Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 59-year-old woman is evaluated during a routine follow-up visit. She was recently diagnosed with type 2 diabetes mellitus and hyperlipidemia. She feels well. Medications are metformin, atorvastatin, and aspirin. Physical examination findings and vital signs are normal. BMI is 27. Laboratory studies reveal a serum creatinine level of 0.9 mg/dL (79.6 µmol/L), an ...

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From MedPage Today:

  1. The Role of NPs and PAs. What role should NPs and PAs play in a 21st century medical model?
  2. Patches Fail Smoking Test in Pregnancy. Nicotine patches were no better at increasing smoking cessation during pregnancy than a placebo.
  3. Diabetes in Pregnancy a Risk Factor for CVD. A history of gestational diabetes may be a marker for early atherosclerosis, ...

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From MedPage Today:

  1. Bariatric Surgery Beneficial in Type 1 Diabetes. Overweight patients with type 1 diabetes may make good candidates for bariatric surgery, but unlike with type 2 disease, the procedure doesn't offer a chance of remission.
  2. Young Adults Undertreated for High BP. Primary care physicians may be dropping the ball on getting young adults with hypertension the medication they need to control their ...

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From MedPage Today:

  1. Medicare Will Cover Rehab for CHF Patients. Medicare will cover cardiac rehabilitation services for patients with stable yet chronic heart failure.
  2. Long-Acting GLP-1: The Key to Adherence? The thinking behind long-acting GLP-1 agonists has been that fewer injections should translate to better outcomes -- particularly, better glycemic control -- because diabetic patients should be more compliant if they have to inject ...

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As we address the issue of quality in healthcare, there is much to be learned from other industries. I believe our current approach, though, is a dangerous one, one that won’t yield the desired results. Thus far, we’ve approached quality assurance as if healing were an industrial process, a process similar to those that yield cars, air conditioners, or even cheeseburgers. But in an age where science, technology, and health policy ...

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From MedPage Today:

  1. Two More Levels to Check for Diabetes Risk? Fructosamine and glycated albumin levels could help predict risk of diabetes and microvascular complications, particularly when glycated hemoglobin (HbA1c) levels aren't reliable.
  2. ICU Infections Persist Even With Disposable ECG Wires. Single-use electrocardiogram leads didn't help prevent intensive care unit (ICU) infections compared with standard reusable ones.
  3. Hospitalization Often Avoidable in GI ...

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Recently, I treated a young patient with diabetes in the hospital. Throughout her young life she had struggled with glucose control, and on this day her struggle left her in a state of diabetic ketoacidosis (DKA). DKA is a life-threatening condition that diabetics often face when their body is  unable to uptake enough glucose, leading to utilization of fat and consequential build up of acidic ketones, which cause blood levels ...

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From MedPage Today:

  1. Talk to Patients About Alcohol Use, CDC Urges. Roughly 84% of U.S. adults have never discussed alcohol use with a healthcare professional.
  2. Cancer Stats Show Progress, Hint at Challenges. A steady decline in cancer mortality has added up to a 20% reduction over the past 2 decades, the American Cancer Society reported in its annual review of cancer statistics.

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From MedPage Today:

  1. Tort Reform Alternatives Face Hurdles. Many barriers exist to implementing approaches to medical liability that could serve as alternatives to federal tort reform, a series of studies funded by the Agency for Healthcare Research and Quality (AHRQ) found.
  2. Recommendation of Doc Key to HPV Vaccine Use. Recommendations from physicians might be one of the best ways to increase use of the ...

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From MedPage Today:

  1. Stop Smoking, Cut Cataract Risk. The cataract risk associated with smoking slowly fell after ceasing tobacco use, although not to the level of a never-smoker.
  2. Surgery Tied To Better OS in Huge Liver Tumors. Surgical resection of huge hepatocellular carcinomas was linked with better survival outcomes versus transarterial chemoembolization (TACE).
  3. Possible Diabetes Tx Target Uncovered. Researchers have discovered a ...

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