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Continuing Medical Education examination
Mechanistic actions of the risks and adverse events associated with vaccine administration Instructions for category 1 Continuing Medical Education credit The American Academy of Allergy, Asthma and Immunology is accredited as a provider of Continuing Medical Education (CME) by the Accreditation Council for Continuing Medical Education. Test ID no.: mai0046 Contact hours: 1.0 Expiration date: October 31, 2005 Category 1 credit can be earned by reading the text material and taking this CME examination online. For complete instructions, visit the Journal’s Web site at www.mosby.com/jaci.
Learning objectives: ‘‘Mechanistic actions of the risks and adverse events associated with vaccine administration’’ 1. To understand the immune mechanisms of actions linked to vaccine adverse events. 2. To recognize common vaccine constituents. 3. To acquire knowledge to enhance counseling to individuals requiring allergy evaluation for vaccine reactions.
CME items Question 1. Which of the following vaccines has the highest gelatin concentration? A. rabies (Rabavert) B. yellow fever C. MMR D. influenza Question 2. Influenza vaccine is indicated for a 5-year-old child with moderate persistent asthma, allergic rhinitis, and a positive (class III) serum egg-specific IgE assay. Your recommendations to the referring physician for influenza vaccination are — A. to avoid vaccination and to offer chemoprophylaxis alone. B. to administer a skin prick test with vaccine after clinical confirmation of egg sensitivity and then, if the result is positive, to offer graded dosing of inactivated influenza vaccine.
J ALLERGY CLIN IMMUNOL
C. to avoid vaccination and chemoprophylaxis, inasmuch as neither will be efficacious. D. to offer 2-dose protocol and deliver live attenuated influenza vaccine. Question 3. A causal relationship between disease and vaccine has been established for which of the following? A. Hib vaccine and type 1 diabetes mellitus B. acellular pertussis vaccine and encephalopathy C. MMR vaccine and thrombocytopenia D. hepatitis B vaccine and multiple sclerosis Question 4. Which vaccine contains both trace neomycin and streptomycin? A. inactivated polio vaccine B. Hib vaccine C. varicella vaccine D. DTaP
November 2004 1021
Reviews and feature articles
Continuing Medical Education examination
Learning objectives: ‘‘Mechanistic actions of the risks and adverse events associated with vaccine administration’’ 1. To understand the immune mechanisms of actions linked to vaccine adverse events. 2. To recognize common vaccine constituents. 3. To acquire knowledge to enhance counseling to individuals requiring allergy evaluation for vaccine reactions.
CME items Question 1. Which of the following vaccines has the highest gelatin concentration? A. rabies (Rabavert) B. yellow fever C. MMR D. influenza Question 2. Influenza vaccine is indicated for a 5-year-old child with moderate persistent asthma, allergic rhinitis, and a positive (class III) serum egg-specific IgE assay. Your recommendations to the referring physician for influenza vaccination are — A. to avoid vaccination and to offer chemoprophylaxis alone. B. to administer a skin prick test with vaccine after clinical confirmation of egg sensitivity and then, if the result is positive, to offer graded dosing of inactivated influenza vaccine.
J ALLERGY CLIN IMMUNOL
C. to avoid vaccination and chemoprophylaxis, inasmuch as neither will be efficacious. D. to offer 2-dose protocol and deliver live attenuated influenza vaccine. Question 3. A causal relationship between disease and vaccine has been established for which of the following? A. Hib vaccine and type 1 diabetes mellitus B. acellular pertussis vaccine and encephalopathy C. MMR vaccine and thrombocytopenia D. hepatitis B vaccine and multiple sclerosis Question 4. Which vaccine contains both trace neomycin and streptomycin? A. inactivated polio vaccine B. Hib vaccine C. varicella vaccine D. DTaP
November 2004 1021
Reviews and feature articles
Continuing Medical Education examination