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MKSAP Quiz: 2-day history of cough, fever

A 29-year-old woman is evaluated for cough and fever of 2 days' duration. She has a history of cystic acne, which is treated with a topical retinoid cream and daily minocycline. Following a physical exam and other testing, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2024/09/10/3.htm
10 Sep 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: Hospitalization for neutropenic fever

A 45-year-old man is hospitalized for neutropenic fever. He was recently diagnosed with diffuse large B-cell lymphoma, and his last chemotherapy treatment was 10 days ago. What is the most appropriate management to reduce the risk of future febrile neutropenia?
https://immattersacp.org/weekly/archives/2024/09/03/3.htm
3 Sep 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: Bone health evaluation

A 60-year-old woman is evaluated for bone health during a routine wellness visit. Her mother was treated for a hip fracture after a fall at the age of 65 years. The patient is sedentary and has a 30–pack-year history of cigarette smoking but quit smoking 2 months ago. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2024/08/27/3.htm
27 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: Evaluation after multiple motor vehicle collisions

An 82-year-old woman is evaluated after a motor vehicle collision. She has had three minor motor vehicle collisions in the past 2 years. Her family has noticed mild memory lapses in the past 6 months. Following a physical and ophthalmic exam and Mini-Cog test, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2024/08/20/3.htm
20 Aug 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: 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: 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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