CME Credit Application for MedStudy Internal Medicine

MedStudy 16th Edition Internal Medicine Review Core Curriculum
CME Credit Application, Posttest, and Evaluation

Please Note: CME credit is available only to the original purchaser of this product (directly from MedStudy). If this product was purchased through a group order, your name must be included in that order to be eligible for CME credits.

Instructions for receiving your CME Certificate: To receive CME credit, please print out this document, complete all of the following steps, and fax, mail, or email it to MedStudy before the CME expiration date of September 1, 2017:

1. Study the learning material.

2. Download this form to your computer and print it out.

3. Completely fill out all pages of this CME credit application, including the posttest, and then follow directions at the end of the application for submission.

CME Credit Application

CME Expiration Date: September 1, 2017

You will receive your CME credit certificate in 1-2 weeks. If you need your certificate sooner, you may either fill out this application online at my.medstudy.com or call 1-800-841-0547, ext. 3.

MedStudy designates this enduring material for a maximum of 150 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Printed Name:

Street Address:

City/State/Zip Code:

Telephone: Fax:

Permanent E-mail*:

Exact name of original purchaser (individual or institution) Same as above Other

How many years have you been out of residency? Still a Resident < 1 yr 1–10 yrs 10-20 yrs > 20 yrs N/A

Which of the following BEST describes your use of this product?

Prepare for Initial Certification Prepare for Recertification (MOC) General Review/Reference

When did you most recently take (or will you take) your ABIM exam? Year Spring Summer Fall

Did you pass the ABIM exam? Yes No Don’t know yet Haven’t taken it yet Didn’t use for exam prep

How did you hear about this product?

Catalog Colleague MedStudy Website Internet Search Medical Meeting Other

What other products, if any, did you use to prepare for your exam?

MedStudy Core MedStudy Q&As MedStudy Core Scripts MedStudy Videos
MedStudy Course MKSAP MKSAP Q&As
Other N/A

The following posttest and evaluation must also be completed and submitted to receive CME credit.

Posttest

Review the following cases and answer all questions. Then use the key below to check your answers. You must answer 60% of the questions correctly to receive CME credit for this product.

1. A 29-year-old male patient presents to the emergency department with a 1-day history of acute-onset severe headache and fevers. He states that bright lights and loud noises are bothering him. On examination, he has a temperature of 102.3° F and has nuchal rigidity. He has a past medical history significant only for an appendectomy for appendicitis at age 16.

What is the appropriate sequence of management?

A. First empiric antibiotics, then CT brain, and then lumbar puncture for CSF analysis and culture

B. First empiric antibiotics, then lumbar puncture for CSF analysis and culture

C. First CT brain, then lumbar puncture for CSF analysis and culture, followed by empiric antibiotics

D. First lumbar puncture for CSF analysis and culture, then empiric antibiotics

E. First CT brain, then lumbar puncture for CSF analysis and culture; give antibiotics only if CSF shows pleocytosis

Answer:

2. A 67-year-old man presents with 6 months of progressive right shoulder pain... What is the next appropriate step in the management of this patient?

A. Begin oxycodone/acetaminophen and refer to physical therapy.

B. Repeat subacromial bursa injection.

C. MRI of the cervical spine.

D. Chest x-ray.

E. Begin prednisone 20 mg daily for 2 weeks.

Answer:

3. A 73-year-old man who receives chronic hemodialysis for ESRD is evaluated for palpitations... The ECG reveals tall peaked T waves and a slightly prolonged QRS. What is the most appropriate next step?

A. Request cardiology and nephrology consults.

B. Begin an IV calcium infusion.

C. Admit him for dialysis in the morning.

D. Start CPR.

E. Begin an isoproterenol drip.

Answer:

4. A 27-year-old female has had asthma for much of her life. She is 16-weeks pregnant, and her symptoms seem to be worsening since she became pregnant. What is the next best step in her management?

A. A low-dose oral corticosteroid should be added daily.

B. A low-dose inhaled corticosteroid should be added daily.

C. Oral theophylline should be added.

D. Initiation of treatment with a proton pump inhibitor.

Answer:

5. A 72-year-old Caucasian male with CAD, HTN, Type 2 diabetes, hyperlipidemia, and renal insufficiency notes insidious and progressive myalgias and weakness. What is the most likely reason for his muscle weakness?

A. Diabetic amyotrophy

B. Statin myopathy

C. Alcoholic myopathy

D. Polymyalgia rheumatica

E. Thiazide vasculitis

Answer:

6. A 40-year-old with a 3-year history of Type 2 diabetes is establishing care in your office... What should you recommend now?

A. DPP-IV inhibitor (DDP4I)

B. Pioglitazone

C. Sulfonylurea

D. Glargine insulin

Answer:

7. A 64-year-old woman with a history of hyperlipidemia, hypertension, and chronic leg cramps presents to the emergency department with fevers... What emergent testing should be done to establish the diagnosis for this patient?

A. Head CT

B. Abdominal CT

C. Peripheral blood smear

D. Renal biopsy

E. Bone marrow biopsy

Answer:

8. A 22-year-old healthy woman is seen in the emergency department after being sent over from her dentist’s office... Which of the following would be most helpful to confirm your suspected diagnosis?

A. C50 level

B. Serum eosinophil count

C. C1 inhibitor and C4 levels

D. Genetic testing

E. SPEP/UPEP

Answer:

9. A 60-year-old man presents with peripheral edema... What is the most likely cause for his edema?

A. DVT

B. Cirrhosis

C. Fluoxetine

D. Ranitidine

E. Nifedipine

Answer:

10. A 33-year-old man is brought into the emergency department... Which of the following should be done next?

A. Bronchoscopy with BAL.

B. Blood cultures.

C. Start intravenous piperacillin-tazobactam and vancomycin.

D. Start raltegravir, tenofovir, and emtricitabine.

E. CT brain followed by lumbar puncture for opening pressure, CSF analysis, and culture.

Answer:

Answers: 1-B; 2-D; 3-B; 4-B; 5-B; 6-C; 7-C; 8-C; 9-E; 10-E

Evaluation / CME Validation

On a scale of 1 to 5, with 1 being STRONGLY DISAGREE and 5 being STRONGLY AGREE, please rate (and circle) the following regarding your use of this product:

The content of this activity met my personal educational objectives 1 2 3 4 5

The stated learning objectives were fully met 1 2 3 4 5

The format and quality of the organization were appropriate for my needs 1 2 3 4 5

The content was free of pharmaceutical/commercial bias 1 2 3 4 5

The content offered a reasonable balance of diagnostic and therapeutic options 1 2 3 4 5

If you answered “disagree” or “strongly disagree” to any of the above questions, please elaborate specifically.

Did this product help identify and remedy any gaps in your medical knowledge and/or clinical judgment skills?

Yes No

If yes, please elaborate as specifically as you can:

After you used this product, were you able to apply any of what you learned to daily practice?

Yes No

If yes, please elaborate:

Please assist us in planning future activities by describing any topic areas in which you feel you have a professional practice gap that was not covered by this product.

By checking this box, I verify that I am claiming AMA PRA Category 1 Credits™ (1 hour = 1 credit; maximum credits: 150)

Date (which will appear on your CME certificate):

Thank you! To submit this application, do one of the following:

1) Fax this completed form to (719) 520-5973, or

2) Mail this completed form to: MedStudy CME, 1455 Quail Lake Loop, Colorado Springs, CO 80906, or

3) Email this completed form to cme@medstudy.com

Please Note: MedStudy does not share, sell, trade, exchange, or rent any customer information to or with any outside entity.