Learning Objectives for
Case 1: 45-year-old female annual exam
Case 2: 55-year-old male annual exam
- Principles of screening and the characteristics
of a good screening test.
- Risk factors for breast and cervical cancer based
on family history, age, gender and exposure.
- Current recommendations for mammography.
- Current recommendations for Papanicolaou
testing and the different types of testing available.
- Risk factors for osteoporosis and appropriate
- Recommended immunizations for adults.
- Recognize symptoms of menopause.
- Cancer screening appropriate for a woman's yearly
Case 3: 65-year-old female with insomnia
- Individualize the recommendation for cancer
screening for common cancers for an adult male patient (e.g., lung,
colorectal, and prostate).
- State the significance of nutrition and obesity
in health promotion and disease prevention.
- Prescribe an exercise program for a sedentary
- Recommend timely vaccinations based on age,
medical conditions, lifestyle, and environment.
- Perform smoking cessation counseling for patients
- State principles that guide behavior change
Case 4: 19-year-old female with sports injury
- Common causes of insomnia in the elderly.
- Diagnostic criteria for major depressive disorder
- Use history, physical, and tests to rule out
medical causes of depressive symptoms.
- Understand the effects of depression on the
- Common therapeutic options for MDD and their side
- Risk factors for elder abuse.
- Understand the importance of inquiring about the
use of complementary and alternative therapies.
- Understand how culture can affect the evaluation
and treatment of conditions.
Case 5: 30-year-old female with palpitations
- Create a differential diagnosis for ankle pain.
- Perform a focused history and physical
appropriate for painful joints.
- Signs and symptoms of life/limb-threatening
- Use of nonsteroidal anti-inflammatory drugs
(NSAIDs) for strains/sprains.
- Utilize evidence-based medicine indications for
radiologic evaluation of ankle injury.
- Construct a treatment plan for ankle pain,
including RICE (Rest, Ice, Compression, Elevation).
- Provide counseling to the patient regarding
- Understand the role of the family medicine
physician in treating ankle injuries
Case 6: 57-year-old female presents for diabetes care
- Create a differential diagnosis of palpitations.
- Common presentations of hyperthyroidism.
- Common physical findings in hyperthyroidism: Lid
lag, tremor, and hyperreflexia.
- Common causes of hyperthyroidism.
- Initial evaluation of a patient with suspected
- Usual course of a patient with Graves' disease
after radioactive iodine (RAI) treatment.
- Treatment of hypothyroidism after RAI treatment.
Case 7: 53-year-old male with leg swelling
- Incorporate appropriate psychosocial, cultural,
health literacy, and family data into the management plan of a patient
with type 2 diabetes.
- Apply evidence-based standards of care in the
management of a patient with type 2 diabetes mellitus.
- Make informed decisions about diagnosis, monitoring,
and pharmacologic management of type 2 diabetes patients using scientific
evidence and clinical judgment.
- Recognize the barriers to coordination of
diabetes care and envision system-wide improvements that could improve
coordination of diabetes care.
- Recognize the importance of an inter-professional
team approach in the care of patients with diabetes.
- Use of the electronic medical record in the care
of your practice population and in the reporting of quality of care measures.
- Educate the patient about type 2 diabetes with
attention to and respect for the patient's own disease model.
Case 8: 54-year-old male with elevated blood pressure
- Differential diagnosis of unilateral leg
- Differentiate between deep venous thrombosis (DVT),
leg ulcer, and peripheral arterial disease (PAD).
- The importance of smoking as a risk factor of
vascular disease in the diabetic patient.
- Impact of socio-cultural factors on the
management of chronic disease.
- Impact of obesity on health.
- Implications of DVT, its diagnosis, and
- The value of a team-based approach to chronic
Case 9: 50-year-old female with palpitations
- Nationally accepted guidelines for screening,
diagnosing, and staging the severity of hypertension (i.e.,
pre-hypertension, essential hypertension, and resistant hypertension).
- Appropriate elements of the hypertensive patient
history to identify lifestyle and other cardiovascular risk factors, and
assess concomitant disorders that affect prognosis and guide treatment.
- Appropriate elements of a comprehensive physical
examination in hypertensive patients, including proper techniques in blood
- Order recommended laboratory studies on an
uncomplicated new hypertensive patient on initial visits.
- Basic management plans for the longitudinal care
of patients with hypertension.
