Search results for "Test Yourself"
MKSAP Quiz: 1-week history of gross hematuria
A 65-year-old man is evaluated for a 1-week history of gross hematuria. Medical history is otherwise unremarkable. After a physical exam and lab studies, what is the most appropriate diagnostic test?
https://immattersacp.org/weekly/archives/2025/03/25/3.htm
25 Mar 2025
MKSAP Quiz: Headaches, fever, painful rash
A 27-year-old man is evaluated in the emergency department for a 1-week history of headaches, fever, cough, painful rash, and swollen painful lymph nodes. He recently had unprotected receptive anal intercourse with a new male partner. Medical history is significant for HIV infection. Following a physical exam and lab studies, which of the following viruses is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2025/03/18/3.htm
18 Mar 2025
MKSAP Quiz: Progressive head tremor
A 61-year-old man is evaluated for a head tremor that started 5 years ago and has slowly progressed. He notes that people often ask him if he is agreeing with them. Following a physical exam and lab studies, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2025/03/11/3.htm
11 Mar 2025
MKSAP Quiz: Evaluation in the ED for hematemesis
A 39-year-old man is evaluated in the emergency department for hematemesis. He has a history of alcoholic cirrhosis and was diagnosed with hepatic encephalopathy 1 month ago. Following a physical exam and lab studies, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2025/03/04/3.htm
4 Mar 2025
MKSAP Quiz: Evaluation in the emergency department after chest discomfort
A 54-year-old woman is evaluated in the emergency department 3 hours after a 30-minute episode of chest discomfort. She is currently pain free. She reports a 2-day history of recurrent episodes of chest “fullness” while at rest. Following a physical exam and other tests, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/archives/2025/03/mksap-quiz-evaluation-in-the-emergency-department-after-chest-discomfort.htm
1 Mar 2025
MKSAP Quiz: Evaluation for episodes of headaches
A 25-year-old patient is evaluated for episodes of headache that have become more frequent over the past three years, which the patient attributes to increased stress after starting graduate school. Following a physical exam and other findings, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2025/02/25/3.htm
25 Feb 2025
MKSAP Quiz: Left leg swelling after surgery
A 42-year-old woman is evaluated in the hospital for swelling of the left leg 2 days after undergoing resection of a glioblastoma multiforme. She reports a mild headache and left-sided weakness. Following resection, a physical exam, and other procedures, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2025/02/18/3.htm
18 Feb 2025
MKSAP Quiz: Medication after STEMI
A 69-year-old man is evaluated in the hospital 3 days after presenting with chest pain due to an acute inferior wall ST-elevation myocardial infarction (STEMI). He underwent urgent coronary angiography and successful drug-eluting stent placement. What is the most appropriate antithrombotic treatment strategy?
https://immattersacp.org/weekly/archives/2025/02/11/3.htm
11 Feb 2025
MKSAP Quiz: 3-week history of repeated coughing
A 35-year-old woman is evaluated for a 3-week history of repeated paroxysms of sustained coughing accompanied by vomiting. She has tried over-the-counter cough suppressants with minimal benefit. One week before onset of her current symptoms, she experienced 3 to 4 days of mild upper airway congestion and malaise, which resolved without treatment. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2025/02/04/3.htm
4 Feb 2025
MKSAP Quiz: Progressive shortness of breath, dry cough
A 67-year-old man is evaluated for progressive shortness of breath and dry cough over the past 3 months. He has a 40-pack-year history of cigarette smoking. His only medication is an albuterol inhaler. Following a physical exam and other tests, what is the most likely diagnosis?
https://immattersacp.org/archives/2025/02/mksap-quiz-progressive-shortness-of-breath-dry-cough.htm
1 Feb 2025
MKSAP Quiz: Follow-up for osteoporosis
A 66-year-old woman is evaluated in follow-up for osteoporosis. The patient is concerned because alendronate resulted in upper gastrointestinal symptoms and IV zoledronic acid 1 year ago led to mild body aches, nausea, and headache. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2025/01/28/3.htm
28 Jan 2025
MKSAP Quiz: Evaluation for exertional dyspnea
A 35-year-old man is evaluated for exertional dyspnea. His history is otherwise unremarkable. Following a physical exam and other testing, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2025/01/21/3.htm
21 Jan 2025
MKSAP Quiz: Discussing results of bone mineral density testing
A 46-year-old woman is evaluated at a follow-up visit to discuss results of bone mineral density testing. She has a 10-year history of myasthenia gravis and is receiving long-term glucocorticoid therapy. Following a fracture risk assessment, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2025/01/14/3.htm
14 Jan 2025
MKSAP Quiz: Follow-up examination for asthma
A 25-year-old man is seen in follow-up examination for asthma diagnosed 2 months ago. He reports that his symptoms are now well controlled without use of his rescue inhaler. During the visit, he describes feeling down on many days, with difficulty falling asleep and early morning awakening. Following positive depression screening and a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2025/01/07/3.htm
7 Jan 2025
MKSAP Quiz: Hospitalization for fever, night sweats
A 38-year-old woman is hospitalized for fever, night sweats, and a nonproductive cough of 6 weeks' duration. Medical history is significant for Crohn disease. Her only medication is ustekinumab. Following a physical exam and other tests, what is the most likely diagnosis?
https://immattersacp.org/archives/2025/01/mksap-quiz-hospitalization-for-fever-night-sweats.htm
1 Jan 2025
MKSAP Quiz: Prostate cancer
A 51-year-old man is evaluated following biopsy of the prostate gland. His father died of prostate cancer at the age of 60 years, and his mother was diagnosed with breast cancer at the age of 45 years. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2024/12/31/3.htm
31 Dec 2024
MKSAP Quiz: Evaluation for mild dementia
A 65-year-old man is evaluated for a 3-year history of mild dementia with fluctuations in attentiveness and visual hallucinations. He has also acted out his dreams in his sleep a few times over the last 2 years. He has no history of tremor. Following a physical exam and other tests, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2024/12/17/3.htm
17 Dec 2024
MKSAP Quiz: Evaluation for painless hematuria
A 32-year-old woman is seen following evaluation for a single episode of painless hematuria that she noted last week. She has chronic kidney disease secondary to chronic tubulointerstitial nephritis confirmed by biopsy. Following a physical exam and other tests, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2024/12/10/3.htm
10 Dec 2024
MKSAP Quiz: UTI prevention in a patient with catheter
A 77-year-old woman is hospitalized for decompensated heart failure. An indwelling urinary catheter is placed to monitor hourly urine output, and intravenous diuretics are administered. What is the most appropriate management to prevent urinary tract infection (UTI)?
https://immattersacp.org/weekly/archives/2024/12/03/3.htm
3 Dec 2024
MKSAP Quiz: Treatment of deep venous thrombosis
A 55-year-old woman is evaluated in the emergency department for right leg swelling and is diagnosed with a proximal deep venous thrombosis. Medical history is significant for end-stage kidney disease for which she is undergoing hemodialysis. What is the most appropriate anticoagulation treatment?
https://immattersacp.org/weekly/archives/2024/11/26/3.htm
26 Nov 2024