AAPA Fellow members should complete and submit posttests on the AAPA Web site by going to www.aapa.org and searching for keyword JAAPA post-tests. All others may complete and submit posttests online at no charge at www.mycme.com. To obtain 1 hour of AAPA Category I CME credit, PAs must receive a score of 70% or better on each test taken.

ELDER PREVENTIVE CARE

1. Current recommendations advise that the flu vaccine be given annually to every person older than

a. 50 years
b. 55 years
c. 60 years
d. 65 years

2. The vaccine that should be re-administered 5 years after the initial vaccination if the initial one was given before age 65 years is

a. Varicella
b. Pneumococcal pneumonia
c. Meningococcus
d. Hepatitis A

3. Almost half of the older population lack protective antibodies to

a. Tetanus
b. Diphtheria
c. Pertussis
d. Rubella

4. Zostavax is recommended as a one-time vaccination for people 60 years and older

a. Who have been exposed to someone with chickenpox
b. Who have had chickenpox in the past
c. Regardless of previous history of chickenpox
d. Who are immunocompromised

5. After age 70 years, the American Cancer Society recommends discontinuing routine

a. Flexible sigmoidoscopy
b. Mammography
c. Prostate-specific antigen testing
d. Pap tests

6. The fifth leading cause of death in the elderly is

a. Falls
b. Pneumonia
c. Cancer
d. Stroke

CHILDHOOD VACCINATIONS

7. At age 11 to 12 years, children should receive the adolescent/adult formulation of the

a. Polio vaccine
b. Pneumococcal vaccine
c. Meningococcal vaccine
d. Hepatitis A vaccine

8. Based on a recent literature search on vaccine efficacy and safety, no reports of adverse events were found for the

a. Diphtheria/tetanus/pertussis vaccine
b. Varicella vaccine
c. Measles/mumps/rubella vaccine
d. Human papillomavirus vaccine

9. Fourteen months after its introduction, RotaShield was withdrawn from the market because of a higher incidence of

a. Intussusception
b. Kawasaki disease
c. Guillain-Barré syndrome
d. Seizure

10. The CDC recommends annual vaccination against influenza for

a. Adults older than 45 years
b. Children aged 3 to 6 months
c. Students in dormitory settings
d. People with chronic diseases

11. A noteworthy complication found to be associated with the human papilloma virus vaccine by the World Health Organization is

a. Vomiting
b. Injection site reaction
c. High fever
d. Headache

12. The most common adverse reaction to vaccines is

a. Nonmeasured fever believed to be very high
b. Fever of 39°C to 40.5°C
c. Swelling at the injection site
d. Pain at the injection site


CME EXPIRATION DATE: JANUARY 2011

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.