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MKSAP Quiz: 2-week history of vaginal discharge, itching

A 46-year-old woman is evaluated for a 2-week history of vaginal discharge and itching. She reports no other vaginal or urinary symptoms. She is sexually active with one male partner. She has a levonorgestrel-releasing intrauterine device for contraception. Following a physical exam and lab studies, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2024/11/19/3.htm
19 Nov 2024

MKSAP Quiz: Evaluation for increasing fatigue and dyspnea with exertion

A 41-year-old man is evaluated in the emergency department for increasing fatigue and dyspnea with exertion. He was recently diagnosed with acute uncomplicated cystitis and started a course of nitrofurantoin 3 days ago. Following a physical exam and lab studies, what is the most appropriate additional management?
https://immattersacp.org/archives/2024/11/mksap-quiz-evaluation-for-increasing-fatigue-and-dyspnea-with-exertion.htm
1 Nov 2024

MKSAP Quiz: 2-month history of neck pain

A 57-year-old man is evaluated for a 2-month history of neck pain and stiffness accompanied by unsteadiness on his feet, especially while climbing up or down stairs. He is otherwise healthy and takes no medications. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2024/11/12/3.htm
12 Nov 2024

MKSAP Quiz: Intermittent recurrent chest pain

A 77-year-old woman is hospitalized for intermittent recurrent chest pain. The patient had a moderately severe ischemic stroke 2 years ago and has oxygen-dependent COPD. Medications are aspirin, atorvastatin, and inhaled albuterol and tiotropium. Following a physical exam and other tests, what is the most appropriate additional treatment?
https://immattersacp.org/archives/2024/09/mksap-quiz-intermittent-recurrent-chest-pain.htm
1 Sep 2024

MKSAP Quiz: Sleeplessness in patient with panhypopituitarism

A 28-year-old woman is evaluated for a 2-month history of sleeplessness. She has had panhypopituitarism since surgery for a craniopharyngioma at age 15 years. Medical history includes hypoadrenalism, hypogonadism, and hypothyroidism. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2024/10/29/3.htm
29 Oct 2024

MKSAP Quiz: H. pylori eradication

A 45-year-old man is evaluated after a positive result on fecal antigen testing for Helicobacter pylori, obtained 2 months after he completed eradication therapy for H. pylori gastritis, and duodenal ulcer documented by upper endoscopy. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2024/11/05/3.htm
5 Nov 2024

MKSAP Quiz: Worsening chronic shoulder pain

An 85-year-old woman is evaluated for worsening chronic right shoulder pain of 1 year's duration. The pain is more severe with use. She has no history of trauma to the shoulder. Following a physical exam, tests, and a radiograph, what is the most likely diagnosis?
https://immattersacp.org/archives/2024/07/mksap-quiz-worsening-chronic-shoulder-pain.htm
1 Jul 2024

MKSAP Quiz: Evaluation for heart failure

A 78-year-old woman is evaluated for a 3-month history of heart failure with reduced ejection fraction (ejection fraction, 20%). She has stable dyspnea when walking up stairs but has no other symptoms. Following a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2024/10/22/3.htm
22 Oct 2024

MKSAP Quiz: Evaluation for redness, tearing, irritation of the eye

A 44-year-old woman is evaluated for redness, tearing, and irritation of the right eye that began 1 day ago. She reports no eye pain, photophobia, or change in vision. Her left eye is uninvolved. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/archives/2024/10/mksap-quiz-evaluation-for-redness-tearing-irritation-of-the-eye.htm
1 Oct 2024

MKSAP Quiz: Follow-up examination for COPD

A 62-year-old man is evaluated in follow-up examination for COPD. Despite smoking cessation, adherence to his medical regimen, good inhaler technique, and participation in pulmonary rehabilitation, he continues to experience breathlessness with mild exertion and has diminished quality of life. Following a physical exam and other tests, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2024/10/08/3.htm
8 Oct 2024

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