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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

MKSAP Quiz: Prenatal evaluation and sickle cell disease

A 22-year-old woman is seen for a routine prenatal evaluation; she is 10 weeks pregnant. This is her second pregnancy; the first pregnancy was uncomplicated. Medical history is notable for sickle cell disease requiring one to two hospitalizations per year for painful events. Following a physical exam, cardiac exam, and lab studies, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/05/05/3.htm
5 May 2020

MKSAP Quiz: 6-month history of incontinence

A 68-year-old woman is evaluated for a 6-month history of incontinence typified by continuous leakage and dribbling. Following a physical exam and urinalysis, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/12/22/3.htm
22 Dec 2020

MKSAP Quiz: 4-year history of headaches

A 39-year-old woman is evaluated for a 4-year history of headaches that typically occur twice weekly and last 8 to 12 hours when not treated early. The pain is bilateral, frontotemporal, vice-like, and aggravated by physical activity. Following a physical and neurological exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/08/18/4.htm
18 Aug 2020

MKSAP Quiz: Episodic nausea, bloating, epigastric pain

A 45-year-old woman is evaluated for episodic nausea, bloating, and epigastric pain of 5 years' duration, with occasional vomiting in the past 3 months, as well as near-daily heartburn symptoms that have not responded to daily omeprazole. She has a 10-year history of type 2 diabetes mellitus treated with metformin and glyburide. After physical exam, laboratory tests, and upper endoscopy, what is the next appropriate step in management?
https://immattersacp.org/weekly/archives/2021/01/12/4.htm
12 Jan 2021

MKSAP Quiz: Evaluation after an ED visit

A 27-year-old man is evaluated during a follow-up visit. He recently visited the emergency department for a burn sustained while setting off fireworks at a party while intoxicated. He has a history of depression but never followed up for treatment and reports that his mood has improved remarkably since then. Following additional medical history and a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2024/02/06/3.htm
6 Feb 2024

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

MKSAP Quiz: Evaluation for increasingly frequent angina

A 68-year-old man is evaluated for increasingly frequent angina. One month ago, coronary angiography was performed because of the occurrence of angina at lower levels of exertion. Following coronary angiography, the patient increased his dosage of isosorbide mononitrate; however, his exertional chest discomfort worsened. Following a physical exam and electrocardiogram, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2024/01/16/3.htm
16 Jan 2024

MKSAP Quiz: 2-week history of heat intolerance in pregnancy

A 32-year-old woman is evaluated in the first trimester of pregnancy for a 2-week history of heat intolerance, palpitations, and tremulousness. Her only medication is folic acid. Following a physical examination and laboratory studies, what is the most appropriate diagnostic test?
https://immattersacp.org/weekly/archives/2024/01/23/3.htm
23 Jan 2024

MKSAP Quiz: Dyspnea, exertional syncope

A 75-year-old man is evaluated for dyspnea and an episode of exertional syncope. He is diagnosed on clinical examination with aortic stenosis. Following an ECG, echocardiogram, and other data, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2023/10/31/3.htm
31 Oct 2023

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