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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

MKSAP Quiz: Evaluation for decreased libido, erectile dysfunction

A 58-year-old man is evaluated for decreased libido and erectile dysfunction that began insidiously over the past 6 months. He is not having nocturnal or early morning erections. His medical history is otherwise unremarkable. Following a physical exam and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2024/02/13/3.htm
13 Feb 2024

MKSAP Quiz: Numbness, tingling, weakness in arm

A 35-year-old woman is evaluated for numbness, tingling, and weakness in her left arm that radiates from the shoulder to the fingers. Her symptoms began 3 months ago and appear to be worsening. Following physical and neurological exams and electrodiagnostic studies, what is the most appropriate therapy for this patient?
https://immattersacp.org/weekly/archives/2021/04/20/3.htm
20 Apr 2021

MKSAP Quiz: Dark spot on lower lip

A 30-year-old woman is evaluated for a dark spot on the lower lip for several months' duration. Medical history is unremarkable, and she takes no medications. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2021/03/30/3.htm
30 Mar 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: Epilepsy management

A 35-year-old man is evaluated for a 3-year history of epilepsy. Seizures typically occur twice monthly. Treatment with oxcarbazepine and lamotrigine, although initially reducing seizure frequency, has been largely ineffective. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2021/03/02/3.htm
2 Mar 2021

MKSAP Quiz: 1-year history of progressive fatigue, dyspnea, edema

A 62-year-old man is evaluated for a 1-year history of progressive fatigue, dyspnea on exertion, and lower-extremity edema. He has been hospitalized twice in the past year for heart failure. Following a physical exam and electrocardiogram, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2021/03/23/3.htm
23 Mar 2021

MKSAP Quiz: Peripheral 9-mm solid pulmonary nodule

A 72-year-old woman is evaluated during a routine visit. She has a 30-pack-year smoking history and quit 5 years ago. A screening low-dose chest CT scan shows a peripheral 9-mm solid pulmonary nodule in the left upper lobe and emphysema. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/08/25/4.htm
25 Aug 2020

MKSAP Quiz: 4-week history of dyspnea on exertion

A 54-year-old woman is evaluated for a 4-week history of dyspnea on exertion, malaise, fatigue, and anorexia. History is significant for hypertension, gout, and osteoarthritis. Following a physical exam, lab studies, and chest radiograph, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/10/27/3.htm
27 Oct 2020

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

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