1
JOURNAL of the AmeRiCaN ACaDemy OF DerMaTOLOGY CONTINUING MEDICAL EDUCATION Name _______________________________________ ___ Address __________________________ _ ENTER Medical Education Number (Obtained from AAD -+ membership card. City ___________ State ___ Zip __ Or AMA.) INSTRUCTIONS Using a #2" or soft lead pencil, and gOing from top to bottom, fill in your medical education 'number (ME#) and quiz identifi- cation in the spaces and scanning targets. (Scanning targets: "0' "1" "2" "3" "4" "5" ). The example below strates the correct procedure for entering your medical educa- tion number. The six digit Quiz Identification Number, which may be found at the beginning of the Dermatology Quiz, should also be marked from top to bottom. The method for marking the scanning targets is the same as shown in the Recording Methods section of the answer sheet. RECORDING METHOD USE # 2 PENCIL ERASE COMPLETELY roCHANGE f a number is larger han 5 fill in 5 plus the lUmber needed to add Ip to the desired lumber, Mark in the "0" :olumn for a "0", See !xample. luiz Scoring ..Q. 2. '3 t 5 b fJ f9 MElt EXAMPLE 00123456789 '"'it- " , '2, '3 ' <4 ' ... (·11 12: 'J' '4 ' '0 ' - ':?' 'J' '4 ' '0 ' " , - '-3 ; '4 ' '0 ' " , '2. " ..... '4 '0' " , ,2, '3 ' - '0 ' ,1-) '2 ' '3 ' '4 ' '0 ' - '2, '3 ' <4 , '0 ' " , - '3" <4 ' '0 ' " , '2 ' - '. , .0 ' f1.1 12.1 '3 ' - '5 ' :51 :'5-) '5 ' ITI ;5"':/ - - - - ; ENTER QUIZ IDENTIFICATION -)- NUMBER III quiz scoring and reporting will be on an anonymous or group basis. Statistical treatments will in· lude mean, standard deviation, item analysis, and frequency distribution. etention of Answer Sheets fter group statistics have been developed. individual answer sheets will be destroyed to insure nonymity. ubmission Deadline ) insure receiving CME credit. completed answer sheets must be received in the Academy office by e date specified in the instructions section of the quiz. larges cording of Journal CME credits is provided as a benefit to members of the American Academy of rmatology. Nonmembers will be charged $48 per year. This cost will cover processing and reporting CME credits earned during the year. Extra answer sheets may be obtained from the Academy office $4 per sheet. Checks are to be in U.S. funds payable to the American Academy of Dermatology. r further information contact: American Academy of Dermatology Continuing Education Assessment Service 820 n;lvic: Strppt "0" ,,(), "()' "2" "2" "2" "3:' "3:' r:3:' "5" "5" r:5" "0" "1" "2" c:;3:' c:4" "5" "DOl "1" "2" "3"' r:4" r:5:J C:(}' "t:1" t:2" c:3" C:4" C:5" c:(}, c:1" c:2=' ,,:), "4" "5=' "()' r:1" "2=' r:3" "4:J "5=' ,,(), r:l' "2" "3" c:4:J c:5=' ,,(), c:l' "2" r:3" C:4" "5=' r:(}, c:1=' "2" c:3" C:4:J "5=' "()' c:1=' r:2" "3" "4" "5" "0"' C:1" "2" "3" "4" "5c> c:(}, "1" C:2=' c:3" r:4" "5" c:O" c:l' C:2=' "3"' r:4" "5" L(}' "1" c:2=' c::)l c:4" c:5:J L(}' "l' "2=' "3" "4' "5" 1 "a:l eb" "c" c:d" "e" 2 "a" eb" c:c" ,;d" c:e" 3 c:a" eb" c:c" ,;d" c:e" 4 c:a" c:b" c:c" ,;d" c:e" 5 c:a" cb" "C" c;d" c:e" 6c:a" c:b" "C" c;d" c:e" 7 "a" Lb" c:c" c:cJ" c:eOl 8 "a" "b" C:C" c:cJ" Le" 9 "a" c:b" c:c" c:cJ" "e" 10 "a:J c:b" "C" c;d" c:e" 11 ca" Lb" C:C" c:cJ" c:e" 12 "a" Lb" ':C" c;d" ce" 13 ca" ctl" ':C" r;d" "e" 14 c:a" cn" ':C" r:cJ" c:e" 15 "a" cn" "C" c:cJ" c:e" 16 "a" cn" "C" c:cJ" "eOl 17 "a" ctl" "c" c:d" "e" 18 c:a" 'tl" "C" c;d" "e" 19 c:a" cn" C:C" cd" "e" 20 c:a" cn" C:C" ':cJ" "e" 21 c:a" cn:' C:C" C'd:' "e" 22 ':a" ely' ':C" c:cJ:' "e" 23 r:a" ct):, "C" c:cJ" "e" 24 r:a" cn:' "C" c:cJ" "e" 25 r:a" ct):, "C" c:cJ" ce" 26 r:a" c:b" "C" c:cJ:' ce" 27 r:a" cn" "C" c:cJ" r:e:' 28 r:a" c:b" "C" r;d" "e" 29 r:a" cn" C:C" c;deo "e" 30 ca:' c:b" "C:' r:cJ" r:e" 31 ca:' r:b" "C" r:cJ:J r:e:' 32ca:J rn" C:C" C'd:' r:e" 33 ca" c:b" r:c" c:cJ:J COB"

CME examination answer sheet

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Page 1: CME examination answer sheet

JOURNAL of the

AmeRiCaN ACaDemy OF

DerMaTOLOGY CONTINUING MEDICAL EDUCATION

Name _______________________________________ ___

Address __________________________ _

ENTER Medical Education

Number (Obtained from AAD -+ membership card.

