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2022-2023 Update in Internal 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
Acute Exacerbation of COPD > Diagnosis > Testing Overview

Resource for Question 2

DynaMed
Antiplatelet and Anticoagulant Drugs for Coronary Artery Disease > Combined Antiplatelet Therapy > Dual antiplatelet therapy > Shorter duration dual-antiplatelet therapy

Resource for Question 3

MKSAP 19 - Available January 31, 2022
Endocrinology and Metabolism > Reproductive Disorders > Testosterone Changes in the Aging Man (subscription required)

MKSAP 19 - Available January 31, 2022
Endocrinology and Metabolism > Reproductive Disorders > Testosterone Changes in the Aging Man (free to members)

Resource for Question 4

MKSAP 19 - Available January 31, 2022
Endocrinology and Metabolism > Calcium and Bone Disorders > Metabolic Bone Disease > Pharmacologic Management > Bisphosphonates (subscription required)

MKSAP 19 - Available January 31, 2022
Endocrinology and Metabolism > Calcium and Bone Disorders > Metabolic Bone Disease > Pharmacologic Management > Bisphosphonates (free to members)

Resource for Question 5

MKSAP 19 - Available January 31, 2022
Cardiovascular Medicine > Arrythmias > Atrial Fibrillation > Acute Management (subscription required)

MKSAP 19 - Available January 31, 2022
Cardiovascular Medicine > Arrythmias > Atrial Fibrillation > Acute Management (free to members)

MKSAP 19 - Available January 31, 2022
Cardiovascular Medicine > Arrythmias > Atrial Fibrillation > Acute Management > Acute Anticoagulation (subscription required)

MKSAP 19 - Available January 31, 2022
Cardiovascular Medicine > Arrythmias > Atrial Fibrillation > Acute Management > Acute Anticoagulation (free to members)

Resource for Question 6

PubMed
Inge TH, Courcoulas AP, Jenkins TM, et al; Teen–LABS Consortium. Five-year outcomes of gastric bypass in adolescents as compared with adults. N Engl J Med. 2019;380:2136-2145. [PMID: 31116917] doi: 10.1056/NEJMoa1813909

Resource for Question 7

MKSAP 19 - Available January 31, 2022
Cardiovascular Medicine > Coronary Artery Disease > Stable Angina Pectoris > Coronary Revascularization > After Revascularization (subscription required)

MKSAP 19 - Available January 31, 2022
Cardiovascular Medicine > Coronary Artery Disease > Stable Angina Pectoris > Coronary Revascularization > After Revascularization (free to members)

Resource for Question 8

DynaMed
Opioid Use Disorder > Overview and Recommendations > Management

Resource for Question 9

MKSAP 19 - Available January 31, 2022
Endocrinology and Metabolism > Disorders of the Pituitary Gland > Pituitary Hormone Deficiency > Growth Hormone Deficiency (subscription required)

MKSAP 19 - Available January 31, 2022
Endocrinology and Metabolism > Disorders of the Pituitary Gland > Pituitary Hormone Deficiency > Growth Hormone Deficiency (free to members)

DynaMed
Growth Hormone Deficiency in Adults > Management > Medications > Growth hormone

Resource for Question 10

MKSAP 19
Neurology > Stroke > Stroke Prevention > Secondary Prevention (subscription required)

MKSAP 19
Neurology > Stroke > Stroke Prevention > Secondary Prevention (free to members)

Resource for Question 11

Annals of Internal Medicine
Steinberg DI. In medical inpatients at nutritional risk, individualized nutritional support reduced adverse clinical outcomes. Ann Intern Med. 2019;171:JC18. [PMID: 31426061] doi: 10.7326/ACPJ201908200-018

Resource for Question 12

MKSAP 19 - Available January 31, 2022
Hematology > Erythrocyte Disorders > Hemolytic Anemias > Intrinsic Erythrocyte Abnormalities > Sickle Cell Syndromes > Sickle Cell Disease Complications and Their Management (subscription required)

MKSAP 19 - Available January 31, 2022
Hematology > Erythrocyte Disorders > Hemolytic Anemias > Intrinsic Erythrocyte Abnormalities > Sickle Cell Syndromes > Sickle Cell Disease Complications and Their Management (free to members)

Resource for Question 13

DynaMed
Perioperative Management of Patients With Hip Fracture > Preoperative Management > Preoperative evaluation

MKSAP 19 - Available January 31, 2022
General Internal Medicine 2 > Perioperative Medicine > Perioperative Management of Kidney Disease (subscription required)

MKSAP 19 - Available January 31, 2022
General Internal Medicine 2 > Perioperative Medicine > Perioperative Management of Kidney Disease (free to members)

Resource for Question 14

MKSAP 19 - Available January 31, 2022
General Internal Medicine 2 > Hospital Medicine Principles > Hospital-Based Prevention Strategies (subscription required)

MKSAP 19 - Available January 31, 2022
General Internal Medicine 2 > Hospital Medicine Principles > Hospital-Based Prevention Strategies (free to members)

