New Primary Care Content Updates, Spring 2019

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Med-Challenger primary care content updates spring 2019

New Primary Care Medical Education Content Updates - Spring 2019

More continuous updates from Med-Challenger...

One of the biggest benefits of owning Med-Challenger is that your education investments continue to provide you with the most current information for your medical practice and board certification maintenance needs. After all, practice continues - board exams or not.

Here's a listing of select Spring 2019 content updates and course enhancements now live in select Primary Care Med-Challenger online medical education products.

Hematology & Oncology: Breast Cancer

8 new questions with key learning points based on the latest editions of Goldman-Cecil Medicine (25th ed., 2016), Harrison's Principles of Internal Medicine (20th ed. 2018),  the  National Comprehensive Cancer Network, NCCN Clinical Practice Guidelines in Oncology: Genetic/Familial High-Risk Assessment: Breast and Ovarian. (Version 3.2019), and  the NCCN Clinical Practice Guidelines in Oncology: Neuroendocrine and Adrenal Tumors (Version4.2018)

Educational Objectives:

• Identify women to refer for genetic counseling and testing for BRCA1/BRCA2 mutations.
• Recognize and treat pathologic nipple discharge.
• Use a validated decision-support tool to help with decisions to start medication to reduce the risk for breast cancer.
• Manage complicated breast cysts.
• Manage a palpable breast mass in the setting of negative findings on mammography.
• Identify the clinical features and imaging findings associated with infiltrating ductal carcinoma.
• Examine the approximate incidence of familial breast cancer.
• Summarize the clinical presentation of Paget disease of the nipple and its association with an underlying malignancy.

Author: Scott J Akin MD, FAAFP
Assistant Professor
Department of Hospital Medicine
Emory University School of Medicine
Clinical Education Director
Atlanta Veterans Administration Medical Center
Atlanta, GA

Found in the following courses: (try any product free today!)
Med-Challenger FM
Med-Challenger FNP
Med-Challenger PA
Med-Challenger SPEX

Musculoskeletal Disorders: Disorders of Muscles

12 new questions with key learning points based on the latest editions of Goldman-Cecil Medicine (25th ed., 2016), Ferri’s Clinical Advisor (2019), and the American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. (2010)

Educational Objectives:

• Diagnose fibromyalgia using the American College of Rheumatology criteria.
• Choose the most effective psychotherapy technique to treat fibromyalgia.
• Select appropriate analgesic for treating fibromyalgia.
• Identify the most helpful type of exercises for patients with fibromyalgia.
• Select appropriate laboratory tests in patients with suspected fibromyalgia.
• Explain the probable underlying etiology of fibromyalgia.
• Use effective medications to treat fibromyalgia.
• Describe appropriate testing to rule out other causes of fibromyalgia symptomatology.
• Use effective pharmacotherapy for fibromyalgia.
• Summarize the differences between newer and older diagnostic criteria for fibromyalgia.
• Diagnose rhabdomyolysis.
• Appropriately treat rhabdomyolysis.

Author: George Smolinski, MD
Officer-In-Charge 
Physical Medicine Clinic 
Landstuhl Regional Medical Center (USA)
Landstuhl, Germany

Found in the following courses: (try any product free today!)
Med-Challenger FM
Med-Challenger FNP
Med-Challenger PA
Med-Challenger SPEX

Infectious Diseases: Pediatric Infectious Diseases

Pediatric infectious diseases

12 new questions with key learning points based on the latest editions of Nelson Textbook of Pediatrics (2020), the Infectious Diseases Society of America Practice guidelines for the diagnosis and management of skin and soft tissue infections (2014), and the American Academy of Pediatrics Red Book: Report of the Committee on Infectious Diseases (2018)

Educational Objectives:

  • Treat late-onset sepsis due to meningitis.
  • Recognize and treat cat-scratch disease.
  • Describe the appropriate options for treating cutaneous abscess.
  • Identify first-line medications for the treatment of lice infestation.
  • Recognize and treat tinea pedis in children.
  • Describe the risk of rubella in pregnancy.
  • Examine respiratory syncytial virus as a cause of bronchiolitis in infants.
  • Identify the signs and symptoms of molluscum contagiosum.
  • Diagnose hand, foot, and mouth disease.
  • Treat scabies and mononucleosis in children.
  • Implement current best policies regarding school attendance and treatment for children with pediculosis.
  • Appropriately treat croup in infants.
  • Diagnose streptococcal pharyngitis, influenza, and acute otitis media in children.

Author: Gerard Kiernan, MD
Hospitalist
Dartmouth Hitchcock Clinic
Keene, NH

Found in the following courses: (try any product free today!)
Med-Challenger FM
Med-Challenger FNP
Med-Challenger PA
Med-Challenger SPEX

Nephrology: Chronic Kidney Disease

11 new questions with key learning points based on the latest editions of Harrison’s Principles of Internal Medicine (20th ed. 2018) and the Kidney Disease Improving Global Outcomes KDIGO  clinical practice guideline for the evaluation and management of chronic kidney disease (2012)

Educational Objectives:

  • Recognize the most significant cause of morbidity and mortality in chronic kidney disease (CKD).
  • Identify the most common cause of CKD.
  • Recognize proteinuria as a marker of CKD.
  • Summarize the role of angiotension-converting enzyme inhibitors in the preservation of kidney function in patients with CKD beyond the protection conveyed by lowering of blood pressure.
  • Examine the risks of erythropoietin-stimulating agent use.
  • Analyze the role that sodium-glucose cotransporter 2 inhibitors have in reducing the progression of diabetic renal disease.
  • Appreciate metabolic acidosis in CKD and the importance of correcting it.
  • Recognize uremic encephalopathy as a medical emergency requiring emergency dialysis.
  • Diagnose peritonitis in patients receiving peritoneal dialysis.
  • List the various complications of CKD.
  • Account for renal function when managing diabetes with sulfonylureas.

Author: Scott J Akin MD, FAAFP
Assistant Professor
Department of Hospital Medicine
Emory University School of Medicine
Clinical Education Director
Atlanta Veterans Administration Medical Center
Atlanta, GA

Found in the following courses: (try any product free today!)
Med-Challenger FM
Med-Challenger FNP
Med-Challenger PA
Med-Challenger SPEX

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