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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: 1-month history of diminished concentration

A 57-year-old woman is hospitalized with a 1-month history of diminished concentration, memory, and judgment, with recent mental status fluctuations and gait disorder. Medical history is remarkable for hypertension. After a physical exam, lab studies, and brain MRI, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/05/12/3.htm
12 May 2020

MKSAP Quiz: 8-week history of a spreading rash

A 63-year-old man is evaluated for an 8-week history of a spreading rash on the feet and legs, fatigue, and arthralgia. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/archives/2023/05/mksap-quiz-8-week-history-of-a-spreading-rash.htm
1 May 2023

MKSAP Quiz: Validity of a study

During a routine health examination, a patient asks about an article that recommended avoiding statin therapy because of the risk for memory loss. The findings were based on cross-sectional data analysis of a well-validated national health survey. What is the most likely threat to the validity of this study?
https://immattersacp.org/weekly/archives/2020/04/28/3.htm
28 Apr 2020

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

MKSAP Quiz: Follow-up of hypoparathyroidism

A 57-year-old man is evaluated during routine follow-up of hypoparathyroidism. He underwent resection of locally advanced squamous cell carcinoma of the tongue base and received adjuvant radiation therapy. Hypoparathyroidism developed after treatment. Serum calcium, magnesium, and urine calcium excretion are measured. What measurement should also be obtained for management of this patient's hypoparathyroidism?
https://immattersacp.org/weekly/archives/2023/11/07/3.htm
7 Nov 2023

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