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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: 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: 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: 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-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: 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

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: 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: 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: 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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