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MKSAP Quiz: 6-week history of weight loss

A 24-year-old woman is evaluated for a 6-week history of weight loss, fever, night sweats, and productive cough, with recently increasing malaise and fatigue. She works in a state prison. She takes no medications. Following a physical exam and other tests, what is the most appropriate initial treatment?
https://immattersacp.org/archives/2022/01/mksap-quiz-6-week-history-of-weight-loss.htm
1 Jan 2022

MKSAP Quiz: Evaluation for chronic cough

A 42-year-old man is evaluated in the office for chronic cough. He first developed a cough 3 years ago. It is productive of clear to yellow sputum that is occasionally blood-tinged. Following a physical exam and chest radiograph, what is the most likely diagnosis?
https://immattersacp.org/archives/2020/07/mksap-quiz-evaluation-for-chronic-cough.htm
1 Jul 2020

MKSAP Quiz: 4-week history of joint pain, rash

A 33-year-old woman is evaluated for a 4-week history of recurrent worsening joint pain and a new rash on the chest and upper back. She reports sun exposure from spending time at the beach. Following a physical exam, what is the most likely diagnosis for the rash?
https://immattersacp.org/archives/2021/05/mksap-quiz-4-week-history-of-joint-pain-rash.htm
1 May 2021

MKSAP Quiz: 3-year history of palpitations, fatigue

A 42-year-old woman is evaluated for a 3-year history of palpitations and fatigue. She reports no chest pain, dizziness, near-syncope, or syncope. Ambulatory 24-hour electrocardiographic monitoring shows frequent monomorphic premature ventricular contractions (22% of all beats) and frequent ventricular bigeminy. What is the most appropriate management?
https://immattersacp.org/archives/2021/06/mksap-quiz-3-year-history-of-palpitations-fatigue.htm
1 Jun 2021

MKSAP Quiz: Evaluation for follow-up of abdominal pain

A 35-year-old woman is evaluated for follow-up of abdominal pain, which has prompted multiple emergency department visits. CT scans have revealed intussusception. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/archives/2021/10/mksap-quiz-evaluation-for-follow-up-of-abdominal-pain.htm
1 Oct 2021

MKSAP Quiz: Gradually worsening dyspnea on exertion

A 32-year-old woman is evaluated for a 2-month history of gradually worsening dyspnea on exertion. She has difficulty climbing one flight of stairs, but has no wheezing or cough. After physical and cardiopulmonary exam, chest radiography, and spirometry, what is the most likely diagnosis?
https://immattersacp.org/archives/2021/01/mksap-quiz-gradually-worsening-dyspnea-on-exertion.htm
1 Jan 2021

Evidence-based tips for common illnesses

Much of the time physicians spend on patients' paperwork is uncompensated, but insurers usually will reimburse physicians for filling out forms, such as home health plans and copying medical records, that require a significant investment of time.
https://immattersacp.org/archives/2008/07/tips.htm
1 Jul 2008

MKSAP Quiz: 12-hour history of fever

A 51-year-old man is evaluated in the emergency department for a 12-hour history of fever, chills, headache, and weakness. He works on his farm in Maine and spends a considerable part of most days outside, but he is not aware of any tick or mosquito bites. Following a physical exam and lab studies, a blood smear from this patient is most likely to show which of the following abnormalities?
https://immattersacp.org/archives/2020/11/mksap-quiz-12-hour-history-of-fever.htm
1 Nov 2020

MKSAP Quiz: 2-day history of painful rash

A 22-year-old man is evaluated in the emergency department for a 2-day history of painful rash on the left side of his posterior chest. Medical history is unremarkable, and he takes no medications. Following a physical exam, what is the most appropriate test to perform next?
https://immattersacp.org/archives/2020/06/mksap-quiz-2-day-history-of-painful-rash.htm
1 Jun 2020

MKSAP Quiz: Fatigue, anemia for 2 months

A 67-year-old man is evaluated for fatigue and anemia of approximately 2 months' duration. He has no other symptoms and takes no medications. Following a physical exam, lab studies, and flow cytometry, what is the most appropriate treatment?
https://immattersacp.org/archives/2021/02/mksap-quiz-fatigue-anemia-for-2-months.htm
1 Feb 2021

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