CME Exam: Vaccine Reactions

CME Exam: Vaccine Reactions

Continuing Medical Education examination Vaccine Reactions Instructions for category 1 Continuing Medical Education creditÔ The American Academy of A...

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Continuing Medical Education examination

Vaccine Reactions Instructions for category 1 Continuing Medical Education creditÔ The American Academy of Allergy, Asthma & Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Test ID no.: jaip0079 Contact hours: 1.00 Expiration date: August 31, 2018 AMA PRA Category 1 CreditÔ can be earned by reading the text material and taking this CME examination online. For complete instruction, visit the Journal’s Web site at www.jaci-inpractice.org.

Learning objectives: 1. To evaluate allergic reactions to vaccines. 2. To perform testing for potentially allergenic vaccine constituents. 3. To administer vaccines in graded doses when appropriate.

CME items Question 1. Which of the following is the rate of anaphylactic reactions to vaccines per 1 million recipients? A. 1

Question 4. A patient reports allergic reactions to gelatin on ingestion and has a positive test for IgE to gelatin. Which of the following is the most appropriate approach to subsequent vaccination?

B. 10

A. Avoid all gelatin-containing vaccines

C. 100

B. Skin test to all gelatin-containing vaccines and if positive, administer in graded doses

D. 1000 Question 2. A patient has a history of an anaphylactic reaction to a vaccine. Which of the following is the appropriate next step? A. Skin testing to the suspect vaccine and vaccine components B. Strict avoidance of suspect vaccine C. Subsequent vaccination with the suspect vaccine in graded doses under observation D. Subsequent vaccination with the suspect vaccine in the usual manner under observation Question 3. In a patient with a gelatin allergy, which of the following vaccines pose a risk of anaphylaxis?

C. Skin test to all gelatin-containing vaccines and if positive, avoid the vaccines D. Skin test to all vaccines before administration Question 5. In a patient with a history of anaphylaxis, to which of the following vaccines would testing for milk allergy be appropriate? A. DTaP and TdaP B. Hepatitis A and hepatitis B C. HPV7 and HPV9 D. MMR and varicella

A. DTaP and TdaP B. Hepatitis A and hepatitis B C. HPV4 and HPV9 D. MMR and varicella

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