1
tetention of Answer Sheets \lter group statistics have been developed, individual answer sheets will be destroyed to insure monymlty, t " m m o + "3=" "4" "3=' "4" "3=' "4" "3=' "4:; 1 ca" ':b" "c" cd" ce" 2 "a" "b:' "C" ':d" "e" 3 "a=> cb" "c:, ':d => "e" 4 "a" "b" "C" ':d" "e" 5 "a" cb" "C" r:cj" "e" 6 "a" "b" ':C" cd" ce" 7 "a" cb" ':C" ':d" "e" 8 "a" "b" ':C" r:cj" "e" 9 "a" "b" ':C" ':d" ce" 10 "a" "b" ':C" ':d" ce" 11 "a" cb=> ':C" ':d" ce" 12 «a» 'u" ':C" q::f" '=B" 13 r:a: l tn:] C::C:J ru:] c:e: J 14 ca" 'u" 'OC" r:cl" ce" 15 «a» 'u:' "C" r:cj" "e" 16 «a» 'u" "C" q::f" "e" 17 ca" ':b" "C" ':d" r:e" 18 r:<l=J ':b" ':C" <:(j" ce" 19 '=<I:' 'D" 'OC" cd" "e=> 20 '=<I" "b" ':C" "d" "e" 21 '=<I" 'U:) ':C:' cd" ce:' 22 «a» en:] r=C: l c{j:J ce: J 23 ta:] en:] C:C: J t{j:J ce: J 24'=<I" 'U" ':C" '{j" "e" 25 "a" 'u" ':C" '{j:' c:e" 26 "a" 'U" "C" '{j:' "e" 27 '=<I" 'u" c:c" '-d" c:e" 28 '=<I" ':b" C:C" "d=> "e" 29 '=<I" ':b" cc" <:(j:, ce" 30 'a" 'U:' c:c" ,{j=> "e" 31 'a" 'D" ':C" '{j" '=B" 32 'a" 'U" ':C" '{j:' '=B" 33 «a» 'u:, «c» '{j:' '=B" "0:' "1" "2" "3=' "4" "5=' "0:' "1" "2" "3=' "4" "5" "0:' "1" "2" "3" "4" c5=' r:(}l "1" "2" "3" "4" "5" CO" "1:' "2:J "3=' "4" c5" "0:' "1:' "2" c3=' "4" "5" <:0:' <: 1" <:2" <:3=' <:4" "5" "0:' "1" <:2" "3=' "4" "5" "0:' "1" "2" "3=' "4" "5" "0:' . "1" "2" "3=' "4" c5" ENTER QUIZ IDENTIFICATION -)- NUMBER ENTER Medical Education Number (Obtained Irom AAD membership card. DrAMA.) MEN EXAMPLE 00123456789 - 111 , 2' '3 ; '4 , '5 ' ..Q. - 1·1l '2 ; '3 ' '4 , :5', '0 ' ..... '2 ' '3 ' 14 l .:5 1 !. '0 ' " ' ...... '·3 ; '4 IS' 1,- '0 ' " , '2 , ' ... '4. :5', t '0 ' ,1, '2 , '3 ' - :5', '0 ' 11-' '2 , '3 ' '4 ' ..".. '0' ..... '2 ' '3 ' '4 , ,;;:. '0 ' '1 - 13 '4 , ,;;:. -!- '0 ' " , '2' ""'" '. ' ..".. , ,0 , 11.1 12 1 '3 ' ..... .; JOURNAL of the AmeRICaN Acaoemv OF DerMaTOLOGY USE # 2 PENCIL ERASE COMPLETELY roCHANGE fa number is larger :han 5 fill in 5 plus the lumber needed to add rp to the desired lumber. Mark in the "0" :olumn for a "0". See ixample. RECOROING METHOD harges ecording of Journal CME credits is provided as a benefit to members of the American Academy of lermatology. Nonmembers will be charged S4B peryear. This costwill cover processing and reporting ,f CME credits earned during the year. Extra answer sheets may be obtained from the Academy office It $4 persheet. Checks are tobein U.S. funds payable to the American Academy of Dermatology. luiz Scoring \11 quiz scoring and reporting will be on an anonymous or group basis. Statistical treatments will in- rlude mean, standard deviation, itemanalysis, and frequency distribution. or further information contact: American Academy of Dermatology Continuing Education Assessment Service R?n !ubmission Deadline ro insure receiving CME credit, completed answer sheets must be received in the Academy office by te date specified in the instructions section of thequiz. CONTINUING MEDICAL EDUCATION 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 demon- 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. Address _ City Slale Zip __ Name _

CME examination answer sheet

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tetention of Answer Sheets\lter group statistics have been developed, individual answer sheets will be destroyed to insuremonymlty,

t"mmo

+

"3=" "4"

"3=' "4"

