Search results for "Test Yourself"
MKSAP Quiz: Preconception counseling for mitral stenosis
A 26-year-old woman seeks preconception counseling. She has a history of mitral stenosis and underwent mitral valve replacement with a tilting-disc mechanical prosthesis 5 years ago. Following a physical exam, lab studies, and electrocardiogram, what is the most appropriate anticoagulation regimen for this patient during the first trimester?
https://immattersacp.org/weekly/archives/2020/06/23/3.htm
23 Jun 2020
MKSAP Quiz: Abdominal aortic aneurysm found during routine examination
A 69-year-old man is evaluated during a routine examination. He is asymptomatic. Medical history is significant for hypertension. On physical examination, vital signs are normal. A bruit is heard over the abdomen, and a pulsatile mass is present in the epigastrium. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2020/03/31/3.htm
31 Mar 2020
MKSAP Quiz: Follow-up for urinary incontinence
A 67-year-old man is evaluated in follow-up for urinary incontinence. Six months ago, he began tamsulosin for occasional nocturia, frequency, and urgency related to benign prostatic hyperplasia. Tamsulosin decreased the frequency of nocturia, but he continued to have daytime urinary urgency with a few occasions of urine leakage. Following a physical exam and bladder ultrasonography, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/10/20/3.htm
20 Oct 2020
MKSAP Quiz: Evaluation for fatigue
A 42-year-old woman is evaluated for several months of fatigue. She reports a normal diet and no gastrointestinal symptoms. Medical history is notable for hypothyroidism and vitiligo. Following a physical exam and lab studies, what is the most appropriate initial diagnostic test?
https://immattersacp.org/archives/2022/11/mksap-quiz-evaluation-for-fatigue.htm
1 Nov 2022
MKSAP Quiz: Follow-up for Barrett esophagus
A 65-year-old man is evaluated with upper endoscopy in follow-up for Barrett esophagus. He has had heartburn for more than 15 years, but his symptoms have been well controlled with daily omeprazole. Biopsies confirm evidence of Barrett esophagus with low-grade dysplasia. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2020/10/06/3.htm
6 Oct 2020
MKSAP Quiz: 2-week history of gradually increasing pain
A 75-year-old woman is evaluated for a 2-week history of gradually increasing pain in both shoulders and hips; the pain radiates down both arms to the elbows and down both hamstrings to the knees. She reports no headache, jaw claudication, or vision changes. She was diagnosed with polymyalgia rheumatica 3 months ago. Following a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/03/24/3.htm
24 Mar 2020
MKSAP Quiz: 1-week history of chest pressure
A 35-year-old woman is evaluated for a 4-month history of exertional dyspnea and a 1-week history of chest pressure. She has no sputum production, cough, or wheezes. She has never smoked. Following a physical examination, laboratory studies, electrocardiogram, and chest radiograph, what is the most appropriate initial test?
https://immattersacp.org/weekly/archives/2020/03/17/3.htm
17 Mar 2020
MKSAP Quiz: 5-month history of exertional chest discomfort
A 60-year-old man with hypertension and hyperlipidemia is evaluated for a 5-month history of exertional chest discomfort that improves with rest but has progressively worsened and reduced his activity. Medications are low-dose aspirin, losartan, hydrochlorothiazide, and atorvastatin. Based on physical and cardiac exam and results of a stress echocardiogram and coronary angiogram, what is the most appropriate next step in the patient's management?
https://immattersacp.org/weekly/archives/2019/12/10/3.htm
10 Dec 2019
MKSAP Quiz: Elevated blood pressure during pregnancy
A 28-year-old woman is evaluated during a follow-up visit for elevated blood pressure measurements during pregnancy. She is at 12 weeks' gestation of her first pregnancy. She feels well, and the pregnancy has been otherwise uncomplicated. Following a physical exam and lab studies, what is the most likely cause of this patient's elevated blood pressure?
https://immattersacp.org/weekly/archives/2020/05/19/3.htm
19 May 2020
MKSAP Quiz: 8-week history of a spreading rash
A 63-year-old man is evaluated for an 8-week history of a spreading rash on the feet and legs, fatigue, and arthralgia. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/archives/2023/05/mksap-quiz-8-week-history-of-a-spreading-rash.htm
1 May 2023