City ___________ State ___ Zip __ Or AMA.)

INSTRUCTIONS

Using a #2" or soft lead pencil, and gOing from top to bottom, fill in your medical education 'number (ME#) and quiz identifi­cation in the spaces and scanning targets. (Scanning targets: "0' "1" "2" "3" "4" "5" ). The example below demon~ strates the correct procedure for entering your medical educa­tion number. The six digit Quiz Identification Number, which may be found at the beginning of the Dermatology Quiz, should also be marked from top to bottom. The method for marking the scanning targets is the same as shown in the Recording Methods section of the answer sheet.

RECORDING METHOD

USE # 2 PENCIL

ERASE COMPLETELY roCHANGE f a number is larger han 5 fill in 5 plus the lUmber needed to add Ip to the desired lumber, Mark in the "0" :olumn for a "0", See !xample.

luiz Scoring

~ ..Q.

~ 2. '3 t 5 b ~ fJ f9

MElt EXAMPLE

00123456789 '"'it- " , '2, '3 ' <4 ' ... (·11 12: 'J' '4 '

'0 ' -':?' 'J' '4 '

'0 ' " , -'-3 ; '4 '

'0 ' " , '2. " ..... '4 •

'0' " , ,2, '3 ' -'0 ' ,1-) '2 ' '3 ' '4 '

'0 ' - '2, '3 ' <4 ,

'0 ' " , -'3" <4 '

'0 ' " , '2 ' -'. , .0 ' f1.1 12.1 '3 ' -

'5 '

:51

:'5-) '5 ' ITI ;5"':/ ----~ ;

ENTER QUIZ

IDENTIFICATION -)­NUMBER

III quiz scoring and reporting will be on an anonymous or group basis. Statistical treatments will in· lude mean, standard deviation, item analysis, and frequency distribution.

etention of Answer Sheets fter group statistics have been developed. individual answer sheets will be destroyed to insure nonymity.

ubmission Deadline ) insure receiving CME credit. completed answer sheets must be received in the Academy office by e date specified in the instructions section of the quiz.

larges cording of Journal CME credits is provided as a benefit to members of the American Academy of rmatology. Nonmembers will be charged $48 per year. This cost will cover processing and reporting CME credits earned during the year. Extra answer sheets may be obtained from the Academy office $4 per sheet. Checks are to be in U.S. funds payable to the American Academy of Dermatology.

r further information contact: American Academy of Dermatology Continuing Education Assessment Service 820 n;lvic: Strppt

"0" ,,(),

"()'

"2" "2"

"2"

"3:'

"3:' r:3:'

"5" "5" r:5"

"0" "1" "2" c:;3:' c:4" "5"

"DOl "1" "2" "3"' r:4" r:5:J C:(}' "t:1" t:2" c:3" C:4" C:5"

c:(}, c:1" c:2=' ,,:), "4" "5='

"()' r:1" "2=' r:3" "4:J "5=' ,,(), r:l' "2" "3" c:4:J c:5='

,,(), c:l' "2" r:3" C:4" "5=' r:(}, c:1=' "2" c:3" C:4:J "5='

"()' c:1=' r:2" "3" "4" "5"

"0"' C:1" "2" "3" "4" "5c>

c:(}, "1" C:2=' c:3" r:4" "5"

c:O" c:l' C:2=' "3"' r:4" "5" L(}' "1" c:2=' c::)l c:4" c:5:J

L(}' "l' "2=' "3" "4' "5"

1 "a:l eb" "c" c:d" "e"

2 "a" eb" c:c" ,;d" c:e"

3 c:a" eb" c:c" ,;d" c:e"

4 c:a" c:b" c:c" ,;d" c:e"

5 c:a" cb" "C" c;d" c:e"

6c:a" c:b" "C" c;d" c:e"

7 "a" Lb" c:c" c:cJ" c:eOl

8 "a" "b" C:C" c:cJ" Le"

9 "a" c:b" c:c" c:cJ" "e"

1 0 "a:J c:b" "C" c;d" c:e"

11 ca" Lb" C:C" c:cJ" c:e"

12 "a" Lb" ':C" c;d" ce"

13 ca" ctl" ':C" r;d" "e"

14 c:a" cn" ':C" r:cJ" c:e"

15 "a" cn" "C" c:cJ" c:e"

16 "a" cn" "C" c:cJ" "eOl

17 "a" ctl" "c" c:d" "e" 18 c:a" 'tl" "C" c;d" "e"

19 c:a" cn" C:C" cd" "e"

20 c:a" cn" C:C" ':cJ" "e" 21 c:a" cn:' C:C" C'd:' "e"

22 ':a" ely' ':C" c:cJ:' "e"

23 r:a" ct):, "C" c:cJ" "e"

24 r:a" cn:' "C" c:cJ" "e"

25 r:a" ct):, "C" c:cJ" ce"

26 r:a" c:b" "C" c:cJ:' ce"

27 r:a" cn" "C" c:cJ" r:e:'

28 r:a" c:b" "C" r;d" "e"

29 r:a" cn" C:C" c;deo "e"

30 ca:' c:b" "C:' r:cJ" r:e"

31 ca:' r:b" "C" r:cJ:J r:e:'

32ca:J rn" C:C" C'd:' r:e"

33 ca" c:b" r:c" c:cJ:J COB"