Podcast/MP3 Instructions 1. Download the Podcast or MP3 audio file to your player. 2. Listen to the presentation. 3. To receive continuing education

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1 Podcast/MP3 Instructions 1. Download the Podcast or MP3 audio file to your player. 2. Listen to the presentation. 3. To receive continuing education credit, use the link to the online test or print the post-test and evaluation pages found at the end of this PDF file. 4. Follow the provided instructions to complete and submit the continuing education posttest and evaluation form.

2 Todd A. Mahr, MD Director, Pediatric Allergy Gundersen Lutheran Medical Center Clinical Professor Department of Pediatrics University of Wisconsin School of Medicine Gabriel R. Ortiz, MPAS, PA-C Physician Assistant Pediatric Pulmonary Services, El Paso, Texas Co-founder American Academy of Physician Assistants Allergy, Asthma, and Immunology American Academy of Physician Assistants Liaison to American Academy of Allergy Asthma and Immunology American Academy of Allergy Asthma and Immunology Liaison to the American Academy of Physician Assistants Disclosure of Financial Interest: Todd A. Mahr, MD discloses that he has received honoraria, consultant fees, and research support, and is a member of speakers bureaus for GlaxoSmithKline, Alcon Laboratories, Genentech, Merck, Novartis, Schering-Plough, sanofi-aventis, and Verus Pharmaceuticals. Gabriel Ortiz, MPAS, PA-C discloses that he is a consultant for Altana Pharma, AstraZeneca, Genentech, sanofi-aventis, and Schering-Plough, and is a member of speakers bureaus for Abbott Laboratories, AstraZeneca, Genentech, Novartis, sanofi-aventis, Schering-Plough, and Pfizer. This educational activity may contain discussion of published and/or investigational uses of agents for the treatment of allergic rhinitis. The FDA may not have approved some uses of these agents. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings. Program Overview Up to 40% of Americans suffer from some form of allergic rhinitis, a syndrome often characterized by a collection of symptoms that include sneezing, nasal congestion, nasal itching, and rhinorrhea. Accurate diagnosis of rhinitis directs treatment, so clinicians need to be familiar with the proper classification scheme used in rhinitis syndromes. This presentation will help physician assistants to diagnose and classify rhinitis in their patients. Supported by an educational grant from Published by , Medical Communications Media, Inc. All rights reserved. None of the contents may be reproduced in any form without prior written permission from the publisher. The opinions expressed in this activity are those of the speakers and do not necessarily reflect the opinions or recommendations of their affiliated institutions, the publisher, the American Academy of Physician Assistants, or Schering Plough. Any medications or other diagnostic or treatment procedures discussed by the program speakers should not be utilized by clinicians without evaluation of their patients conditions and possible contraindications or risks, and without a review of any applicable manufacturer s product information and comparison with the recommendations of other authorities.

3 Faculty Biographies Todd A. Mahr, MD Dr. Mahr is a clinical professor in the Department of Pediatrics at the University of Wisconsin School of Medicine and Public Health. He also serves as Director of Pediatric Allergy at the Gundersen Lutheran Medical Center, La Crosse, Wisconsin. A published author of numerous peer-reviewed articles and book chapters, Mahr lectures nationally and internationally on various allergy related topics. He is board certified in pediatrics and allergy/immunology. Gabriel R. Ortiz, MPAS, PA-C Gabriel Ortiz is a physician assistant at Pediatric Pulmonary Services in El Paso Texas. He is a frequent speaker on the topics of allergic rhinitis and asthma. Ortiz is co-founder of the American Academy of Physician Assistants in Allergy, Asthma, and Immunology. and serves as AAPA s liaison to the American Academy of Allergy Asthma and Immunology (AAAAU) and as AAAAI s liaison to AAPA. He earned his Masters of Physician Assistant Studies from the University of Nebraska in Omaha. Target Audience This program is designed for physician assistants caring for patients with allergic rhinitis. Learning Objectives Upon completion of this program, the participant should be able to: 1. Identify the classic symptoms of rhinitis 2. Describe the key areas of the history and physical exam when working up a patient with possible allergic rhinitis Accreditation Statement This program has been reviewed and is approved for a maximum of.25 hours of AAPA Category I CME credit by the Physician Assistant Review Panel. Approval is valid for one year from the issue date of September 1, Participants may submit the self-assessment at any time during that period. This program was planned in accordance with AAPA s CME Standards for Enduring Material Programs and for Commercial Support of Enduring Material Programs. 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 percent correct.

4 RELEASE DATE: SEPTEMBER 1, 2007 CREDIT EXPIRATION DATE: SEPTEMBER 1, 2008 Continuing Education Post-Test Please complete the post-test and evaluation online by clicking here. Certificates of credit will be available immediately for tests completed with a score of 70% or better. Please use the printed forms if you do not have an internet connection. If you do not have internet access: To receive credit, please print or type the required information below and complete the following post-test and evaluation. Remove the form and mail it in an envelope to: Medical Communications Media, 54 Friends Lane, Suite 125, Newtown, PA A statement of credit will be awarded for a score of 70% or better and will be mailed within 4-6 weeks. There is no charge for continuing education credit. Name (last) (first) (middle) Degree/title Specialty Hospital or Practice Name Address City State Zip Phone FAX Please circle the most appropriate answer to the following questions: 1. Which of the following is not a classic sign of rhinitis? a. Runny nose c. Dry eyes b. Rhinorrhea d. Nasal congestio 2. The atopic march is a. the time of year when a large number of people with allergic rhinitis have symptoms. b. the physical movements a child makes when experiencing allergic rhinitis symptoms such as rubbing the eyes and nose or grimacing. c. a series of disorders that some children experience that begins in early infancy and often leads up to allergic rhinitis. d. none of the above. 3. Which of the following statements is true? a. Children with allergic rhinitis often have contact dermatitis. b. Children with allergic rhinitis often present with Dennie-Morgan lines and a crease across their nose from chronic rubbing. c. Children with allergic rhinitis may also have nonallergic triggers. d. All of the above. 4. Which of the following historical information is helpful in diagnosing allergic rhinitis? a. Family history of allergic rhinitis. b. History of hypertension. c. a and b d. None of the above. 5. Which of the following is not helpful in determining if a patient has allergic rhinitis? a. Allergy skin test b. RAST test c. Sinus X-ray d. All of the above. 07 SC ALRH POD2 AAPA

5 RELEASE DATE: SEPTEMBER 1, 2007 CREDIT EXPIRATION DATE: SEPTEMBER 1, 2008 Participant Evaluation Please complete this program evaluation so that we may continue to provide you with high-quality educational activities. Please indicate your answer by circling the appropriate number. Strongly Agree Strongly Disagree 1) As a result of my participation in this activity, I am better able to: Identify the classic symptoms of rhinitis Describe the key areas of the history and physical exam when working up a patient with possible allergic rhinitis ) The content was: Current and relevant to your area of professional interest Well-organized and effectively presented Free of commercial bias Useful to you in improving care of patients ) The faculty was knowledgeable and effective ) As a result of this educational activity, (check only one): I will modify my practice I will wait for more information before modifying my practice 5) Topics of interest within this therapeutic area: 6) Additional comments: 07 SC ALRH POD2 AAPA