Certifying Exam Cases

Clinical Decision-Making Case: Non-Accidental Trauma

H Michelle Greene, DO*, Anne P Runkle, MD*^, Jennifer M Mitzman, MD*^, Christopher E San Miguel, MD, MEd^, Krystin N Miller, MD^, Simiao Li-Sauerwine, MD, MSCR^, Geremiha Emerson, MD^, Sorabh Khandelwal, MD^, Kelsey H Jordan, PhD, MPH^ and Jennifer Yee, DO, MAEd^

DOI: https://doi.org/10.21980/J8.53233 Issue 10:5[mrp_rating_result]
By the end of this clinical decision-making case, learners will be able to: 1) demonstrate familiarity with the CDM case format and case play, 2) describe important historical information to obtain when suspecting non-accidental trauma, 3) recognize potential physical exam findings in non-accidental trauma, 4) justify appropriate diagnostic studies based on clinical findings and current evidence on occult injury in suspected pediatric abuse, and 5) propose an appropriate disposition plan for patients with non-accidental trauma.
Board ReviewCertifying Exam CasesClinical Decision-MakingPediatricsTrauma

Prioritization: Run This Board: Septic Shock, Acute Coronary Syndrome, Small Bowel Obstruction, and Penetrating Chest Trauma

Colleen Donovan, MD1, Nicole Novotny, MD2, Charles Lei, MD3, Alaa Aldalati, MBBS4, Andrew Melendez, DO5, Neil Wallace, MD6, Tiffany Moadel, MD7, Stephanie Stapleton, MD8 and Shagun Berry, DO9

DOI: https://doi.org/10.21980/J8.52355 Issue 10:5[mrp_rating_result]
By the end of this case learners will be able to: 1) Become familiar with format of a prioritization case (a component of the ABEM Certifying Exam), 2) Practice their ability to prioritize multiple patients and provide stabilizing care, 3) Consider changes in status/patient acuity/new cases as presented, 4) Understand how to utilize team resources appropriately.
Abdominal/GastroenterologyBoard ReviewCardiology/VascularCertifying Exam CasesInfectious DiseaseNeurologyOb/GynPediatricsPrioritizationTrauma

Prioritization: Intracranial Hemorrhage, Testicular Torsion, and Tricyclic Antidepressant Toxicity Presenting to a Community Emergency Department

Brian Milman, MD*, Marshall Howell, MD*, Joshua Ginsburg, MD* and Samuel Parnell, MD*

DOI: https://doi.org/10.21980/J8.52346 Issue 10:5[mrp_rating_result]
By the end of this case learners should: 1) Become familiar with the format of a prioritization case (a component of the ABEM Certifying Exam), 2) demonstrate their ability to prioritize multiple patients and provide stabilizing care, 3) consider changes in status/patient acuity/new cases as presented, 4) understand how to utilize team resources appropriately.
Board ReviewCertifying Exam CasesNeurologyPrioritizationToxicologyTraumaUrology

Myopericarditis and Pulmonary Edema

Lubna Ahmad Saffarini, MBBS*^

DOI: https://doi.org/10.21980/J8.52187 Issue 10:4[mrp_rating_result]
At the end of this oral board session, learners will be able to: 1) Demonstrate the ability to evaluate and treat a somnolent and hypoxic patient, 2) Identify a critical airway situation and manage it with a holistic approach, 3) Interpret the history, physical examination, ECG, and chest x-ray findings and discuss the list of differential diagnoses, 4) Identify a state of cardiogenic shock induced by myopericarditis and treat it appropriately, 5) Assess the presence of pericardial effusion and cardiac tamponade utilizing bedside echocardiography.
Current IssueCardiology/VascularCertifying Exam Cases

A Recipe for Disaster – Sodium Bicarbonate Overdose

Adeola A Kosoko, MD*, Amara Ogoke, MD* and Kyle Vogt, MD^

DOI: https://doi.org/10.21980/J8MW85 Issue 10:3[mrp_rating_result]
At the end of this oral board session, learners will be able to: 1) obtain a history which includes medications and other supplements used by the patient, 2) interpret a prolonged QTc, 3) diagnose metabolic alkalosis due to sodium bicarbonate toxicity, and 4) manage sodium bicarbonate toxicity with fluid and electrolyte resuscitation.
Certifying Exam CasesToxicology

Posterior Reversible Encephalopathy Syndrome and Eclampsia

Kristina Jacomino, MD*, Kevin Tomecsek, MD*, Andrew Little, DO* and Mary Mclean, MD*

DOI: https://doi.org/10.21980/J8H64T Issue 10:3[mrp_rating_result]
At the end of this oral boards session, examinees will be able to: 1) demonstrate familiarity with the structured interview oral board format and case play; 2) recognize the history and exam features concerning for PRES and eclampsia; 3) order appropriate diagnostic workup for postpartum and hypertensive emergencies including eclampsia and PRES; 4) understand treatment options for the management of eclampsia (intravenous [IV] magnesium sulfate, IV antihypertensive therapy, and emergent consultation with an obstetrician [OB/GYN]); 5) understand threshold for taking control of airway in patients with eclampsia; 6) understand indications for ordering brain imaging in patients with eclampsia and altered mental status; and 7) demonstrate effective communication with treatment team/family members as well as correct disposition of the patient to a higher level of care (intensive care unit [ICU]).
Certifying Exam CasesNeurologyOb/Gyn

The Silent Saboteur: Teaching the Clinical Implications of Occult Hypoxemia & Social Determinants of Health via a Pulmonary Embolism Case

Eugene Marrone, MD*, John Cafaro, MD* and Jared Klein, DO*

DOI: https://doi.org/10.21980/J8FD14 Issue 10:2[mrp_rating_result]
By the end of this oral board case, learners will be able to: 1) obtain appropriate history of present illness (HPI) and physical exam elements for the undifferentiated chest pain patient, 2) identify elements of history and physical exam that are compatible with pulmonary embolism, 3) formulate a differential diagnosis for chest pain and perform the appropriate work-up to narrow this differential diagnosis, 4) appropriately manage pulmonary embolism, 5) review and discuss the diversity, equity and inclusion (DEI) elements of the case, and 6) review and discuss the importance of social determinants of health (SDH) in disposition decisions and patient outcomes.
Cardiology/VascularCertifying Exam CasesSocial Determinants of Health

Diabetic Ketoacidosis and Necrotizing Soft Tissue Infection

Matthew Henschel, DO* and Stephanie Songey, DO^

DOI: https://doi.org/10.21980/J89M0K Issue 10:2[mrp_rating_result]
At the end of this oral board session, examinees will: 1) Demonstrate the ability to obtain a complete medical history and physical exam. 2) Identify and appropriately treat DKA. 3) Identify, treat, and make appropriate consults for NSTI. 4) Demonstrate effective communication of the treatment plan with the patient.
Certifying Exam CasesEndocrineInfectious Disease