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MKSAP Quiz: Twisting movements of neck, extremities

A 64-year-old man is evaluated for recent emergence of involuntary twisting movements of his neck and extremities. Parkinson disease was diagnosed 8 years ago. Mobility and fatigue improve after each dose of carbidopa-levodopa. Following a physical exam, what is the most appropriate next step in treatment?
https://immattersacp.org/weekly/archives/2024/06/18/3.htm
18 Jun 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: Leg swelling, pain of 1 week's duration

A 48-year-old woman is evaluated in the emergency department for right leg swelling and pain of 1 week's duration. She reports no recent surgery, injuries, periods of immobility, or long airplane flights. Following a physical exam and ultrasound, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2024/05/28/3.htm
28 May 2024

MKSAP Quiz: Slowly progressive dyspnea

A 30-year-old man is seen in the office for slowly progressive dyspnea that first appeared when walking rapidly or uphill. He denies orthopnea, palpitations, or chest pain. He has no other medical problems and takes no medications. Following a physical exam and lab tests, what is the most likely diagnosis?
https://immattersacp.org/archives/2024/03/mksap-quiz-slowly-progressive-dyspnea.htm
1 Mar 2024

MKSAP Quiz: Follow-up on blood tests

A 45-year-old woman is evaluated at follow-up for abnormal alkaline phosphatase levels on three previous blood tests. She has mild pruritus. She has no family history of liver disease. Following a physical exam and other tests, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2024/05/07/3.htm
7 May 2024

MKSAP Quiz: Follow-up evaluation of chronic anemia

A 32-year-old woman is seen for follow-up evaluation of chronic anemia that has been stable for at least the past 5 years. She has no history of transfusions. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/archives/2024/05/mksap-quiz-follow-up-evaluation-of-chronic-anemia.htm
1 May 2024

MKSAP Quiz: 6-month history of low back pain

A 58-year-old man is evaluated for a 6-month history of persistent low back pain. The patient is a postal employee who first developed pain after lifting a heavy mailbag onto a truck. The pain is localized to the lumbar back, is bilateral, and does not radiate. After review of a previous MRI and a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2024/05/14/3.htm
14 May 2024

MKSAP Quiz: New lesion on the side of the face

A 29-year-old woman is evaluated for a 6-month history of acne that worsens during menses. She has been using topical benzoyl peroxide wash and topical tretinoin cream, but there has been no improvement. What is the most appropriate management?
https://immattersacp.org/archives/2024/04/mksap-quiz-new-lesion-on-the-side-of-the-face.htm
1 Apr 2024

MKSAP Quiz: 3-year history of pain in muscles, joints

A 47-year-old woman is evaluated for a 3-year history of pain in all of her muscles and joints. She is a commercial truck driver. Her sleep is poor, and she awakens unrefreshed. She completes a fibromyalgia diagnostic questionnaire and meets the criteria for fibromyalgia. She has anxiety and depression. Following a physical exam and lab results, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2024/04/02/3.htm
2 Apr 2024

MKSAP Quiz: 2-week history of daily palpitations

A 41-year-old man is evaluated for a 2-week history of daily palpitations that last minutes at a time and resolve spontaneously. The palpitations are not associated with any specific activity. Following a physical exam, what is the most appropriate initial test?
https://immattersacp.org/weekly/archives/2024/04/09/3.htm
9 Apr 2024

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