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MKSAP Quiz: Several months of itchy, scaly feet

A 50-year-old man is evaluated for a several-month history of itchy, scaly feet. It has persisted despite the application of a moisturizing lotion. A physical exam reveals erythematous scaly patches on the sides of the feet and maceration between toes. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2021/07/13/3.htm
13 Jul 2021

MKSAP Quiz: Follow-up after upper endoscopy, colonoscopy

A 21-year-old woman is evaluated at follow-up after upper endoscopy and colonoscopy, which were performed because of iron deficiency anemia unresponsive to oral iron therapy. Upper endoscopy revealed fundic gland polyps carpeting the stomach and multiple small adenomatous polyps in the duodenum. Following a colonoscopy, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/06/14/3.htm
14 Jun 2022

MKSAP Quiz: Hospitalization for shortness of breath

A 43-year-old man is hospitalized for shortness of breath, tingling in the extremities, and weakness. Three weeks ago, he had watery diarrhea that lasted 5 days. He reports no travel and no sexual contact in the past year. Following a physical and neurological exam, what is the most likely cause of this patient's neurologic syndrome?
https://immattersacp.org/weekly/archives/2022/06/07/3.htm
7 Jun 2022

MKSAP Quiz: Multiple segmental pulmonary emboli

A 65-year-old man is diagnosed with multiple segmental pulmonary emboli in the right lung. He has no other medical problems, and he takes no medications. He is alert and engaged in shared decision making. After a physical exam and discussion with the patient, what is the appropriate treatment recommendation?
https://immattersacp.org/weekly/archives/2022/05/31/3.htm
31 May 2022

MKSAP Quiz: Establishing care for HIV

A 31-year-old man arrives to establish care for newly diagnosed HIV infection. He is asymptomatic. Medical history is otherwise noncontributory, and he takes no medications. Following a physical exam and review of lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2021/08/17/3.htm
17 Aug 2021

MKSAP quiz: medical history of mitral regurgitation

A 45-year-old man undergoes a pre-employment physical examination. Medical history is notable for aortic coarctation with an end-to-end anastomosis performed at 4 years of age. During a physical exam, a grade 2/6 mid-peaking systolic murmur is noted at the second right intercostal space. What is the most likely cause of this patient's systolic murmur?
https://immattersacp.org/weekly/archives/2021/06/29/3.htm
29 Jun 2021

MKSAP Quiz: Evaluation for low back pain

A 47-year-old man is evaluated for low back pain. The pain began 5 days ago while he was playing basketball. It is localized to the lumbar back and does not radiate. The patient is unable to sit or stand for long periods, but the pain improves when lying down. After a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/05/17/4.htm
17 May 2022

MKSAP Quiz: Enlarging, painful inguinal lymph node

A 56-year-old man is evaluated for an enlarging, painful inguinal lymph node he first noticed 1 month ago. He has a history of follicular lymphoma of 8 years' duration. Following a physical exam, lab tests, and PET/CT scan, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2021/10/05/3.htm
5 Oct 2021

MKSAP quiz: Severe anxiety and repetitive behavior

A 25-year-old man evaluated during a new patient visit is concerned about his ability to arrive on time at a new job because every morning before leaving his apartment, he feels compelled to perform multiple checks to ensure that all electronic devices are turned off and all windows and doors are locked. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2021/08/03/3.htm
3 Aug 2021

MKSAP Quiz: Follow-up evaluation for colon cancer

A 69-year-old woman undergoes follow-up evaluation for stage III colon cancer, which was resected 2 years ago. She is asymptomatic and takes no medications. Following a physical exam and surveillance CT scan that reveals two lesions in the right lobe of the liver, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/01/25/3.htm
25 Jan 2022

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