"3=' "4"

"3=' "4:;

1ca" ':b" "c" cd" ce"

2 "a" "b:' "C" ':d" "e"3 "a=> cb" "c:, ':d => "e"

4 "a" "b" "C" ':d" "e"5"a" cb" "C" r:cj" "e"6 "a" "b" ':C" cd" ce"

7 "a" cb" ':C" ':d" "e"8 "a" "b" ':C" r:cj" "e"9 "a" "b" ':C" ':d" ce"

10 "a" "b" ':C" ':d" ce"

11"a" cb=> ':C" ':d" ce"

12 «a» 'u" ':C" q::f" '=B"13 r:a: l tn:] C::C:J ru:] c:e: J

14 ca" 'u" 'OC" r:cl" ce"

15 «a» 'u:' "C" r:cj" "e"

16 «a» 'u" "C" q::f" "e"17 ca" ':b" "C" ':d" r:e"18 r:<l=J ':b" ':C" <:(j" ce"

19 '=<I:' 'D" 'OC" cd" "e=>

20 '=<I" "b" ':C" "d" "e"21 '=<I" 'U:) ':C:' cd" ce:'22 «a» en:] r=C: l c{j:J ce: J

23 ta:] en:] C:C: J t{j:J ce: J

24'=<I" 'U" ':C" '{j" "e"25 "a" 'u" ':C" '{j:' c:e"

26 "a" 'U" "C" '{j:' "e"27 '=<I" 'u" c:c" '-d" c:e"28 '=<I" ':b" C:C" "d=> "e"

29 '=<I" ':b" cc" <:(j:, ce"

30 'a" 'U:' c:c" ,{j=> "e"

31 'a" 'D" ':C" '{j" '=B"32 'a" 'U" ':C" '{j:' '=B"33 «a» 'u:, «c» '{j:' '=B"

"0:' "1" "2" "3=' "4" "5='

"0:' "1" "2" "3=' "4" "5"

"0:' "1" "2" "3" "4" c5='

r:(}l "1" "2" "3" "4" "5"

CO" "1:' "2:J "3=' "4" c5"

"0:' "1:' "2" c3=' "4" "5"

<:0:' <:1" <:2" <:3=' <:4" "5"

"0:' "1" <:2" "3=' "4" "5"

"0:' "1" "2" "3=' "4" "5"

"0:' . "1" "2" "3=' "4" c5"

ENTERQUIZ

IDENTIFICATION -)­NUMBER

ENTERMedical Education

Number(Obtained Irom AADmembership card.

DrAMA.)

MENEXAMPLE

00123456789

~ -111 , 2' '3 ; '4 , '5 '

..Q. -1·1l '2 ; '3 ' '4 , :5',

~ '0 ' ..... '2 ' '3 ' 14 l . :5 1

!. '0 ' " ' ...... '·3 ; '4 IS'

1,- '0 ' " , '2 , '... '4. :5',

t '0 ' ,1, '2 , '3 ' -:5',

~ '0 ' 11-' '2 , '3 ' '4 ' .."..

~ '0' ..... '2 ' '3 ' '4 , ,;;:.

~ '0 ' '1 -13 ~ '4 , ,;;:.

-!- '0 ' " , '2' ""'" '. '..".., ,0 , 11.1 12 1 '3 ' ..... .;

JOURNAL of the

AmeRICaN Acaoemv OFDerMaTOLOGY

USE # 2 PENCIL

ERASE COMPLETELYroCHANGEf a number is larger:han 5 fill in 5 plus thelumber needed to addrp to the desiredlumber. Mark in the "0":olumn for a "0". Seeixample.

RECOROING METHOD

hargesecording of Journal CME credits is provided as a benefit to members of the American Academy of

lermatology. Nonmembers will be charged S4B peryear. This costwill cover processing and reporting,f CME credits earned during theyear. Extra answer sheets may be obtained from the Academy officeIt$4 persheet. Checks are tobein U.S. funds payable to theAmerican Academy ofDermatology.

luiz Scoring\11 quiz scoring and reporting will be on an anonymous or group basis. Statistical treatments will in­rlude mean, standard deviation, itemanalysis, and frequency distribution.

or further information contact:

American Academy of DermatologyContinuing Education Assessment ServiceR?n n"vi~ ~tr"P1

!ubmission Deadlinero insure receiving CME credit, completed answer sheets mustbereceived in the Academy office byte date specified in theinstructions section of thequiz.

CONTINUING MEDICAL EDUCATION

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 demon­strates the correct procedure for entering your medical educa­tion number. The six digit Quiz Identification Number, whichmay be found at the beginning of the Dermatology Quiz, shouldalso be marked from top to bottom. The method for marking thescanning targets is the same asshown in theRecording Methodssection of the answer sheet.

Address _

City Slale Zip __

Name _