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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: 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: 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: 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: 2-month history of foot pain

A 42-year-old woman is evaluated for a 2-month history of left foot pain between the third and fourth toes, accompanied by a burning sensation and the sensation of walking on a pebble. She has not experienced any trauma in the area, and she does not have edema or erythema. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2021/01/26/3.htm
26 Jan 2021

MKSAP Quiz: INR management

A 61-year-old woman undergoes routine evaluation. She reports no recent changes in her medications. She has a history of idiopathic deep venous thrombosis. Her only medication is warfarin, initiated 2 months ago. Following a physical exam and international normalized ratio (INR) measurement of 7.2, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/07/28/3.htm
28 Jul 2020

MKSAP Quiz: Persistent dyspepsia despite treatment

A 65-year-old man is evaluated for persistent dyspepsia despite treatment with antacid therapy. He also has recent weight loss of 3 kg (6.6 lb) and development of epigastric abdominal pain. Following a physical exam, biopsy, and CT scan, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2021/05/11/3.htm
11 May 2021

MKSAP Quiz: Evaluation of abnormal thyroid laboratory results

A 29-year-old woman is seen in follow-up for evaluation of abnormal thyroid laboratory results. She is currently 26 weeks pregnant. She was originally evaluated 1 week ago for concerns about lack of weight gain during pregnancy, palpitations, anxiety, and insomnia. After a physical exam and considering lab results, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/09/29/3.htm
29 Sep 2020

MKSAP Quiz: 1-year history of weight gain, fatigue, easy bruising

A 48-year-old woman who works the night shift presents with a one-year history of gaining 25 pounds, as well as fatigue, easy bruising, and difficulty remembering things. Medical history is significant for hypertension, type 2 diabetes, and menopausal hot flushes. After medication review and physical exam, what is the most appropriate next step in evaluation?
https://immattersacp.org/weekly/archives/2020/12/15/3.htm
15 Dec 2020

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