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2022-2023 Update in Hospital Medicine

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 website 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 19th Edition)
  • Annals of Internal Medicine - online access to current and past issues of the premier journal of Internal Medicine
  • DynaMed - the most current, evidence-based clinical decision support tool - free to ACP members

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

DynaMed
Pacemakers > Normal Pacemaker Electrocardiogram (ECG), Arrhythmias in Normally Functioning Pacemaker, Pacemaker Malfunction, and Electromagnetic Interference > Electromagnetic interference from magnetic resonance imaging (MRI) and other medical devices

Resource for Question 2

PubMed
Guyatt GH, Sackett DL, Cook DJ. Users' guides to the medical literature. II. How to use an article about therapy or prevention. A. Are the results of the study valid? Evidence-Based Medicine Working Group. JAMA. 1993;270:2598-601. [PMID: 8230645] doi: 10.1001/jama.270.21.2598

Resource for Question 3

MKSAP 19
Gastroenterology and Hepatology > Disorders of the Small and Large Bowel > Inflammatory Bowel Disease > Treatment > Pharmacotherapy for Ulcerative Colitis > Biologic Agents (subscription required)

MKSAP 19
Gastroenterology and Hepatology > Disorders of the Small and Large Bowel > Inflammatory Bowel Disease > Treatment > Pharmacotherapy for Ulcerative Colitis > Biologic Agents (free to members)

Resource for Question 4

DynaMed
Acute Portal Vein Thrombosis > Diagnosis > Other Diagnostic Testing

Resource for Question 5

DynaMed
Hormone Therapy for the Adult Female Transgender Patient > Antiandrogens > Antiandrogen Options and Dosing

DynaMed
Hormone Therapy for the Adult Female Transgender Patient > Estrogen > Adverse Effects

Resource for Question 6

MKSAP 19 - Available January 31, 2022
Endocrinology > Disorders of the Adrenal Glands > Adrenal Hormone Excess > Primary Aldosteronism (subscription required)

MKSAP 19 - Available January 31, 2022
Endocrinology > Disorders of the Adrenal Glands > Adrenal Hormone Excess > Primary Aldosteronism (free to members)

Resource for Question 7

DynaMed
Fever in the Intensive Care Unit (ICU) - Approach to the Patient > Management > Cause-specific management

Resource for Question 8

Annals of Internal Medicine
Graham J. After stroke due to ICH while on antithrombotics, starting vs avoiding antiplatelets did not differ for symptomatic ICH. Ann Intern Med. 2019;171:JC32. [PMID: 31525766] doi: 10.7326/ACPJ201909170-032

Resource for Question 9

MKSAP 19 - Available January 31, 2022
Pulmonary and Critical Care Medicine > Principles of Critical Care > Comprehensive Support of Critically Ill Patients (subscription required)

MKSAP 19 - Available January 31, 2022
Pulmonary and Critical Care Medicine > Principles of Critical Care > Comprehensive Support of Critically Ill Patients (free to members)

Resource for Question 10

MKSAP 19 - Available January 31, 2022
Hematology > Platelet Disorders > Thrombocytopenic Disorders > Immune Thrombocytopenic Purpura (subscription required)

MKSAP 19 - Available January 31, 2022
Hematology > Platelet Disorders > Thrombocytopenic Disorders > Immune Thrombocytopenic Purpura (free to members)

Resource for Question 11

MKSAP 19
General Internal Medicine 1 > Mental and Behavioral Health > Schizophrenia (subscription required)

MKSAP 19
General Internal Medicine 1 > Mental and Behavioral Health > Schizophrenia (free to members)

Resource for Question 12

MKSAP 19 - Available January 31, 2022
Pulmonary and Critical Care Medicine > Common ICU Conditions > Acute Respiratory Failure > Acute Respiratory Distress Syndrome (subscription required)

MKSAP 19 - Available January 31, 2022
Pulmonary and Critical Care Medicine > Common ICU Conditions > Acute Respiratory Failure > Acute Respiratory Distress Syndrome (free to members)

Resource for Question 13

MKSAP 19 - Available January 31, 2022
Cardiovascular Medicine > Heart Failure > Management > Serial B-Type Natriuretic Peptide Assessment (subscription required)

MKSAP 19 - Available January 31, 2022
Cardiovascular Medicine > Heart Failure > Management > Serial B-Type Natriuretic Peptide Assessment (free to members)

MKSAP 19 - Available January 31, 2022
Cardiovascular Medicine > Heart Failure > Management > Echocardiography in Chronic Heart Failure (subscription required)

MKSAP 19 - Available January 31, 2022
Cardiovascular Medicine > Heart Failure > Management > Echocardiography in Chronic Heart Failure (free to members)

Resource for Question 14

DynaMed
Treatment of Cancer-associated Thrombosis > Treatment Strategies by Site of Venous Thrombosis

Resource for Question 15

MKSAP 19 - Available January 31, 2022
Pulmonary and Critical Care Medicine > Airways Disease > Chonic Obstructive Pulmonary Disease > Acute Exacerbations > Goals and Therapeutic Management (subscription required)

