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2018-2019 Update in Internal Medicine Now through June 30, 2019

Instructions for using the Knowledge Resources

  1. Access the “ABIM Activities by Specialty” page and scroll down to “Internal Medicine” links.
  2. Click the “Internal Medicine” link and enter the module by inputting your email and ABIM Physician Portal Password. Once you have logged on, keep the ABIM webiste open in one browser tab and the ACP knowledge resources open in another.
  3. In the ACP knowledge resources tab, as you go through each ABIM module, you can select the specific Question for which you wish to review ACP knowledge resources.
  4. Click on the link(s) provided in the Related ACP Knowledge list to read ACP knowledge resources related directly to your selected question.
  5. Repeat for each question for which you would like to review ACP knowledge.

ACP Knowledge Resources

The ACP knowledge resources utilized in this application include:

  • MKSAP (currently including content from the 17th Edition)
  • Annals of Internal Medicine - online access to current and past issues of the premier journal of Internal Medicine
  • ACP Books - content from 14 ACP books and two books distributed by ACP

If you are not currently an ACP member, you will not be able to gain access to these resources. Please consider joining ACP. Digital MKSAP subscribers also have access to the fully-functional MKSAP site.

Resource for Question 1

MKSAP 17
Infectious Disease > Tick-Borne Diseases > Lyme Disease (subscription required)

MKSAP 17
Infectious Disease > Tick-Borne Diseases > Lyme Disease (free to members)

Resource for Question 2

PubMed
Risk of Bleeding and Thrombosis in Patients 70 Years or Older Using Vitamin K Antagonists. Kooistra HA, Calf AH, Piersma-Wichers M, Kluin-Nelemans HC, Izaks GJ, Veeger NJ, Meijer K. JAMA Intern Med. 2016 Aug 1;176(8):1176-83. doi: 10.1001/jamainternmed.2016.3057. PMID:27379731

Resource for Question 3

PubMed
Association Between Acute Neuropsychiatric Events and Helicobacter pylori Therapy Containing Clarithromycin. Wong AY, Wong IC, Chui CS, Lee EH, Chang WC, Chen EY, Leung WK, Chan EW. JAMA Intern Med. 2016 Jun 1;176(6):828-34. doi: 10.1001/jamainternmed.2016.1586. PMID:27136661

Resource for Question 4

MKSAP 17
Nephrology > Kidney Stones > Management > Acute Management (subscription required)

MKSAP 17
Nephrology > Kidney Stones > Management > Acute Management (free to members)

Resource for Question 5

PubMed
Characteristics and Outcomes of Patients Presenting With Hypertensive Urgency in the Office Setting. Patel KK, Young L, Howell EH, Hu B, Rutecki G, Thomas G, Rothberg MB. JAMA Intern Med. 2016 Jul 1;176(7):981-8. doi: 10.1001/jamainternmed.2016.1509. PMID:27294333

Resource for Question 6

PubMed
Empagliflozin and Progression of Kidney Disease in Type 2 Diabetes. Wanner C, Inzucchi SE, Lachin JM, Fitchett D, von Eynatten M, Mattheus M, Johansen OE, Woerle HJ, Broedl UC, Zinman B; EMPA-REG OUTCOME Investigators. N Engl J Med. 2016 Jul 28;375(4):323-34. doi: 10.1056/NEJMoa1515920. Epub 2016 Jun 14. PMID:27299675

Resource for Question 7

MKSAP 17
General Internal Medicine > Women's Health > Menopause > Management of Vasomotor Symptoms (subscription required)

MKSAP 17
General Internal Medicine > Women's Health > Menopause > Management of Vasomotor Symptoms (free to members)

Resource for Question 8

MKSAP 17
Pulmonary and Critical Care Medicine > Airway Diseases > Management of Asthma Exacerbations (subscription required)

MKSAP 17
Pulmonary and Critical Care Medicine > Airway Diseases > Management of Asthma Exacerbations (free to members)

Resource for Question 9

MKSAP 17
General Internal Medicine > Common Symptoms > Opioid Therapy > Prescribing Opioids for Chronic Pain (CDC, table 86) (subscription required)

MKSAP 17
General Internal Medicine > Common Symptoms > Opioid Therapy > Prescribing Opioids for Chronic Pain (CDC, table 86) (free to members)