- Elements of lifestyle modification (including
health education and behavioral change strategies) for hypertensive
- Importance of providing socio-culturally
sensitive and responsive education, counseling, and care to patients and
- Awareness of improved patient care outcomes
through effective communication with all members of the primary care team,
including nutritionists, social workers, and nurses.
- Awareness of practicing cost-effective health
care and resource allocation that does not compromise quality of care.
Case 10: 45-year-old male presenting with low back
- Risk factors for coronary heart disease (CHD).
- Elicit a clear history characterizing chest pain
and the predictive value of these symptoms in diagnosing the underlying
- Differential diagnosis for palpitations based on
an organ system approach.
- Conduct a directed physical to search for
findings to support or exclude differential diagnoses of atypical chest
- Target goals for cholesterol and lipoproteins.
- Role of exercise stress testing for CHD in men
Case 11: 74-year-old female with knee pain
- Differential diagnosis for low back pain.
- Develop physical exam skills in evaluating low
- Develop the skills in the diagnosis and treatment
of low back pain.
- Red flags or alarming symptoms for serious causes
for low back pain.
- Order imaging studies when indicated.
- Appropriate treatment for back pain.
- Refer refractory back pain for consultation and
Case 12: 16-year-old female with vaginal bleeding and
- Obtain thorough history for the chief complaint
of knee pain.
- Components of a thorough knee exam.
- Differential diagnosis for knee pain in an adult.
- Appropriate treatment plan for osteoarthritis,
including medications and lifestyle modifications.
- Recognize when imaging and referral to
specialists are appropriate.
- Classes of medications useful for the treatment
of chronic pain, and their common side effects.
- USPSTF recommendations for appropriate screenings
in adults, including musculoskeletal recommendations.
Case 13: 40-year-old male with a persistent cough
- Essential features of a preconception
consultation and how to incorporate this content into any visit.
- Chlamydia screening.
- Use of the HEEADSS adolescent interviewing
- Diagnose pregnancy: intrauterine, ectopic, and
- Options during an unplanned pregnancy.
- Order initial prenatal labs.
- Counsel pregnant patient for healthy behavior,
folic acid supplementation, and immunizations.
- Normal progression of symptoms and physical exam
findings during pregnancy.
- Workup of first trimester vaginal bleeding.
- Management of a miscarriage, including the
medical and social follow-up.
Case 14: 35-year-old female with missed period
- Differential diagnosis for a patient who presents
with a persistent cough and wheezing.
- Important features of the history and physical
examination that support the diagnosis of asthma.
- Key features of the history and physical
examination that will determine the severity of asthma in the patient.
- Comorbid conditions of asthma that must be
addressed to help the patient control his asthma (Comorbid conditions are
those which may also require treatment in order for asthma control to
- Medications available to treat asthma.
- Appropriate treatment and written asthma action
plan for the patient based on his stage of severity.
- Educate the patient on how to use a peak flow
meter, inhaler, and spacer device.
Case 15: 42-year-old male with right upper quadrant
- Establish diagnosis and timing of pregnancy,
including week of gestation and estimated delivery date.
- Common symptoms of pregnancy, from diagnosis
through the post-partum period.
- Appropriate responses to common problems that
arise during pregnancy, including nausea, back pain, mood changes, and
- Appropriate preventive measures and follow-up
during pregnancy, including diet, exercise, immunizations, and diagnostic
- Appropriate screening tests during and after
pregnancy, including genetic, infectious, blood, hypertension, diabetes,
domestic violence, and depression screening.
- Types of hypertension in pregnancy and common
complications of hypertension in pregnancy.
- Gestational diabetes and common
complications of gestational diabetes.
- Appropriate history, exam, and diagnostic work-up
for vaginal discharge in pregnancy.
- Common etiologies of vaginal bleeding, including
placenta previa and placental abruption
- Appropriate contraceptive options and preventive
care in the post-partum period
- Family-centered, longitudinal perinatal care.
Case 16: 68-year-old male with skin lesion
- Adequate history on a patient with RUQ abdominal
- Perform a diagnostic abdominal exam on a patient
with RUQ abdominal pain.
- Differential diagnosis for someone with right
upper quadrant abdominal pain.
- Order and interpret laboratory and radiologic
tests as they relate to RUQ abdominal pain.
- Screening for substance abuse.
- Manage someone with biliary tract disease
- Counsel patient with alcohol abuse.
