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MKSAP Quiz: 3-week history of repeated coughing

A 35-year-old woman is evaluated for a 3-week history of repeated paroxysms of sustained coughing accompanied by vomiting. She has tried over-the-counter cough suppressants with minimal benefit. One week before onset of her current symptoms, she experienced 3 to 4 days of mild upper airway congestion and malaise, which resolved without treatment. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2025/02/04/3.htm
4 Feb 2025

MKSAP Quiz: Progressive shortness of breath, dry cough

A 67-year-old man is evaluated for progressive shortness of breath and dry cough over the past 3 months. He has a 40-pack-year history of cigarette smoking. His only medication is an albuterol inhaler. Following a physical exam and other tests, what is the most likely diagnosis?
https://immattersacp.org/archives/2025/02/mksap-quiz-progressive-shortness-of-breath-dry-cough.htm
1 Feb 2025

MKSAP Quiz: Follow-up for osteoporosis

A 66-year-old woman is evaluated in follow-up for osteoporosis. The patient is concerned because alendronate resulted in upper gastrointestinal symptoms and IV zoledronic acid 1 year ago led to mild body aches, nausea, and headache. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2025/01/28/3.htm
28 Jan 2025

MKSAP Quiz: Hospitalization for fever, night sweats

A 38-year-old woman is hospitalized for fever, night sweats, and a nonproductive cough of 6 weeks' duration. Medical history is significant for Crohn disease. Her only medication is ustekinumab. Following a physical exam and other tests, what is the most likely diagnosis?
https://immattersacp.org/archives/2025/01/mksap-quiz-hospitalization-for-fever-night-sweats.htm
1 Jan 2025

MKSAP Quiz: Evaluation for exertional dyspnea

A 35-year-old man is evaluated for exertional dyspnea. His history is otherwise unremarkable. Following a physical exam and other testing, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2025/01/21/3.htm
21 Jan 2025

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 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: Discussing results of bone mineral density testing

A 46-year-old woman is evaluated at a follow-up visit to discuss results of bone mineral density testing. She has a 10-year history of myasthenia gravis and is receiving long-term glucocorticoid therapy. Following a fracture risk assessment, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2025/01/14/3.htm
14 Jan 2025

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: 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

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