JAAPA CME Post-Test September 2018
Amyotrophic Lateral Sclerosis: A Guide to Collaborative Care | Recommendations for Evaluating and Managing Idiopathic Pulmonary Fibrosis
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Amyotrophic Lateral Sclerosis: A Guide to Collaborative Care

Carrie Smith Nold, MPA, PA-C

With the incidence of amyotrophic lateral sclerosis (ALS) increasing over recent decades, wide variability in disease presentation, and a median survival of only 2 to 4 years from disease onset, timely referral is key for patients with suspected ALS. This activity discusses primary care providers’ roles in recognizing ALS and managing symptoms in patients whose travel to specialists can become restricted in the later stages of the disease.

Learning Objectives

Upon completion of this activity, participants will be able to:

  • Describe the ways in which ALS may present and how these contrast with conditions that mimic ALS.
  • Provide a management strategy for ALS that encompasses pharmacologic and non-pharmacologic modalities.

Recommendations for Evaluating and Managing Idiopathic Pulmonary Fibrosis

Daniel M. Provencher, PA-C; Andrew R. Jauregui, PhD

Idiopathic pulmonary fibrosis (IPF) is a chronic lung disease characterized by progressive and irreversible fibrosis of lung parenchyma that reduces lung function. This rare, incurable disease often is mistaken for an inflammatory condition. IPF typically manifests in older men and is associated with a history of smoking. Disease progression is rapid, with a 5-year survival rate of 20%. Treatment options include lung transplantation and medical therapies to reduce the steady decline in lung function. This activity reviews the epidemiology, pathophysiology, presentation, diagnosis, and management of IPF.

Learning Objectives

Upon completion of this activity, participants will be able to:

  • List the risk factors for developing IPF.
  • Describe the clinical features and diagnostic strategy of IPF.
  • Compare and contrast the treatments for IPF, listing the major adverse reactions to each.

Accreditation Statement


This activity has been reviewed by the AAPA Review Panel and is compliant with AAPA CME Criteria. This activity is designated for 1.0 AAPA Category 1 CME credit. PAs should only claim credit commensurate with the extent of their participation. Approval is valid through September 30, 2019. 

Disclosure Policy Statement

It is the policy of AAPA to require the disclosure of the existence of any significant financial interest or any other relationship a faculty member has with the commercial interest of any commercial product discussed in an educational presentation. The participating faculty reported the following:

Carrie Smith Nold is an assistant professor and didactic coordinator of the PA program at the Philadelphia College of Osteopathic Medicine’s Georgia campus in Suwanee, Ga. Daniel M. Provencher is an assistant professor and clinical coordinator at Midwestern University in Downers Grove, Ill. At the time this article was written, Andrew R. Jauregui was a student in the PA program at Midwestern University.The authors have disclosed no potential conflicts of interest, financial or otherwise.

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Type:     Journal-based CME
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