Case 17: 55-year-old, post-menopausal female with
- Accurately describe skin lesions
- Terms which describe the morphology, shape, and
pattern of skin lesions.
- Treatment principles of topical corticosteroid
and local and systemic antifungal agents.
- ABCDE criteria for the evaluation of
hyperpigmented lesions as possible melanoma.
- Common biopsy procedures including shave biopsy,
punch biopsy, incisional and excisional biopsies.
- Treatment modalities for squamous cell carcinoma.
- Importance and methods of prevention of skin
- Initial workup and management of benign prostatic
Case 18: 24-year-old female with headaches
- Menopause and common symptoms and treatment
- Differential for postmenopausal bleeding.
- Counsel a patient about the differential,
work-up, and follow-up plan for postmenopausal bleeding.
- Risk factors for osteoporosis and the recommended
screening for osteoporosis.
- Recommended cancer screening for a 50+ year-old
- Risks/benefits of hormone therapy in the
- Counsel patients regarding osteoporosis
Case 19: 39-year-old male with epigastric pain
- Typical presenting signs and symptoms of migraine
headache and contrast these with the typical signs and symptoms of the
most common and most serious causes of headache (tension, cluster, brain
tumor, intracranial hemorrhage, medication use).
- Appropriately focused history on a patient who
presents with headache.
- Focused neurologic exam on a patient who presents
- Indications for ordering imaging tests on a
patient who presents with headache.
- Counsel a patient who presents with headache on
the appropriate prevention and treatment of the headache.
- Importance of continuity of care when treating a
patient who presents with chronic headache.
- Use of point-of-care technology when uncertainty
regarding diagnosis, appropriate evaluation, and/or treatment of a patient
arises during the course of an office visit.
Case 20: 28-year-old female with abdominal pain
- Differential diagnosis for a male patient who
presents with epigastric abdominal pain.
- Key features of the history and physical
examination that support the diagnosis of peptic ulcer disease.
- Differences in diagnostic workup and treatment
for peptic ulcer disease due to Helicobacter pylori (H. pylori) versus
gastroesophageal reflux disease (GERD).
- Differences between ulcer and non-ulcer
- Evidence-based treatment strategies for H. pylori
- Appropriateness of follow-up and testing for
eradication in patients with H. pylori gastritis.
- Potential risks and adverse events associated
with non-judicious use of proton pump inhibitors (PPIs).
- Cultural competency and respect for patients who
will require interpreter services.
Case 21: 12-year-old female with fever
- Conduct a culturally sensitive, empathic history.
- Ways in which victims of violence may manifest
symptoms and be alert to clues a patient may give that he/she has been a
victim of intimate partner violence.
- Ways to assist the patient in developing a safety
- Mandatory reporting requirements for the relevant
- Local resources available to survivors of
- Survivorís perspective in an abusive relationship
and the barriers to his/her seeking help.
- Differential diagnosis of abdominal and pelvic
pain in evaluating the patient.
Case 22: 70-year-old male with new-onset unilateral
- Take a thorough history and perform an
appropriate physical exam in the setting of an acute respiratory illness.
- Order appropriate diagnostic studies, if
necessary, to determine cause of illness and severity of illness, and have
the knowledge to treat acute respiratory infection.
- Accurately identify common positive findings on
physical exam for pneumonia and acute respiratory infection.
- Calculate a body mass index, and determine the
diagnosis of obesity.
- Counsel a pediatric patient and his/her family
regarding appropriate treatment of obesity including diet and exercise.
- The changing pattern of obesity and three
complications of obesity.
Case 23: 5-year-old female with sore throat
- Signs and symptoms of transient ischemic attack
(TIA) and stroke.
- Interpret laboratory data related to patients
with new onset neurological symptoms, particularly numbness or weakness in
an extremity with or without accompanying speech difficulty.
- Assess and interpret target goals for cholesterol
and lipoproteins using the best available guidelines (e.g., National
Cholesterol Education Program Adult Treatment Panel [NCEP ATP] III
- Appropriate therapy for acute stroke and primary
and secondary prevention of stroke.
- Evidence for the role of lifestyle changes in
prevention of stroke.
- Side effects and costs of commonly used
medications for stroke prevention and treatment.
- Importance of effective communication between
physicians, students, patients, and families in the management of
atherosclerotic cardiovascular disease
- Care for patients with coronary artery disease
from diverse patient backgrounds and at different points in their illness.
