Search results for "Q
Smoking cessation, deprescribing, and more
Stories on Leadership Day, career building, and iron deficiency are also featured.
https://immattersacp.org/archives/2025/07/smoking-cessation-deprescribing-and-more-stories.htm
1 Jul 2025
No ‘pass/fail’ for smoking cessation
By devoting even a few minutes to exploring a patient's openness to quitting—a “pre-quit approach”—physicians can potentially make a powerful difference.
https://immattersacp.org/archives/2025/07/no-pass-fail-for-smoking-cessation.htm
1 Jul 2025
MKSAP Quiz: Skin lesion on the shoulder
A 67-year-old man is evaluated during an annual physical examination. He feels well, and his only concern is a spot on the back of his left shoulder that he first noticed several months ago. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/archives/2025/07/mksap-quiz-skin-lesion-on-the-shoulder.htm
1 Jul 2025
MKSAP Quiz: COPD patient in respiratory failure
A 73-year-old man is evaluated 4 days after he was admitted to the ICU for respiratory failure secondary to an exacerbation of chronic obstructive pulmonary disease (COPD). Despite treatment, his condition worsened, requiring intubation and mechanical ventilation. Following a physical exam, blood gas studies, and spontaneous awakening and breathing trials, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2025/07/01/3.htm
1 Jul 2025
MKSAP Quiz: 4-month history of thigh pain
A 35-year-old patient is evaluated for a 4-month history of right thigh pain, which was initially mild but has progressively worsened. They have also experienced fullness and swelling of the right thigh for the past 2 to 3 weeks. Following a physical exam and MRI, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2025/06/24/3.htm
24 Jun 2025
MKSAP Quiz: Epistaxis after emergency therapeutic apheresis
A 74-year-old man is evaluated for epistaxis and oozing following emergency therapeutic apheresis for hyperviscosity syndrome in the setting of Waldenström macroglobulinemia. Daily therapeutic apheresis was begun. Following lab tests, what is the most likely cause of this patient's coagulopathy?
https://immattersacp.org/weekly/archives/2025/06/17/3.htm
17 Jun 2025
MKSAP Quiz: 2-week history of worsening dyspnea
A 72-year-old man with heart failure is evaluated in the hospital for a 2-week history of worsening dyspnea and edema accompanied by paroxysmal nocturnal dyspnea. Following a physical exam, lab studies, and other tests, what is the most appropriate treatment for this patient's anemia?
https://immattersacp.org/weekly/archives/2025/06/10/3.htm
10 Jun 2025
MKSAP Quiz: Follow-up of incidental liver findings
A 64-year-old patient is evaluated during a follow-up visit. They recently visited the emergency department for treatment of a simple left radial forearm fracture following a bicycle collision. A palpable liver edge 3 cm below the right costal margin was incidentally noted. Following a physical exam and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2025/06/03/3.htm
3 Jun 2025
MKSAP Quiz: 5-day history of hair loss
A 25-year-old woman is evaluated for a 5-day history of hair loss localized to one circular area of her scalp with no associated pruritus or burning. She reports no increased shedding, but she noticed a patch of hair loss when styling her hair a few days ago. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/archives/2025/06/mksap-quiz-5-day-history-of-hair-loss.htm
1 Jun 2025
MKSAP Quiz: Evaluation for an episode of dizziness
A 78-year-old man is evaluated for an episode of dizziness that occurred 1 week ago. He describes the episode as dizziness with the sensation that he was about to faint. Physical examination findings, including vital signs, are normal. What is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2025/05/27/3.htm
27 May 2025
MKSAP Quiz: Blood tests during pregnancy
A 28-year-old woman is evaluated during follow-up for pregnancy. She is at 28 weeks' gestation. A complete blood count is obtained in screening for anemia and shows low levels of hemoglobin and platelets. What is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2025/05/20/3.htm
20 May 2025
MKSAP Quiz: ED visit for progressive weakness
A 64-year-old man is evaluated in the emergency department for progressive weakness. He recently attended a national conference where three colleagues developed similar symptoms. Following a physical exam, lab and other studies, and imaging, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2025/05/13/3.htm
13 May 2025
MKSAP Quiz: Follow-up evaluation for thrombocytopenia
A 35-year-old patient presents for follow-up evaluation for thrombocytopenia. Peripheral blood smear shows normochromic, normocytic erythrocytes and normal leukocytes; occasional large platelets are noted. Following a physical exam and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2025/05/06/3.htm
6 May 2025
MKSAP Quiz: Evaluation in the ED for rash
A 42-year-old patient is evaluated in the emergency department for a rash. Four days ago, they developed fever, malaise, and a headache; these symptoms resolved after 2 to 3 days and were followed by the rash, which started as small erythematous macules that developed into papules. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/archives/2025/05/mksap-quiz-evaluation-in-the-ed-for-rash.htm
1 May 2025
Giving men's health a quick checkup
A growing life expectancy gap between men and women highlights the need for new approaches in delivering primary care to men.
https://immattersacp.org/archives/2025/05/giving-mens-health-a-quick-checkup.htm
1 May 2025
MKSAP Quiz: 3-week history of fever, dyspnea on exertion
A 41-year-old woman is evaluated for a 3-week history of fever, dyspnea on exertion, and dry cough. These symptoms have persisted despite an initial empiric course of amoxicillin; additionally, levofloxacin was initiated 4 days ago without improvement. Following a physical exam and other tests, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2025/04/29/3.htm
29 Apr 2025
Volunteers needed to answer ACP MKSAP pretest questions
Pretest results will help ACP MKSAP learners compare their performance with their peers.
https://immattersacp.org/weekly/archives/2025/04/22/6.htm
22 Apr 2025
MKSAP Quiz: Abdominal distention in cirrhosis
A 65-year-old man is evaluated in the ED for abdominal distention. He reports increasing discomfort and abdominal girth of 2 weeks' duration. Following a physical exam and lab studies, what is the most appropriate treatment before paracentesis?
https://immattersacp.org/weekly/archives/2025/04/22/3.htm
22 Apr 2025
MKSAP Quiz: 3-month history of symmetric polyarthritis
A 72-year-old patient is evaluated for a 3-month history of symmetric polyarthritis of the wrists and metacarpophalangeal joints. Two previous episodes of acute knee swelling self-resolved within 2 weeks. Following a physical exam, lab studies, and other tests, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2025/04/15/3.htm
15 Apr 2025
MKSAP Quiz: 2-week history of dysphagia
A 70-year-old woman is hospitalized for a 2-week history of dysphagia to solids and odynophagia. She has locally advanced non–small cell lung cancer and is undergoing chemotherapy. Following a physical exam and other procedures, what is the most appropriate treatment?
https://immattersacp.org/archives/2025/04/mksap-quiz-2-week-history-of-dysphagia.htm
1 Apr 2025