Clinical Documents

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Draft a comprehensive differential diagnosis for acute substernal chest pain in a 45-year-old male with hypertension and hyperlipidemia, diaphoresis, exertional onset, and normal initial ECG/troponin; include life-threatening causes first, key distinguishing features, and immediate diagnostic next steps.

Draft a detailed differential diagnosis for new-onset unilateral throbbing headache with visual aura and brief monocular vision loss in a 32-year-old female on oral contraceptives; include red-flag symptoms, stroke/TIA considerations, and recommended initial workup.

Draft an assessment and plan for stage-2 hypertension (BP 162/98) in an obese 52-year-old with suspected obstructive sleep apnea; include ASCVD risk estimate, lifestyle prescriptions, first-line pharmacotherapy with drug/dose/targets, baseline labs/monitoring, and 4–6 week follow-up.

Draft an assessment and plan for type 2 diabetes follow-up with A1c 9.2% on metformin 1,000 mg BID and eGFR 65; compare adding a GLP-1 receptor agonist vs an SGLT2 inhibitor, address weight loss goals, hypoglycemia education, vaccinations, and micro/macrovascular screening.

Draft a history and physical for a patient presenting with chest pain, including HPI using OLDCARTS, pertinent ROS, PMH/meds/allergies, FH/SH, focused cardiac/pulmonary exam, initial labs and imaging orders, prioritized differential, HEART score risk stratification, and early management.

Draft a history and physical for a new patient with progressive exertional dyspnea, orthopnea, and bilateral leg edema; include differential (heart failure, COPD, PE, anemia, renal disease), targeted exam maneuvers, and first-line diagnostics and management.

Draft a progress note for COPD follow-up two weeks after an acute exacerbation treated with prednisone and antibiotics; include symptom trajectory, CAT score (if available), inhaler technique/adherence, oxygen needs, spirometry plan, smoking cessation counseling, and return precautions.

Draft a progress note for post-operative day 2 after total knee arthroplasty; include pain control strategy, DVT prophylaxis, PT/OT milestones, wound status, bowel/urinary function, labs/vitals review, complications screening, and discharge readiness.

Draft a discharge summary for community-acquired pneumonia admission; include admission/discharge dates, presenting symptoms, radiology/labs, pathogen if identified, inpatient therapies and response, discharge medications with durations, pending tests, follow-up appointments, and return precautions.

Draft a discharge summary for myocardial infarction managed with PCI and drug-eluting stent placement; include cath findings, complications, inpatient course, discharge medications (DAPT, statin, beta-blocker, ACEi/ARB), cardiac rehab referral, and follow-up plan.

Draft discharge instructions for a patient hospitalized with acute decompensated heart failure; include daily weights, sodium and fluid restriction amounts, medication list with dosing, signs of worsening heart failure, follow-up appointments, and lab monitoring plan.

Draft discharge instructions for an asthma exacerbation; include controller and reliever regimen, steroid taper schedule, spacer technique, trigger avoidance, a written asthma action plan, return precautions, and follow-up timing.

Draft a patient handout on managing high blood pressure in plain language; explain what BP numbers mean, key lifestyle steps (DASH diet, sodium limits, alcohol moderation), home BP monitoring instructions, medication adherence tips, and when to call the doctor.

Draft a patient handout for type 2 diabetes education in plain language; cover A1c goals, the plate method, physical activity targets, self-monitoring of blood glucose, hypoglycemia signs and the 15-15 rule, foot care basics, and a vaccination checklist.

Draft a summary of the latest CDC and WHO guidelines for managing community-acquired pneumonia in adults, including empiric antibiotic choices, duration of therapy, and follow-up recommendations.

Draft a plain-language overview of the ADA and AACE guidelines for diabetes management, focusing on A1c goals, weight management, and the use of GLP-1 receptor agonists and SGLT2 inhibitors.

Draft a summary of the 2024 USPSTF breast cancer screening recommendations, including updated screening intervals, risk-based approaches, and the role of MRI for high-risk patients.

Draft a concise summary of NCCN guidelines for melanoma management, including staging, surgical margins, adjuvant therapy, and checkpoint inhibitor recommendations.

Draft treatment alternatives for community-acquired MRSA skin infections in patients allergic to sulfa drugs; include oral and IV options, dosing, and duration.

Draft treatment alternatives for patients with type 2 diabetes who are unable to tolerate GLP-1 receptor agonists due to nausea; include medication substitutions and lifestyle recommendations.

Draft a summary of options for treating refractory depression, comparing ketamine infusions, transcranial magnetic stimulation (TMS), and electroconvulsive therapy (ECT).