Resource for Question 10

PubMed
Association Between Time to Colonoscopy After a Positive Fecal Test Result and Risk of Colorectal Cancer and Cancer Stage at Diagnosis. Corley DA, Jensen CD, Quinn VP, Doubeni CA, Zauber AG, Lee JK, Schottinger JE, Marks AR, Zhao WK, Ghai NR, Lee AT, Contreras R, Quesenberry CP, Fireman BH, Levin TR. JAMA. 2017 Apr 25;317(16):1631-1641. doi: 10.1001/jama.2017.3634. PMID:28444278

Resource for Question 11

MKSAP 17
Cardiovascular Medicine > Stable Angina Pectoris > Coronary Revascularization > Decision to Revascularize (subscription required)

MKSAP 17
Cardiovascular Medicine > Stable Angina Pectoris > Coronary Revascularization > Decision to Revascularize (free to members)

Resource for Question 12

MKSAP 17
Rheumatology > Crystal Arthropathies > Urate-Lowering Therapy and Prophylaxis (subscription required)

MKSAP 17
Rheumatology > Crystal Arthropathies > Urate-Lowering Therapy and Prophylaxis (free to members)

Resource for Question 13

MKSAP 17
Endocrinology and Metabolism > Disorders of Thyroid Gland > Subclinical Hypothyroidism (subscription required)

MKSAP 17
Endocrinology and Metabolism > Disorders of Thyroid Gland > Subclinical Hypothyroidism (free to members)

Resource for Question 14

MKSAP 17
Pulmonology and Critical Care Medicine > Airways Disease > COPD > Diagnosis (subscription required)

MKSAP 17
Pulmonology and Critical Care Medicine > Airways Disease > COPD > Diagnosis (free to members)

Resource for Question 15

MKSAP 17
Endocrinology and Metabolism > Reproductive Disorders > Testosterone Replacement Therapy (subscription required)

MKSAP 17
Endocrinology and Metabolism > Reproductive Disorders > Testosterone Replacement Therapy (free to members)

Resource for Question 16

PubMed
Association of Sickle Cell Trait With Hemoglobin A1c in African Americans. Lacy ME, Wellenius GA, Sumner AE, Correa A, Carnethon MR, Liem RI, Wilson JG, Sacks DB, Jacobs DR Jr, Carson AP, Luo X, Gjelsvik A, Reiner AP, Naik RP, Liu S, Musani SK, Eaton CB, Wu WC. JAMA. 2017 Feb 7;317(5):507-515. doi: 10.1001/jama.2016.21035. PMID:28170479

Resource for Question 17

MKSAP 17
Nephrology > Clinical Evaluation of Kidney Function > Clinical Evaluation of Hematuria (subscription required)

MKSAP 17
Nephrology > Clinical Evaluation of Kidney Function > Clinical Evaluation of Hematuria (free to members)

Resource for Question 18

MKSAP 17
Infectious Disease > Community-acquired Pneumonia > Follow-up (subscription required)

MKSAP 17
Infectious Disease > Community-acquired Pneumonia > Follow-up (free to members)

Resource for Question 19

PubMed
Continued Statin Prescriptions After Adverse Reactions and Patient Outcomes: A Cohort Study. Zhang H, Plutzky J, Shubina M, Turchin A. Ann Intern Med. 2017 Aug 15;167(4):221-227. doi: 10.7326/M16-0838. Epub 2017 Jul 25. PMID:28738423

Resource for Question 20

PubMed
Assessing the Risks Associated with MRI in Patients with a Pacemaker or Defibrillator. Russo RJ, Costa HS, Silva PD, Anderson JL, Arshad A, Biederman RW, Boyle NG, Frabizzio JV, Birgersdotter-Green U, Higgins SL, Lampert R, Machado CE, Martin ET, Rivard AL, Rubenstein JC, Schaerf RH, Schwartz JD, Shah DJ, Tomassoni GF, Tominaga GT, Tonkin AE, Uretsky S, Wolff SD. N Engl J Med. 2017 Feb 23;376(8):755-764. doi: 10.1056/NEJMoa1603265. PMID:28225684

Resource for Question 21

PubMed
Management of venous thromboembolic diseases and the role of thrombophilia testing: summary of NICE guidance. Chong LY, Fenu E, Stansby G, Hodgkinson S; Guideline Development Group. BMJ. 2012 Jun 27;344:e3979. doi: 10.1136/bmj.e3979. Review. No abstract available. PMID:22740565

