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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: 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: 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: 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: 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: 6 months of exertional dyspnea

A 46-year-old man is evaluated for 6 months of exertional dyspnea, fatigue, and ankle edema. Recently he experienced near-syncope walking up two flights of stairs. He has no other medical problems and takes no medications. Following a physical exam, transthoracic echocardiogram, and other tests, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/06/09/3.htm
9 Jun 2020

MKSAP Quiz: Evaluation for generalized hair loss

A 27-year-old woman is evaluated in the office for generalized hair loss. She has not had any similar episodes previously. The patient is 3 months postpartum and does not take any medications. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/09/22/3.htm
22 Sep 2020

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: Abrupt-onset palpitations

A 42-year-old woman is evaluated in the emergency department for abrupt-onset palpitations. For the past year, she has been having similar episodes with increasing frequency. Following a physical exam and ECG, what is the most likely rhythm diagnosis?
https://immattersacp.org/archives/2022/06/mksap-quiz-abrupt-onset-palpitations.htm
1 Jun 2022

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