Resource for Question 15

DynaMed
DynaMed > Delirium in Hospitalized Patients > Risk Assessment > Risk factors

PubMed
Coupland CAC, Hill T, Dening T, et al. Anticholinergic drug exposure and the risk of dementia: A nested case-control study. JAMA Intern Med. 2019;179:1084-1093. [PMID: 31233095] doi: 10.1001/jamainternmed.2019.0677

Resource for Question 16

PubMed
Filippini T, Malavolti M, Whelton PK, et al. Blood pressure effects of sodium reduction: dose-response meta-analysis of experimental studies. Circulation. 2021;143:1542-1567. [PMID: 33586450] doi: 10.1161/CIRCULATIONAHA.120.050371

Resource for Question 17

DynaMed
Migraine Prophylaxis in Adults > Nonpharmacologic Therapies > Acupuncture and acupressure

Resource for Question 18

PubMed
Lutsey PL, Norby FL, Ensrud KE, et al. Association of anticoagulant therapy with risk of fracture among patients with atrial fibrillation. JAMA Intern Med. 2020;180:245-253. [PMID: 31764956] doi: 10.1001/jamainternmed.2019.5679

Resource for Question 19

DynaMed
Hypertension Medication Selection and Management > Initial Drug Choices (without Comorbidities) > Thiazide-type diuretics > Comparative efficacy (thiazides)

Resource for Question 20

MKSAP 19 - Available January 31, 2022
General Internal Medicine 2 > Routine Care of the Healthy Patient > Screening > Specific Screening Tests > Screening for Infectious Diseases (subscription required)

MKSAP 19 - Available January 31, 2022
General Internal Medicine 2 > Routine Care of the Healthy Patient > Screening > Specific Screening Tests > Screening for Infectious Diseases (free to members)

Resource for Question 21

Annals of Internal Medicine
Melnikow J, Fenton JJ, Whitlock EP, et al. Supplemental screening for breast cancer in women with dense breasts: A systematic review for the U.S. preventive services task force. Ann Intern Med. 2016;164:268-78. [PMID: 26757021] doi: 10.7326/M15-1789.

Resource for Question 22

PubMed
Kwan JL, Yermak D, Markell L, et al. Follow up of incidental high-risk pulmonary nodules on computed tomography pulmonary angiography at care transitions. J Hosp Med. 2019;14:349-352. [PMID: 30794133] doi: 10.12788/jhm.3128

Resource for Question 23

MKSAP 19 - Available January 31, 2022
General Internal Medicine 2 > Perioperative Medicine > Hematologic Perioperative Management > Perioperative Management of Antiplatelet Medications (subscription required)

MKSAP 19 - Available January 31, 2022
General Internal Medicine 2 > Perioperative Medicine > Hematologic Perioperative Management > Perioperative Management of Antiplatelet Medications (free to members)

Resource for Question 24

MKSAP 19 - Available January 31, 2022
Endocrinology and Metabolism > Disorders of the Thyroid Gland > Disorders of Thyroid Function > Thyroid Hormone Deficiency > Management (subscription required)

MKSAP 19 - Available January 31, 2022
Endocrinology and Metabolism > Disorders of the Thyroid Gland > Disorders of Thyroid Function > Thyroid Hormone Deficiency > Management (free to members)

Resource for Question 25

MKSAP 19
General Internal Medicine 1 > Common Symptoms > Dizziness > Vertigo > Peripheral Vertigo (subscription required)

MKSAP 19
General Internal Medicine 1 > Common Symptoms > Dizziness > Vertigo > Peripheral Vertigo (free to members)

Resource for Question 26

MKSAP 19 - Available January 31, 2022
Thrombotic Disorders > Pathophysiology of Thrombosis > Thrombophilia > Acquired Thrombophilias > Antiphospholipid Antibody Syndrome (subscription required)

MKSAP 19 - Available January 31, 2022
Thrombotic Disorders > Pathophysiology of Thrombosis > Thrombophilia > Acquired Thrombophilias > Antiphospholipid Antibody Syndrome (free to members)

Resource for Question 27

MKSAP 19
Oncology > Gastroenterological Malignancies > Pancreatic Cancer (subscription required)

MKSAP 19
Oncology > Gastroenterological Malignancies > Pancreatic Cancer (free to members)

Resource for Question 28

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

Resource for Question 29

MKSAP 19 - Available January 31, 2022
Cardiovascular Medicine > Arrythmias > Atrial Fibrillation > Anticoagulation > Long-Term Management > Specific Populations (subscription required)

MKSAP 19 - Available January 31, 2022
Cardiovascular Medicine > Arrythmias > Atrial Fibrillation > Anticoagulation > Long-Term Management > Specific Populations (free to members)

Resource for Question 30

Annals of Internal Medicine
Brutcher RE, Kurihara C, Bicket MC, et al. Compounded topical pain creams to treat localized chronic pain: A randomized controlled trial. Ann Intern Med. 2019;170:309-318. [PMID: 30716769] doi: 10.7326/M18-2736