Agenda

for the Unusual Board Review Course

DAY ONE: Monday

8 am - 9 am: Registration

9 am - 9:30 am: Mantra for Passing ABIM

9:30 am - 11:00 am: Gastroenterology

Esophageal spasm; Boerhaave syndrome; Pill esophagitis; Barrett’s esophagus; Esophageal stricture; Esophageal cancer; Schatski ring; Achalasia; Esophageal varices; H. pylori gastritis; Peptic ulcer disease; Gastroparesis; Upper GI bleeding.

 11:00 am - 11:30 am Coffee Break

11:30 am - 1.00 pm: Gastroenterology (continued)

Malabsorption syndrome; Inflammatory bowel disease; Irritable bowel syndrome;  Ischemic colitis; Pseudomembranous colitis; Colon polyps/cancer; Occult GI bleeding; Volvulus colon; Pseudo-obstruction; Peutz-Jeghers syndrome; Gardner's syndrome.

1.00 pm - 2 pm: Lunch On Your Own

2 pm - 3:30 pm: Gastroenterology (continued)

Hepatitis A, B, C, D, E; Alcoholic hepatitis; Autoimmune hepatitis; Primary biliary cirrhosis; Gilbert’s syndrome; Bacterial peritonitis; Cholecystitis; Primary sclerosing cholangitis; Pancreatitis; Pancreatic pseudocyst/abscess; Chronic pancreatitis; Pancreatic cancer.

3:30 pm - 4:00 pm: Nutrition

Angulo-stomatitis; Wernicke’s encephalopathy; Vitamin B12 and folic acid deficiencies; Scurvy; Vitamin K deficiency; Zinc deficiency; Selenium deficiency; Vitamin A toxicity.

4:00pm - 4:30pm: Coffee Break

4:30 pm - 5.00 pm: Medical Statistics

P-Value; Null hypothesis; Meta-analysis; Odds ratio. Definitions and calculations of sensitivity, specificity, positive and negative predictive values. Calculation of number of patients needed to treat for benefit when using a new and better drug.

5:00 pm - 6:00 pm: Dermatology

Erythema chronicum migrans; Erythema multiformis; Erythema nodosum; Molluscum contagiosum; Hidradenitis suppurativa; Impetigo; Bullous pemphigoid vs. pemphigus vulgaris; Rosacea; Porphyria cutanea tarda; Vitiligo; Tinea versicolor; Pityriasis rosea; Psoriasis; Dermatitis herpetiformis; Acanthosis nigricans; Tinea; Mycosis fungoides.

DAY TWO: Tuesday

9:00 am - 11:00 am: Infectious Disease

Tuberculosis; Mycobacterium marinum; Fournier gangrene; Epididymitis; Gonococcemia; Painless & painful ulcers of penis; Acute urethral syndromes; Laryngitis; Pneumonia; Legionella; Toxic shock syndrome; Acute HIV syndrome; AIDS and related conditions; Infective endocarditis; Rocky Mountain Spotted fever; Lyme disease; Q fever; Tularemia; Anthrax; Psittacosis; Cat Scratch Disease; Nocardiosis; Sporotrichosis; Infections of intravascular devices; Infections following splenectomy.

11:00 am - 11:30: Coffee Break

11:30 am - 12 pm: Preventive Medicine

TB prophylaxis. Prophylaxis for influenza, varicella, polio, hepatitis,  HIV,  malaria,  and endocarditis. Vaccination for elderly population. Vaccination in HIV patients. 

12:00 pm - 1:00pm:  Ophthalmology/ENT

Red eye; Glaucoma; Normal fundus; Hypertensive retinopathy; Diabetic retinopathy; Lipemic retinopathy; CMV retinopathy; Optic atrophy; Central retinal vein thrombosis; Central retinal artery occlusion; Roth spots; Athero-embolic fundus; Macular degeneration; Acute and chronic sinusitis; Swimmer's ear; Malignant otitis externa; Acute otitis media; Weber’s & Rinne’s test; Meniere’s syndrome; Vertigo; Acoustic neuroma.

1:00pm - 2  pm: Lunch On Your Own

2:00 pm - 4:00 pm: Rheumatology

Osteoarthritis; Spinal stenosis; Ankylosing spondylitis; Reiter's syndrome; Rheumatoid arthritis/complications; Psoriatic arthritis; Gout; Pseudogout; Fibrositis; Polymyalgia rheumatica; Temporal arteritis; Dermatomyositis; Polyarteritis nodosa; Raynaud's phenomenon; SLE; Sjogren’s syndrome; Scleroderma; Wegener’s granulomatosis; Antibodies in Rheumatology; Joint fluid analysis; Kawasaki disease; Behcet's syndrome.

