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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

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: Treatment for chronic knee pain

A 72-year-old man is evaluated for chronic right knee pain with morning stiffness lasting 15 minutes. He is experiencing increased difficulty walking because of knee pain. Following a physical exam and prescription for topical diclofenac, what is the most appropriate additional treatment?
https://immattersacp.org/weekly/archives/2024/10/15/3.htm
15 Oct 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: Consultation after cervical cancer diagnosis

A 34-year-old woman undergoes consultation after a recent diagnosis of stage IB cervical cancer. She is nulliparous, and she and her partner are hoping to have children. Following a biopsy, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2024/10/01/3.htm
1 Oct 2024

MKSAP Quiz: 2-week history of bright red blood per rectum

A 55-year-old man is evaluated for a 2-week history of intermittent bright red blood per rectum and pain with defecation. He has marked anorectal discomfort with wiping, and blood is visualized in the toilet water and on toilet paper. Following inspection of the perianal region, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2024/08/13/3.htm
13 Aug 2024

MKSAP Quiz: Hospitalization for increasing shortness of breath

A 24-year-old woman is hospitalized for increasing shortness of breath, fatigue, productive cough, and pleuritic chest pain of 2 weeks' duration; she has also been experiencing fever and chills for the past month. She has rheumatoid arthritis diagnosed 4 years ago. She lives in northern Georgia. Following a physical exam and additional tests, what is the most appropriate treatment?
https://immattersacp.org/archives/2024/06/mksap-quiz-hospitalization-for-increasing-shortness-of-breath.htm
1 Jun 2024

MKSAP Quiz: Management for occasional palpitations

A 45-year-old woman is evaluated for occasional palpitations. She also has hypertension. Medications are chlorthalidone and diltiazem. Following a physical examination and tests, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2024/07/30/3.htm
30 Jul 2024

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