MKSAP 19 - Available January 31, 2022
Pulmonary and Critical Care Medicine > Airways Disease > Chonic Obstructive Pulmonary Disease > Acute Exacerbations > Goals and Therapeutic Management (free to members)

Resource for Question 16

MKSAP 19
Oncologic Urgencies and Emergencies > Structural Urgencies and Emergencies > Superior Vena Cava Syndrome (subscription required)

MKSAP 19
Oncologic Urgencies and Emergencies > Structural Urgencies and Emergencies > Superior Vena Cava Syndrome (free to members)

Resource for Question 17

MKSAP 19 - Available January 31, 2022
General Internal Medicine 2 > Perioperative Medicine > Cardiovascular Perioperative Management > Cardiovascular Risk Assessment (subscription required)

MKSAP 19 - Available January 31, 2022
General Internal Medicine 2 > Perioperative Medicine > Cardiovascular Perioperative Management > Cardiovascular Risk Assessment (free to members)

Resource for Question 18

DynaMed
Management of Appendicitis in Adolescents and Adults > Medications Antibiotics > Antibiotic Therapy as Primary Treatment for Uncomplicated Appendicitis

Resource for Question 19

MKSAP 19
Gastroenterology and Hepatology > Disorders of the Liver > Complications of Advanced Liver Disease > Hepatic Encephalopathy (subscription required)

MKSAP 19
Gastroenterology and Hepatology > Disorders of the Liver > Complications of Advanced Liver Disease > Hepatic Encephalopathy (free to members)

DynaMed
Hepatic Encephalopathy > Diagnosis > Blood tests

Resource for Question 20

MKSAP 19
Nephrology > Interpretation of the Urinalysis > Imaging Studies (subscription required)

MKSAP 19
Nephrology > Interpretation of the Urinalysis > Imaging Studies (free to members)

Resource for Question 21

MKSAP 19 - Available January 31, 2022
Pulmonary and Critical Care Medicine > Airways Disease > Chronic Obstructive Pulmonary Disease > Management of COPD > Pharmacologic Therapy > Inhaled Glucocorticoids (subscription required)

MKSAP 19 - Available January 31, 2022
Pulmonary and Critical Care Medicine > Airways Disease > Chronic Obstructive Pulmonary Disease > Management of COPD > Pharmacologic Therapy > Inhaled Glucocorticoids (free to members)

Resource for Question 22

DynaMed
Drug Allergy > Approach to the Patient > Overview and Recommendations > Evaluation

PubMed
Wurpts G, Aberer W, Dickel H, et al. Guideline on diagnostic procedures for suspected hypersensitivity to beta-lactam antibiotics: guideline of the german society for allergology and clinical immunology (DGAKI) in collaboration with the german society of allergology (AeDA), german society for pediatric allergology and environmental medicine (GPA), the german contact dermatitis research group (DKG), the austrian society for allergology and immunology (ÖGAI), and the paul-ehrlich society for chemotherapy (PEG). Allergol Select. 2020;4:11-43. [PMID: 32568254] doi: 10.5414/ALX02104E

Resource for Question 23

DynaMed
Pulse Oximetry > Interpretation and Limitations > Factors Affecting Reliability > Potential Causes of Health Disparities with SpO2 Measurements

Resource for Question 24

MKSAP 19
General Internal Medicine 1 > Geriatric Medicine > Frailty Assessment (subscription required)

MKSAP 19
General Internal Medicine 1 > Geriatric Medicine > Frailty Assessment (free to members)

Resource for Question 25

PubMed
Garber AK, Cheng J, Accurso EC, et al. Short-term outcomes of the study of refeeding to optimize inpatient gains for patients with anorexia nervosa: A multicenter randomized clinical trial. JAMA Pediatr. 2021;175:19-27. [PMID: 33074282] doi: 10.1001/jamapediatrics.2020.3359

Resource for Question 26

MKSAP 19
General Internal Medicine 1 > Mental and Behavioral Health > Substance Use Disorders > Alcohol (subscription required)

MKSAP 19
General Internal Medicine 1 > Mental and Behavioral Health > Substance Use Disorders > Alcohol (free to members)

Resource for Question 27

DynaMed
Acute Lower Gastrointestinal Bleeding in Adults > Overview and Recommendations > Endoscopic and Radiologic Evaluation and Intervention

Resource for Question 28

MKSAP 19
Gastroenterology and Hepatology > Disorders of the Gallbladder and Bile Ducts > Acalculous Cholecystitis (subscription required)

MKSAP 19
Gastroenterology and Hepatology > Disorders of the Gallbladder and Bile Ducts > Acalculous Cholecystitis (free to members)

Resource for Question 29

DynaMed
Wernicke Encephalopathy > Management > Medications > Thiamine

Resource for Question 30

PubMed
Anderson TS, Jing B, Auerbach A, et al. Clinical outcomes after intensifying antihypertensive medication regimens among older adults at hospital discharge. JAMA Intern Med. 2019;179:1528-1536. [PMID: 31424475] doi:10.1001/jamainternmed.2019.3007