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MKSAP Quiz: Follow-up of abdominal, pelvic CT scan

A 38-year-old woman is seen in follow-up to discuss the findings of an abdominal and pelvic CT scan done to evaluate renal colic, which has since resolved. The abdominal CT scan showed two small nonobstructing renal calculi in the right kidney and a 1.6-cm left adrenal mass. Following a physical exam and lab studies, what is the most appropriate test to perform next?
https://immattersacp.org/weekly/archives/2021/04/06/3.htm
6 Apr 2021

MKSAP Quiz: 5-year history of knee pain

A 67-year-old man is evaluated for a 5-year history of right knee pain, with morning stiffness lasting 20 minutes. Following a physical exam, what is the most appropriate initial imaging study?
https://immattersacp.org/weekly/archives/2021/06/22/3.htm
22 Jun 2021

MKSAP Quiz: 3-day history of left knee pain, swelling

A 43-year-old woman is evaluated for a 3-day history of left knee pain and swelling. Similar episodes have occurred in either knee as well as the left wrist during the past 2 years. Following a physical exam, radiographs, and joint aspiration of the left knee, what laboratory study will most likely identify the cause of this patient's symptoms?
https://immattersacp.org/weekly/archives/2021/03/16/3.htm
16 Mar 2021

MKSAP Quiz: 3-year history of severe rheumatoid arthritis

A 67-year-old woman is evaluated for a 3-year history of severe rheumatoid arthritis. After some changes in therapy, she has done well with tocilizumab and methotrexate over the past year. She notes several months of prominent fatigue. Lab studies demonstrate anemia. What is its most likely cause?
https://immattersacp.org/weekly/archives/2020/09/01/5.htm
1 Sep 2020

MKSAP Quiz: Follow-up evaluation of dementia

A 53-year-old woman is brought to the office by her husband for follow-up evaluation of behavioral-variant frontotemporal dementia, which was diagnosed 9 months ago. Her clinical symptoms of occasional aphasia, minor memory impairment, behavioral disinhibition, and obsessive-compulsive behaviors have worsened since diagnosis and have become disruptive. Her husband asks about possible medications to control her symptoms. What is the most appropriate medication to recommend?
https://immattersacp.org/weekly/archives/2021/06/08/3.htm
8 Jun 2021

MKSAP Quiz: Lower extremity edema and fatigue

A 29-year-old man is hospitalized for lower extremity edema and fatigue that has progressed over the past 6 months. Laboratory studies document kidney failure. Following a physical exam, additional lab studies, and kidney biopsy, results of which tests will most likely explain this patient's findings?
https://immattersacp.org/weekly/archives/2021/05/25/3.htm
25 May 2021

MKSAP Quiz: Evaluation for worsening fatigue

A 76-year-old woman is evaluated for worsening fatigue. She reports no additional symptoms. Medical history is significant for myelodysplastic syndrome diagnosed 3 years ago. Following a physical exam and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2021/02/02/3.htm
2 Feb 2021

MKSAP Quiz: 3-year history of knee stiffness

A 58-year-old man is evaluated for a 3-year history of left knee stiffness, which was intermittent but has become more persistent in the past 4 months. He reports no daily pain but has knee stiffness for 10 minutes in the morning and when he sits for an extended period of time. Following a physical exam and radiograph, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/11/17/3.htm
17 Nov 2020

MKSAP Quiz: Chronic intermittent nonbloody diarrhea

A 25-year-old woman is evaluated for chronic intermittent nonbloody diarrhea with associated abdominal cramping, burping, and bloating. Symptoms began several months ago. Following a physical exam and stool testing, what is the most likely cause of this patient's diarrheal illness?
https://immattersacp.org/weekly/archives/2021/05/18/3.htm
18 May 2021

MKSAP Quiz: 4-week history of blood per rectum

A 26-year-old woman is evaluated for a 4-week history of intermittent bright red blood per rectum and the feeling of incomplete evacuation. She has loose and blood-streaked bowel movements four or five times daily. Following a physical exam, lab studies, and colonoscopy, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2023/11/14/3.htm
14 Nov 2023

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