AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY, INC. SUBSPECIALTY CERTIFICATION EXAMINATION IN NEUROMUSCULAR MEDICINE
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1 SUBSPECIALTY CERTIFICATION EXAMINATION IN NEUROMUSCULAR MEDICINE 2014 Content Blueprint (December 3, 2013) Number of questions: 200 I. Motor neuron disease (ALS, SMA, infectious/ postinfectious, paraneoplastic, focal) 13 17% II. Root (cervical/thoracic/l-s [disc, spondylosis, tumor]) 4 6% III. Plexus (brachial/lumbosacral [inflammatory, infectious, neoplastic, trauma, congenital, hereditary, other]) 4 6% IV. Nerve A. Mononeuropathy (cranial, somatic, etc.) B. Mononeuropathy Multiplex C. Axonal (drugs/toxins, paraneoplastic, infectious, inflammatory, hereditary, sarcoid, amyloid, porphyria, diabetes, etc.) D. Demyelinating/dysmyelinating disorders (inflammatory, 28 32% infectious/postinfectious, hereditary, toxic, diabetes, paraprotein, paraneoplastic, etc.) E. Dorsal root ganglia (diabetes, nutritional, toxin, metabolic, inflammatory, hereditary, etc.) F. Autonomic (diabetes, amyloid, hereditary, etc.) V. NMJ (MG, LEMS, botulism, toxins, congenital MG) 13 17% VI. Muscle (dystrophies [DMD, Becker, FSHD, LGD, myotonic, OPMD], inflammatory [PM, DM, IBM, sarcoid, HIV], metabolic/endocrine, toxic [statins], critical illness, congenital, mitochondrial, channelopathies, rhabdomyolysis [NMS, etc.], hyperckemia, floppy infant) 28 32% TOTAL 100% Note: A more detailed content outline is shown below ABPN Content Specifications Page 1 of 8 Posted: December 3, 2013
2 SUBSPECIALTY CERTIFICATION EXAMINATION IN NEUROMUSCULAR MEDICINE 2014 Content Outline Content Areas I. Motor neuron disease (ALS, SMA, infectious/ postinfectious, paraneoplastic, focal) 2. Pathology (nerve, muscle, skin, other) 3. Genetics 4. Imaging 5. Laboratory testing 6. Immunology 7. Comorbidity screening b. Rehabilitation ii. Assistive devices iii. Assistive technology iv. Braces v. Physical therapy/occupational therapy vi. Pulmonary vii. Speech/swallowing 2014 ABPN Content Specifications Page 2 of 8 Posted: December 3, 2013
3 II. viii. Nutritional management c. Surgery d. Quality of life a. Initial b. End of life Root (cervical/thoracic/l-s [disc, spondylosis, tumor]) 2. Pathology (nerve, muscle, skin, other) 3. Genetics 4. Imaging 5. Laboratory testing 6. Immunology 7. Comorbidity screening b. Rehabilitation ii. Assistive devices/technology iii. Braces iv. Physical therapy/occupational therapy v. Pulmonary c. Surgery d. Quality of life 2014 ABPN Content Specifications Page 3 of 8 Posted: December 3, 2013
4 III. IV. Plexus (brachial/lumbosacral [inflammatory, infectious, neoplastic, trauma, congenital, hereditary, other]) 2. Pathology (nerve, muscle, skin, other) 3. Genetics 4. Imaging 5. Laboratory testing 6. Immunology 7. Comorbidity screening b. Rehabilitation ii. Assistive devices/technology iii. Braces iv. Physical therapy/occupational therapy v. Pulmonary c. Surgery d. Quality of life Nerve A. Mononeuropathy (cranial, somatic, etc.) 2014 ABPN Content Specifications Page 4 of 8 Posted: December 3, 2013
5 B. Mononeuropathy Multiplex C. Axonal (drugs/toxins, paraneoplastic, infectious, inflammatory, hereditary, sarcoid, amyloid, porphyria, diabetes, etc.) D. Demyelinating/dysmyelinating disorders (inflammatory, infectious/postinfectious, hereditary, toxic, diabetes, paraprotein, paraneoplastic, etc.) E. Dorsal root ganglia (diabetes, nutritional, toxin, metabolic, inflammatory, hereditary, etc.) F. Autonomic (diabetes, amyloid, hereditary, etc.) 1. Clinical a. Natural history/prognosis b. Symptoms and physical findings c. Anatomy d. Epidemiology e. Differential diagnosis 2. Pathogenesis 3. Diagnostic testing a. Physiology/electrophysiology b. Pathology (nerve, muscle, skin, other) c. Genetics d. Imaging e. Laboratory testing f. Immunology g. Comorbidity screening 4. Management acute and chronic a. Symptom management/disease modification i. Pharmacology ii. Rehabilitation aa. Exercise bb. Assistive devices/technology cc. Braces/orthotics dd. Physical therapy/ occupational therapy ee. Cardiopulmonary ff. Speech/swallowing 2014 ABPN Content Specifications Page 5 of 8 Posted: December 3, 2013
6 gg. Nutritional management iii. Surgery aa. Nerve biopsy iv. Quality of life b. Ethics/professionalism c. Counseling V. NMJ (MG, LEMS, botulism, toxins, congenital MG) 2. Edrophonium test 3. Pathology (nerve, muscle, skin, other) 4. Genetics 5. Imaging 6. Laboratory testing 7. Immunology 8. Comorbidity screening i. Cholinesterase inhibitors ii. Immunomodulation iii. IV Ig b. Plasma exchange c. Ventilatory support d. Surgery i. Thymectomy ii. Tracheotomy 2014 ABPN Content Specifications Page 6 of 8 Posted: December 3, 2013
7 VI. e. Rehabilitation ii. Assistive devices/technology iii. Physical therapy/occupational therapy iv. Pulmonary v. Speech/swallowing vi. Nutritional management f. Quality of life Muscle (dystrophies [DMD, Becker, FSHD, LGD, myotonic, OPMD], inflammatory [PM, DM, IBM, sarcoid, HIV], metabolic/endocrine, toxic [statins], critical illness, congenital, mitochondrial, channelopathies, rhabdomyolysis [NMS, etc.], hyperckemia, floppy infant) 2. Pathology (nerve, muscle, skin, other) 3. Genetics 4. Imaging 5. Laboratory testing 6. Ischemic lactate test 7. Immunology 8. Comorbidity screening b. Rehabilitation 2014 ABPN Content Specifications Page 7 of 8 Posted: December 3, 2013
8 ii. Assistive devices iii. Assistive technology iv. Braces v. Physical therapy/occupational therapy vi. Pulmonary vii. Speech/swallowing viii. Nutritional management c. Surgery i. Muscle biopsy ii. Tendon release d. Quality of life a. End of life 2014 ABPN Content Specifications Page 8 of 8 Posted: December 3, 2013
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