinel chicken surveillance d. Human surveillance e. All of the above
6. Florida is vulnerable to the introduction of an exotic vector-borne disease for which of the following reasons:
   a. Population of residents (full/part-time) & visitors b. Close proximity of Florida to endemic areas c. Large immigrant populations in areas of State d. Ease of world travel e. All of the above
7. Treatment of arboviral encephalitides
   a. Is primarily supportive b. Is not necessary because vaccines are now available for the most common viruses c. Involves antibiotic therapy d. Includes the use of aspirin/ibuprofen to manage fever in dengue patients

8. What can the public do to minimize the risk of contracting a mosquito-borne disease?
   a. Wear repellent with DEET or other EPA approved ingredient b. Spend time outdoors during dusk and dawn c. Drain standing water from around the home d. Wear clothing that covers the skin when outside e. A, C and D

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