MKSAP 15 Errata and Revisions
Corrections have been made in MKSAP 15 Online and Mobile, but not in the Print and CD-ROM versions of MKSAP 15.
Cardiovascular Medicine
Page 79 (Valvular Heart Disease, Endocarditis, Prophylaxis): The last sentence in column 2 should read as follows: "Oral prophylaxis is a single 2-g dose of amoxicillin taken 30 to 60 minutes before the procedure. Options for patients allergic to penicillins or ampicillins include cephalexin (2 g), clindamycin (600 mg), or azithromycin or clarithromycin (500 g)." (Added Jan. 2010)
Gastroenterology and Hepatology
Page 7, Table 4, the third column head should read "5-year Survival Rate (%)" not "5-year Mortality Rate (%). (Added Jan. 2010)
General Internal Medicine
In a recommendation statement published in November 2009, after MKSAP 15 General Internal Medicine went to press, the U.S. Preventive Services Task Force (USPSTF) issued revised recommendations regarding breast cancer screening. The revised guidelines can be accessed at http://www.annals.org/content/151/10/716.full. (Added Jan. 2010)
Page 173, item 12, second paragraph of Critique: The Critique states "No randomized trial has compared varenicline with nicotine replacement therapy alone." In fact, there has been one randomized, open-label trial that demonstrated varenicline was somewhat more effective compared with the nicotine patch. The study is Aubin HJ, Bobak A, Britton JR, Oncken C, Billing CB Jr, Gong J, Williams KE, Reeves KR. Varenicline versus transdermal nicotine patch for smoking cessation: results from a randomised open-label trial. Thorax. 2008 Aug;63(8):717-24. Epub 2008 Feb 8. PubMed PMID: 18263663; PubMed Central PMCID: PMC2569194. This Cochrane review also includes the following study: Cahill K, Stead LF, Lancaster T. Nicotine receptor partial agonists for smoking cessation. Cochrane Database Syst Rev. 2008 Jul 16;(3):CD006103. Review. PubMed PMID: 18646137. The greatest weakness of the study was that documentation of abstinence from smoking was by self-report. Nevertheless, this study contradicts the content of the Critique, but the keyed (correct) answer is unchanged. (Added Jan. 2010)
Hematology and Oncology
Page 27, left column, sixth line: "Hemoglobin H disease (γ4)..." should read "Hemoglobin H disease (β4)..." (Added Jan. 2010)
Infectious Disease
Page 38, Table 24: The entry for Pelvic Inflammatory Disease under the Chlamydial Infections heading states "Ceftriaxone 250 mg IM in a single dose; or ceftriaxone 2 g IM once plus probenecid..." It should read "Ceftriaxone 250 mg IM in a single dose; or cefoxitin 2 g IM once plus probenecid..." (Added Jan. 2010)
Pulmonary and Critical Care Medicine
Page 145, right column, item 64: Text in the critique and key point states "...initial screening with supine and upright abdominal radiographs to look for air-fluid levels, suggestive of a perforated viscus, should be done." It should say "...initial screening with supine and upright abdominal radiographs to look for air-fluid levels, suggestive of a bowel obstruction, and free peritoneal air, suggestive of a perforated viscus, should be done." (Added Jan. 2010)
Rheumatology
Page 23, Figure 9: The diagram shown mistakenly depicts the metacarpophalangeal (MCP) joint as having osteoarthritic involvement. The carpometacarpal joint, which is the circle directly above the MCP joint in the diagram, should have been shaded to show osteoarthritic involvement. (Added Jan. 2010)
Page 138, Item 69: The Educational Objective reads "Manage suspected reactivation tuberculosis." It should read "Diagnose and treat a patient at risk for latent tuberculosis." (Added Jan. 2010)
Normal Laboratory Values
Creatinine: The conversion factor used to calculate SI laboratory value units was incorrect. The correct SI conversion factor is 88.4. (Added Jan. 2010)
Ferritin: Ferritin SI units were incorrectly presented as "mg/L" in some instances. The appropriate presentation of ferritin SI units is "μg/L." The SI conversion values themselves are correct. (Added Jan. 2010)
Board Basics 2
Page 8, Cardiovascular Medicine section: The statement indicating that Prinzmetal angina is associated with ST-segment "depression" should be changed to ST-segment "elevation." (Added Jan. 2010)