4:00 pm - 4:30 pm: Coffee Break

4:30 pm - 6:00 pm: Sports Medicine

Rotator cuff tendinitis; Rotator cuff tear; Frozen shoulder; Tennis elbow;  Olecranon bursitis; Carpal tunnel syndrome; Meralgia paresthetica; Aseptic necrosis bone;         Trochanteric bursitis; Anserine bursitis; Meniscal tear; Cruciate ligament tear; Tarsal  tunnel syndrome; RSD; Morton's neuroma;  Plantar fasciitis and calcaneal spur.

DAY THREE: Wednesday

9:00 am - 11:00 am: Pulmonary Disease

Alpha-1 antitrypsin deficiency; Cystic fibrosis, Kartagener syndrome; Bronchiectasis; Allergic pulmonary aspergillosis; Invasive aspergillosis; Solitary pulmonary nodule; Pneumoconiosis; Hypersensitivity pneumonitis; Sarcoidosis; Idiopathic pulmonary fibrosis; Community-acquired pneumonia; Aspiration pneumonia; Pneumonia in IV drug abuser; BOOP; Hemoptysis. Goodpasture's syndrome vs. Wegener's granulomatosis.

11:00 am - 11:30 am: Coffee Break

11:30 am - 12:00 noon: Pulmonary Disease (continued)

Pulmonary function tests; Dry cough; Asthma; COPD; Obstructive vs. restrictive pulmonary disease; Pulmonary embolism; Silo filler's disease; Pneumothorax; Pleural effusion; High altitude sickness.

12 pm - 1pm:  Allergy/Immunology

Allergy to radio-contrast media; Anaphylactoid vs. anaphylactic reactions; Type I, II, III, and IV reactions; Atopic dermatitis; Patch test; Latex allergy; Skin tests vs. RAST; Inherited C2 deficiency; Early and late complement deficiencies; Wasp sting/bee sting; IgA deficiency; Hereditary angioedema; Carcinoid syndrome; Systemic mastocytosis.

1pm - 2 pm: Lunch On Your Own

2 pm - 4:00 pm: Critical Care Issues

Pulmonary artery pressure and hemodynamic monitoring in various types of shock. Mixed venous oxygen saturation; Basic ventilator settings; Complications of mechanical ventilation; Weaning from ventilator; Peak and plateau pressures; Static compliance vs. dynamic compliance; Flow loops; Questions on DVT and pulmonary emboli; Fat emboli; Sleep apnea; Brain death.    

 4:00 pm - 4:30 pm: Coffee Break 

4:30 pm - 6:00 pm: Toxicology/ Drug Interactions

Carbon monoxide poisoning; Salicylate poisoning; Tylenol toxicity; Lithium toxicity; Ethylene glycol, methanol and isopropyl alcohol intoxications. Organophosphate poisoning; Botulism; Cocaine toxicity. Various drug interactions and side effects.

DAY FOUR: Thursday

9:00 am - 11:00 am: Cardiology

Jugular venous pulse; Effects of physiologic and pharmacologic interventions on heart murmurs; Murmurs of mitral stenosis; Cardiomyopathy (congestive, restrictive,  hypertrophic, post-partum); IHSS vs. aortic stenosis; Coarctation of aorta; ASD; VSD; Pulmonary stenosis; Aortic stenosis; Acute right ventricular infarction; Constrictive pericarditis;  Pericardial tamponade.

11:00 am - 11:30 am: Coffee Break 

11:30 am - 1:00 pm: Cardiology (continued)

Pre-operative/Peri-operative risk factors for acute MI in non-cardiac surgery. Indications for surgery in endocarditis. Questions on hypertension. Risk factors for CAD; Mechanism of CAD; Treadmill EKG; Thallium stress test; Stable angina; Unstable angina; Indications of cardiac catheterization; Indications and contraindications to thrombolytic therapy; Indications for PTCA and CABG.

1pm  - 2 pm: Lunch On Your Own 

2 pm - 4 pm: Cardiology (continued)

Management of acute MI; Complications of acute MI. SVT; Atrial flutter; Atrial fibrillation; EKG and electrolyte disturbances; MAT; LVH; RVH; WPW syndrome; Acute pericarditis; Heart blocks; Idioventricular rhythm; Ventricular tachycardia; Ventricular fibrillation; Torsades-de-pointes; Indications for Pacemakers; Indications for EP studies.

 4:00 pm - 4:30 pm: Coffee Break

4:30 pm - 5:30 pm: Geriatrics

Biology of aging; Assessment of functional status of elderly persons; Geriatric care issues; Dementia; Delirium; Alzheimer's disease; Post-operative confusion in elderly patients. Urological syndromes of incontinence in elderly; Falls; Decubitus ulcers; Presbycusis; Macular degeneration.