- Appropriately discuss depression with a patient.
- Commonly used tests to determine the functional
ability of an elderly patient, e.g., the "Timed Up and Go" (TUG)
test, and the MiniĖMental State Examination (MMSE).
Case 24: 4-week-old female with fussiness
- Evaluate a patient with pharyngitis, including
appropriate history and physical examination, use of clinical prediction
rules and appropriate antibiotic use.
- Suppurative and non-suppurative complications of
Group A beta-hemolytic streptococcal pharyngitis (strep throat).
- Health maintenance visit for a 5-year- old.
- Use CDC/ACIP chart in order to determine what
immunizations are required based on age of the patient.
- Contraindications to immunizations.
- Diagnose Attention Deficit Hyperactivity Disorder
- Recommendations for screening of anemia in
- Calculate BMI in a child and be able to identify
a child at risk for obesity.
Case 25: 38-year-old male with shoulder pain
- Fundamental components of an appropriate newborn
and infant history.
- Differential for fussiness in a young infant and
the pathophysiology of colic in infants.
- Physical exam techniques for a newborn and the
basics of growth charting.
- Normal newborn and young infant behavioral norms,
deviations from them, and signs and symptoms of concern in evaluating a
- Fundamentals of screening and assessment of
postpartum blues and postpartum depression.
- Fundamental precepts of family systems thinking
and practice supportive counseling skills which will empower parents to
develop autonomy and mastery as parents.
- Health risk assessment of the young infant and the
fundamentals of screening for such in the newborn period.
Case 26: 55-year-old male with fatigue
- Respect for the patient, physician preceptor, and
- Be a motivated and integral member of the office
healthcare team, partnering effectively with the patient, preceptor, and
- Capacity for self-reflection and mindfulness
concerning the patientís agenda, perspective and comprehension.
- Elicit the patientís chief complaint/concern
--"shoulder pain"-- in an open-ended fashion.
- Elicit the patientís related story/narrative/HPI
about their "shoulder pain" in a fashion that is appropriately
detailed and inclusive of appreciating the functional impact of the
- Physical examination pertaining to the patient's
chief complaint of "shoulder pain" that includes and is guided
by the information gained in the clinical interview.
- Communicate to the physician preceptor the
pertinent interview and examination findings and a related differential
diagnosis pertaining to the patient's chief complaint of "shoulder
pain" in the presence of the patient using patient-centered language.
- Assessment and treatment plan pertaining to the
patient's chief complaint of "shoulder pain" that is subject to
physician preceptor review and patient partnership, providing an
opportunity for ongoing learning and application.
Case 27: 17-year-old male with groin pain
- Differential diagnosis for a patient presenting
- Cost-effective strategy when selecting a
laboratory evaluation of a patient with fatigue.
- U.S. Preventive Services Task Force guidelines
regarding screening for common cancers among adult men and women.
- Principles of clinical epidemiology relevant to
screening and screening guidelines.
- Patient-centered approach to counsel patients on
recommended preventive services.
- Develop an evaluation and management plan for an
adult male with iron deficiency anemia.
- Articulate a compassionate approach to delivering
bad news to a patient.
- Primary care physicianís role in maintaining a
longitudinal therapeutic relationship with a patient during the process of
consultation and referral.
Case 28: 58-year-old male with shortness of breath
- Elicit focused history of patients presenting
with scrotal pain.
- Proficient testicular examination and elicit
signs specific to identify or exclude testicular torsion.
- Differential diagnosis for adolescent male
presenting with scrotal pain.
- Appropriate laboratory and radiological studies
as it relates to the differential diagnosis of scrotal pain.
- Algorithmic approach to testicular pain.
- Management of testicular torsion.
- STIs as a cause of testicular pain among
- Importance of counseling to prevent STIs.
- Epidemiology and USPSTF recommendations for
screening for common testicular cancers.
Case 29: 79-year-old male with dementia
- Differential diagnosis for a patient who presents
with shortness of breath and cough.
- Key features of the history and physical exam
that support the diagnosis of chronic obstructive pulmonary disease
- Organized, effective approach for smoking
- Interpret pulmonary function test (PFT) results.
- Treatment plan for a patient with COPD.
- Counsel a patient on the use of an inhaler.
Case 30: Labor and delivery
- Differentiate among the presentations of
delirium, dementia, and depression in an older adult patient.