Resource for Question 22

PubMed
Clinical Significance of Symptoms in Smokers with Preserved Pulmonary Function. Woodruff PG, Barr RG, Bleecker E, Christenson SA, Couper D, Curtis JL, Gouskova NA, Hansel NN, Hoffman EA, Kanner RE, Kleerup E, Lazarus SC, Martinez FJ, Paine R 3rd, Rennard S, Tashkin DP, Han MK; SPIROMICS Research Group. N Engl J Med. 2016 May 12;374(19):1811-21. doi: 10.1056/NEJMoa1505971. PMID:27168432

Resource for Question 23

PubMed
Depression. McCarron RM, Vanderlip ER, Rado J. Ann Intern Med. 2016 Oct 4;165(7):ITC49-ITC64. doi: 10.7326/AITC201610040. Review. PMID:27699401

Resource for Question 24

PubMed
Thromboprophylaxis after Knee Arthroscopy and Lower-Leg Casting. van Adrichem RA, Nemeth B, Algra A, le Cessie S, Rosendaal FR, Schipper IB, Nelissen RGHH, Cannegieter SC; POT-KAST and POT-CAST Group. N Engl J Med. 2017 Feb 9;376(6):515-525. PMID: 27959702

Resource for Question 25

PubMed
In ICH associated with antiplatelet therapy, platelet transfusion increased death or dependence. Barer D. Ann Intern Med. 2016 Aug 16;165(4):JC19. doi: 10.7326/ACPJC-2016-165-4-019. No abstract available. PMID:27538180

Resource for Question 26

PubMed
Trimethoprim-sulfamethoxazole and risk of sudden death among patients taking spironolactone. Antoniou T, Hollands S, Macdonald EM, Gomes T, Mamdani MM, Juurlink DN; Canadian Drug Safety and Effectiveness Research Network. CMAJ. 2015 Mar 3;187(4):E138-43. doi: 10.1503/cmaj.140816. Epub 2015 Feb 2. PMID:25646289

Resource for Question 27

PubMed
Clinical Outcomes of Metformin Use in Populations With Chronic Kidney Disease, Congestive Heart Failure, or Chronic Liver Disease: A Systematic Review. Crowley MJ, Diamantidis CJ, McDuffie JR, Cameron CB, Stanifer JW, Mock CK, Wang X, Tang S, Nagi A, Kosinski AS, Williams JW Jr. Ann Intern Med. 2017 Feb 7;166(3):191-200. doi: 10.7326/M16-1901. Epub 2017 Jan 3. Review. PMID:28055049

Resource for Question 28

PubMed
Clinical practice guideline for the evaluation of fever and infection in older adult residents of long-term care facilities: 2008 update by the Infectious Diseases Society of America. High KP, Bradley SF, Gravenstein S, Mehr DR, Quagliarello VJ, Richards C, Yoshikawa TT; Infectious Diseases Society of America. J Am Geriatr Soc. 2009 Mar;57(3):375-94. doi: 10.1111/j.1532-5415.2009.02175.x. PMID:19278394

Resource for Question 29

PubMed
Two Phase 3 Trials of Adalimumab for Hidradenitis Suppurativa. Kimball AB, Okun MM, Williams DA, Gottlieb AB, Papp KA, Zouboulis CC, Armstrong AW, Kerdel F, Gold MH, Forman SB, Korman NJ, Giamarellos-Bourboulis EJ, Crowley JJ, Lynde C, Reguiai Z, Prens EP, Alwawi E, Mostafa NM, Pinsky B, Sundaram M, Gu Y, Carlson DM, Jemec GB. N Engl J Med. 2016 Aug 4;375(5):422-34. doi: 10.1056/NEJMoa1504370. PMID:27518661

Resource for Question 30

PubMed
The Effects of Cannabis Among Adults With Chronic Pain and an Overview of General Harms: A Systematic Review. Nugent SM, Morasco BJ, O'Neil ME, Freeman M, Low A, Kondo K, Elven C, Zakher B, Motu'apuaka M, Paynter R, Kansagara D. Ann Intern Med. 2017 Sep 5;167(5):319-331. doi: 10.7326/M17-0155. Epub 2017 Aug 15. Review. PMID:28806817