5:30 pm - 6:00 pm: Ethical Issues

Board-type questions and answers on ethical issues in Internal Medicine including those relating to incompetent patient, patient's rights, advance directives, durable power of attorney for health care, and problems associated with HMOs and physician's behavior.

DAY FIVE: Friday

9:00 am - 11:00 am: Endocrinology

Prolactinoma; Acromegaly, Cushing’s disease; Amenorrhea; Turner syndrome;  Hypogonadotropic hypogonadism; Polycystic ovarian disease; Hirsutism;  Anorexia nervosa; Bulimia; Klinefelter syndrome;  Euthyroid sick syndrome; Thyroid nodule; Thyroiditis; Thyroid cancer; MEN-I, MEN-II, MEN III syndromes; Hyperparathyroidism;  Cushing’s syndrome; Addison’s disease; Polyglandular autoimmune syndrome.

11:00 am - 11:30 am: Coffee Break

11:30 am - 12:00 noon: Metabolism 

Diabetes mellitus; Insulinoma; Factitious hypoglycemia; Hyperosmolar coma; Diabetes insipidus vs. primary polydipsia; Osteoporosis; Osteomalacia; Hyperlipidemia, Wilson's disease; Hemochromatosis; Porphyria cutanea tarda; Paget's disease of the bone.

12 noon - 1pm:  Obstetrics & Gynecology

Vaginitis; Acute PID; PAP smear findings; Menopausal syndrome; Endometriosis; Contraceptive pills; Medical conditions and pregnancy (hypertension, diabetes mellitus,  hyperthyroidism, UTI, ITP,  HELLP syndrome).

1 pm - 2 pm: Lunch On Your Own

2 pm - 3 pm:  Psychiatry

Anxiety disorders; Principles of benzodiazepine therapy; Anti-psychotic agents; Neuro-leptic malignant syndrome; Tardive dyskinesia; Akathisia; Dystonia; Schizophrenia;   Depression;  Anti-depressants; Manic-depressive disorder; Panic disorder;  Obsessive compulsive disorder; Somatization disorders.

3 pm - 4 pm: Nephrology

Urine cast; Pre-renal azotemia; ATN; Rhabdomyolysis; Contrast induced renal disease;   Allergic interstitial nephritis; Renal effects of certain drugs; Membranous nephropathy;  Minimal change disease; Diabetic nephropathy; Amyloid nephropathy; Post-streptococcal nephritis; IgA nephropathy; Goodpasture syndrome; Lupus nephritis; RTAs; Renal stones.

4:00 pm - 4:30 pm: Coffee Break

 4:30 pm - 6:00 pm: Nephrology (continued) & Acid-Base Disturbance

Malignant hypertension; Bartter’s syndrome; Acute and chronic renal failure. Acid base disturbance in vomiting, diarrhea, and diuretic use; Normal anion gap acidosis;  high-anion gap acidosis;  Hypernatremia; hyponatremia; Hyperkalemia;  Mixed acid-base disturbance.

DAY SIX:  Saturday

9:00 am - 11 am: Hematology

Anemia of chronic disease; Aplastic anemia; Sideroblastic anemia; Microcytic anemia; Megaloblastic anemia; Hemolytic anemia; Thalassemia; Sickle cell anemia; Polycythemia; TTP; ITP; DIC; G6PD deficiency; Hereditary spherocytosis; Von-Willebrand disease; Hypercoagulable states; Hairy cell leukemia; CML; CLL; AML; ALL; Myelofibrosis; Myeloid metaplasia, Blood transfusion reactions; Important blood smears. 

11:00 am - 11:30 am: Coffee Break

11:30 am - 1pm: Neurology

Cerebral hemorrhage; Lacunar infarction; Normal pressure hydrocephalus; Vasovagal syncope; Myasthenia gravis; Multiple sclerosis; Diabetic neuropathy and cranial nerve palsies, TIA; Carotid vs. Vertebrobasilar ischemia; Migraine; Parkinsonism; Ulnar nerve/Radial nerve/Median nerve palsies; Peroneal nerve palsy; Morton’s neuroma;  RSD;  Restless leg syndrome; Ramsay Hunt syndrome.   

1 pm - 2 pm: Lunch On Your Own

2 pm - 4 pm:  Oncology

Prostate cancer; Spinal cord compression syndrome; Paraneoplastic syndromes and lung cancer; Management of non-small cell lung cancers and small cell lung cancers; Colo-rectal cancer; Testicular cancer; Breast cancer; Tamoxifen toxicity; Hodgkin’s disease; MGUS; Multiple myeloma; Ovarian cancer; Endometrial cancer; Cancer cervix. Squamous cell cancer skin; Basal cell carcinoma skin; Melanoma; Tumor lysis syndrome;  Localized lymphadenopathy.

4:05 pm:  Adjournment