Draft treatment options for advanced prostate cancer, including hormonal therapy, radiopharmaceuticals, and novel androgen receptor pathway inhibitors.

Draft a summary of recent research on mRNA vaccine technology beyond COVID-19, including applications in oncology and autoimmune disease prevention.

Draft an easy-to-understand overview of long COVID research, summarizing major symptoms, hypothesized mechanisms, and emerging treatment approaches.

Draft a summary of current research on Alzheimer’s disease biomarkers, including amyloid and tau imaging, and discuss how they influence diagnosis and trial design.

Draft an explanation of the interaction between warfarin and antibiotics such as ciprofloxacin or TMP-SMX, including INR effects and management recommendations.

Draft a summary evaluating drug interactions for patients taking Paxlovid and common cardiovascular drugs; include mechanism and recommended dose adjustments.

Draft a summary of the common and serious side effects of semaglutide, including GI intolerance, gallbladder disease, and thyroid-related warnings.

Draft an overview of potential side effects associated with long-term corticosteroid use, including osteoporosis, glucose intolerance, and adrenal suppression.

Draft a summary of essential lab tests to order in suspected acute pancreatitis, including amylase, lipase, liver enzymes, and metabolic panels, with interpretation guidance.

Draft laboratory workup recommendations for suspected hypothyroidism, including TSH, free T4, thyroid antibodies, and when to consider secondary causes.

Draft an explanation of which labs should be monitored in patients receiving methotrexate therapy, including CBC, LFTs, renal function, and frequency of monitoring.

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Course: The Brigham Board Review and Comprehensive Update in Critical Care Medicine for NPs and PAs

CME Credits: 26.50

Released: 0000-00-00

Program Description
Learn at Your Own Pace from Critical Care Experts
Earn CME credits and ABIM MOC points while exploring comprehensive updates on basic principles, changing guidelines, and therapeutic strategies with The Brigham Board Review and Comprehensive Update in Critical Care Medicine.
This online video CME program focuses on improving overall knowledge, preparing for board exams, and increasing clinical competency with continuing medical education topics such as:
Goals and management strategies for patients with respiratory failure
Interpretation of data from hemodynamic monitoring devices
Definitions and management of sepsis and shock
Review of mechanical support devices
Identification and treatment of acute cardiovascular emergencies
Neurologic crises and their treatments
Diagnosis and management of critical illness in the pregnant patient
Acute kidney failure and renal replacement therapies
Infectious diseases common in the critically ill and how to prevent some of them
How to best provide nutrition to critically ill patients
Diagnostic and management issues specific to surgical patients
Current guidelines for the management of agitation and delirium
Palliative care in the ICU and post intensive care issues
Other Oakstone Courses
Click to view all specialty board and intensive reviews.
Click to view all Oakstone courses available on myCME.
Topics and Speakers
Click here for a complete list of course topics and speakers.
Intended Audience
The primary group of learners will be fellows/trainees and practicing critical care specialists (MDs), and other professional affiliates (internists with an interest in critical care) who are preparing to take ABIM Board Review or Recertification Examinations or who seek CME activities to improve patient care in the area of critical care medicine. This activity is also appropriate for surgeons who want to update their knowledge in critical care. Currently, the target audience is regional, national, and international.
Board Pass Guarantee
We Guarantee You'll Pass! Diligent course study and successful completion of the CME quiz provides the strongest likelihood of passing board certification or maintenance of certification exams. Oakstone is so confident of your success that we guarantee it. If you do not pass your exam on the first attempt, mail us a copy of your board failure notification, plus our system certificate reflecting your successful completion of the CME quizzes for the board review product purchased. You will receive a credit for the purchase price paid (less any discounts or premium), which you may apply to future purchases with Oakstone. Your exam record will be destroyed. Your board failure notification can be mailed to: Oakstone, P.O. Box 190165, Birmingham, AL 35219. If you have any questions on this policy, please feel free to contact Customer Service at 1-800-633-4743.
Refund Policy for Oakstone Products
Due to the nature of Oakstone’s product, its audio/video format and educational content, no refunds are permitted. You may return the product within 15 days of receipt and receive a credit reflective of the original price you paid for the item. This credit may be applied as payment to any product(s) produced by Oakstone Publishing, LLC.


Educational Objectives
At the conclusion of this course, you should be able to:
Apply current/recommended critical care guidelines in clinical practice
Perform differential diagnosis of complex clinical presentations related to critical care disorders
Identify and apply current therapeutic options for specific critical care disorders
Analyze and interpret up-to-date literature relevant to clinical practice in critical care medicine
Recognize and apply knowledge of pathophysiology as it applies to management of critical care disorders
Apply knowledge gained to the ABIM certification/recertification critical care examinations


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