- Interpret at least one standardized instrument
(e.g., MiniCog, Mini-Mental State Examination
[MMSE] or Folstein) to screen for cognitive loss
in an older adult patient for whom there are concerns regarding memory or
- Baseline functional abilities (instrumental
activities of daily living, activities of daily living) in an older adult
patient with altered mental status
- Differential diagnosis for acute change in mental
status for a patient with dementia.
- Caregiver stress and its impact on the care of a
patient with dementia.
- Management options, including pharmacological,
non-pharmacological, complementary therapies and caregiver support for an
older adult patient with dementia.
- Therapeutic interventions to prevent or treat
delirium in the hospital setting.
- Role of social service, healthcare agencies,
hospice, and other community organizations to provide care and assistance
to older adult patients with dementia and their families.
Case 31: 66-year old female with shortness
- Advantages of group prenatal care.
- Diagnose active labor.
- Interpret fetal monitoring strips using the
National Institute of Child Health and Human Development (NICHD)
- Affect of culture and health beliefs on pregnancy
- Evaluation and diagnosis of preclampsia, and the
health disparities related to preclampsia.
- Role of the family physician in the management of
prenatal care, labor, delivery, postpartum and newborn care.
- Effective counseling of patients and families
regarding breastfeeding and newborn anticipatory guidance related to
Case 32: 33-year-old female with painful periods
- Nationally accepted guidelines for assessing risk
of developing Coronary Artery Disease (CAD). Risk assessment to the
- Elements of the History of Present Illness (HPI)
and Past Medical History (PMHx) in a patient
having a high risk of CAD and presenting with symptoms and signs
consistent with new onset Congestive Heart Failure (CHF).
- Psycho-social events/stressors that have had an
impact on the patient's recent behaviors, affecting the management of
health problems. Model the interviewing approach to establishing an
empathic connection with the patient, and delineate the advantages of this
- Elements of the physical exam (PE) in a
patient with suspected CAD/CHF. Explain the significance of positive
- Differential diagnosis of the most likely
precipitating factors of CHF, considering the history and presentation of
the identified patient.
- Diagnostic testing strategy for a patient at risk
of CAD, presenting with shortness of breath, and
interpret the test results.
- Patient-centered strategy for counseling a
patient about lifestyle changes and management goals to reduce the risk of
- Reflect on your own personal reactions to the
patient during the interview. Consider the benefits of
self-knowledge to future patient interactions. Model the exploration of
problem-solving solutions which will be acceptable to the provider and the
patient, for use when the patient has not been adherent to treatment
Case 33: 28-year-old female with dizziness
- Risk factors for dysmenorrhea.
- Appropriate history and physical and laboratory
work up of a patient with dysmenorrhea.
- Normal and abnormal physical examination findings
on a pelvic exam.
- Appropriate differential diagnosis for a patient
- Treatment of dysmenorrhea.
- Definition of menorrhagia.
- Evaluation of a patient with possible
premenstrual syndrome (PMS).
- Treatment options for a patient with PMS.
- Use and insertion for the progestin only
intrauterine device (IUD) in a patient with dysmenorrhea.
Case 34: Evaluation and Care of the Newborn
- Recognize and identify common causes of upper
respiratory infections (URI).
- Appropriate use of antibiotics in the treatment
- Counsel patients regarding appropriate
therapeutic measures for URI.
- Effective and empathic strategies for
communicating with patients and families with stressors and from diverse
- Incorporate knowledge about culture and its
impact on the health of patients and families into the treatment plans.
- Identify, differentiate, and discuss the common
causes and treatment options for vertigo, presyncope
- History and physical characteristics that
correlate with different causes of dizziness.
- Exam maneuvers and the significance of physical
exam findings for the diagnosis vertigo.
- Recognize signs and symptoms of dizziness that
may indicate serious disease.
- Indications for use of neuroimaging in evaluation
- Recommend cause-specific treatment for common
causes of vertigo.
Case 35: Infant Well Child (2, 6 and 9
- Benefits of feeding human breast milk to infants.
- Important elements of a prenatal history as they relate
to the health of the unborn child, including the importance of maternal
- Factors in the perinatal and newborn history that
may put a neonate at risk for medical problems.
- Intrauterine factors that affect the growth of
- Indication for newborn screening for TORCH
infections, including human immunodeficiency virus (HIV).
