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MKSAP Quiz: Evaluation for bruising

An 81-year-old woman is evaluated for bruising. For the past few years, she has noticed dark red patches appearing intermittently on the forearms without trauma or other triggers. They are not painful and resolve without treatment. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/archives/2021/11/mksap-quiz-evaluation-for-bruising.htm
1 Nov 2021

MKSAP Quiz: Evaluation for anorexia, dizziness, weakness

A 45-year-old man is evaluated for anorexia, dizziness, and weakness. He was discharged from the hospital 5 days ago after transsphenoidal pituitary surgery for a pituitary macroadenoma abutting the optic chiasm. Following a physical exam, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2020/01/14/3.htm
14 Jan 2020

MKSAP Quiz: Routine visit for hypertension

A 57-year-old man is evaluated during a routine visit. History is significant for hypertension. Following a physical exam and lab studies, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2019/05/14/3.htm
14 May 2019

MKSAP Quiz: Follow-up of progressive dyspnea

A 42-year-old man is evaluated in the office for follow-up of progressive dyspnea of 2 years' duration. He first noted dyspnea with exercise but now has symptoms when walking up a flight of stairs. Pulmonary function tests 2 years ago showed moderate airflow obstruction. He has no significant smoking history but a family history of emphysema. After physical examination and a chest radiograph, what is the most appropriate test to perform next?
https://immattersacp.org/weekly/archives/2019/06/04/3.htm
4 Jun 2019

MKSAP Quiz: Progressive malaise and weakness, aches, and stiffness

A 79-year-old man is evaluated for a 2-month history of progressive malaise and weakness, aching bilateral shoulders and hips, and stiffness. He recently noted aching in his jaw when chewing and reports new left-sided headaches. His erythrocyte sedimentation rate is elevated. What is the most appropriate initial management?
https://immattersacp.org/weekly/archives/2019/11/26/3.htm
26 Nov 2019

MKSAP Quiz: Follow-up for primary membranous glomerulopathy

A 38-year-old woman is evaluated during a follow-up visit for primary membranous glomerulopathy diagnosed by kidney biopsy 4 months ago. She was found to be positive for anti–phospholipase A2 receptor (PLA2R) antibodies. Vital signs are normal and there is pitting lower extremity edema to the mid shins bilaterally. What complication is she at risk for developing?
https://immattersacp.org/weekly/archives/2019/11/05/3.htm
5 Nov 2019

MKSAP Quiz: 3-year history of dyspnea, cough

A 69-year-old man is evaluated for a three-year history of dyspnea and chronic productive cough. He was diagnosed with chronic obstructive pulmonary disease (COPD) two years ago and has been treated for three exacerbations in the past year. He is taking tiotropium, fluticasone/salmeterol, and albuterol inhalers. Which long-term treatment is most likely to reduce exacerbations?
https://immattersacp.org/weekly/archives/2019/03/05/3.htm
5 Mar 2019

MKSAP Quiz: 6-week history of chest pressure

A 52-year-old woman is evaluated for a 6-week history of chest pressure that occurs during exercise and is relieved with rest. She also had chest pressure during a stressful work meeting last week. Medical history includes hypertension and hyperlipidemia, and medications are hydrochlorothiazide, lisinopril, and atorvastatin. After normal results on physical examination and electrocardiography, what diagnostic test should be performed next?
https://immattersacp.org/weekly/archives/2019/09/10/3.htm
10 Sep 2019

MKSAP Quiz: Evaluation for episode of right arm weakness

A 49-year-old-man is evaluated 1 day after having an episode of right arm weakness without pain that lasted 5 minutes. He is now asymptomatic. Following a physical exam and electrocardiogram, what is the most appropriate initial imaging test?
https://immattersacp.org/weekly/archives/2019/08/13/3.htm
13 Aug 2019

MKSAP Quiz: Follow-up visit for ovarian cancer

A 62-year-old woman is evaluated during a follow-up visit for recently diagnosed stage IIIA high-grade serous ovarian cancer. She underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy and completed six cycles of chemotherapy with cisplatin and paclitaxel. The patient's paternal aunt was diagnosed with breast cancer at age 52 years. Following a physical exam and lab studies, what is the most appropriate test to perform next?
https://immattersacp.org/weekly/archives/2019/01/29/3.htm
29 Jan 2019

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