JAAPA CME Post-Test February 2026
Female Chronic Pelvic Pain: From Trauma-Informed Assessment to Evidence-Based Treatment
Female chronic pelvic pain (CPP) is a common, complex, multifactorial disorder that can negatively affect sexual functioning and emotional well-being. Effective assessment necessitates a comprehensive patient history and trauma-informed physical examination. The differential diagnosis is extensive, but a methodical investigation often leads to an appropriate diagnosis. Management strategies encompass a range of pharmacologic and nonpharmacologic interventions, including neuropathic medications, hormone therapies, pelvic floor physical therapy, trigger point injections, and behavioral health interventions. A multidisciplinary, evidence-based approach is essential for patients with CPP.
Learning Objectives
At the conclusion of this activity, participants should be able to:- Integrate a trauma-informed gynecologic examination when a patient presents with CPP
- Compare the most common underlying causes of CPP
- Formulate an evidence-based workup for a patient with CPP
- Create a management plan that utilizes best practices and interdisciplinary resources
Managing the Wait: A Practical Guide to Diagnosis and Management of Common Endocrine Conditions
Wait times for endocrinology care can delay diagnosis and
management of many hormonal imbalance disorders. Physician associates (PAs) are now, more than ever, faced with the task of ordering and interpreting complex laboratory tests to diagnose these endocrine disorders in the face of specialty care shortages. When primary care providers diagnose a disorder, it speeds therapy initiation and slows or stops the risk of complications. This article aims to assist PAs in nonendocrinology settings by clarifying various confounding factors that may impede diagnosis, as well as to provide guidelines and practical advice for the diagnosis and treatment of common endocrine disorders.
Learning Objectives
At the conclusion of this activity, participants should be able to:- Perform the initial diagnostic workup for the most common endocrine disorders
- Identify patients who require more urgent referral to endocrinology
- Begin, monitor, and adjust appropriate therapy
- Counsel patients on correct laboratory preparation, medication administration, and safety monitoring for common endocrine therapies
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