- Factors that affect maternal-to-fetus HIV
transmission and those that play a role in the prevention of vertical HIV
- Key concepts used in the clinical evaluation of
gestational age and stability at birth (e.g., the Ballard score and Apgar
score). Use weight and gestational age to categorize potential clinical
- Medications that are routinely given to all
newborns (e.g., vitamin K, hepatitis B vaccine, eye infection
- Common etiologies for small-for-gestational-age
- Salient physical findings of congenital cytomegalovirus
(CMV) infection and potential long-term complications associated with this
Case 36: 3-Year-old Well Child Check
- Appropriate growth patterns in infants up to 9
months of age using standard growth charts.
- Nutritional requirements for appropriate growth
for infants at ages 2, 6, and 9 months, including caloric requirements,
differences between formula and breast milk, and how and when to add solid
foods to the diet.
- Difference between expected developmental
milestones (surveillance) and standardized tools (screening). Use the
Parents' Evaluation of Developmental Status (PEDS) or other screening test
to evaluate the developmental milestones of the patient at 2, 6, and 9
- Importance of prevention and anticipatory
guidance during the well visits, including behavior, development, safety
- Differential diagnosis for an asymptomatic
abdominal mass and formulate a plan for evaluation.
- Key components of a toddler well-child visit,
Developmental milestones for children between the
ages of 3 and 5 years old.
Eczema and first-line therapy.
Common causes and work-up of anemia in an
otherwise healthy child, as well as first-line therapy of iron-deficiency
Case 37: 8-Year-Old Well Child Check
- The importance of identifying parent concerns in
order to set priorities for the visit effectively.
- The role of the physician in guiding parenting
skills through affirming and validating parent's efforts and recommending
and facilitating modifications in parenting and behavior.
- Nutritional assessment and recommendations for
diet and feeding behaviors.
- Assessment of dental health and common factors
leading to childhood caries.
- Methods for performing developmental assessment
screening tests and developmental surveillance.
- Methods for performing a physical examination
tailored to the age and mood of the child.
- Topics for anticipatory guidance, such as
Case 38: 6-Year-Old with Chronic Cough
that contribute to childhood obesity.
implications of childhood obesity.
presentation of attention-deficit hyperactivity disorder (ADHD) in
that contribute to a child's failure in school.
evaluation of childhood hypertension.
components of a health maintenance visit for a school-aged child.
Case 39: 60-year-old woman with chest pain
- Obtain a focused and relevant history for a chief
complaint of chronic cough.
- Relevant physical exam findings in a complete
- Relevant differential diagnosis for chronic cough
in a school-aged child.
- Atopic diathesis and its relationship to
allergies and asthma.
- Basics of management of allergic rhinitis.
- Work-up for a patient suspected of having asthma.
- Apply the National Institutes of Health/National
Asthma Education and Prevention Program (NIH/NAEPP) asthma severity
criteria and stepwise management to a patient newly diagnosed with asthma.
- Fundamentals of an asthma action plan, including
commonly used medications, peak flow monitoring, and asthma education.
- Be familiar with Web-based asthma resources for
children with asthma and their families.
Case 40: 45-year-old man who is overweight
- Symptoms and signs of chest pain characteristic
of angina pectoris.
- Categorize the patientsí symptoms as angina
pectoris, atypical angina, or non-cardiac chest pain.
- Complete medical history that differentiates
among the common etiologies of chest pain.
- Clinical characteristics that is typical of
angina pectoris, including risk factors of coronary heart disease.
- Perform a physical exam that includes identifying
the presence of dyspnea and anxiety, obtaining accurate vital signs, and
performing heart, lung, and vascular exams.
- Appropriate laboratory and diagnostic studies
based on patient demographics and the most likely etiologies of chest
- Recommend primary and secondary prevention of
ischemic heart disease through the reduction of cardiovascular risk
factors (e.g. controlling hypertension and dyslipidemia, aggressive
diabetes management, avoiding tobacco, and aspirin prophylaxis).
- Prescribe appropriate anti-anginal medications when indicated and communicate
potential adverse reactions.
- Be aware of health implications of obesity.
- Risk factors for obesity-related changes.
- Physical findings of hypercholesterolemia.
- Etiologies of primary and secondary
- Screening recommendations for dyslipidemias in
- Basic management of common dyslipidemias,
including therapeutic lifestyle changes.
- Calculate daily caloric requirement to maintain
weight and daily caloric requirement for weight loss.