Search results for "Test yourself"
MKSAP Quiz: Midsystolic ejection click and systolic murmur
A 54-year-old man is evaluated during a routine examination. He is asymptomatic, and he exercises regularly without any limitations. Cardiac examination reveals a midsystolic ejection click and a grade 2/6 crescendo-decrescendo systolic murmur at the second right intercostal space. Following a transthoracic echocardiogram, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/09/15/3.htm
15 Sep 2020
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: 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: Heaviness, swelling of breast
A 50-year-old woman is evaluated for heaviness and swelling of her right breast of 3 weeks' duration. One week ago, she noticed that her outer breast had a pink appearance. Following a physical and breast exams and complete blood count, what is the most likely diagnosis?
https://immattersacp.org/archives/2023/03/mksap-quiz-heaviness-swelling-of-breast.htm
1 Mar 2023
MKSAP Quiz: 2-week history of gradually increasing pain
A 75-year-old woman is evaluated for a 2-week history of gradually increasing pain in both shoulders and hips; the pain radiates down both arms to the elbows and down both hamstrings to the knees. She reports no headache, jaw claudication, or vision changes. She was diagnosed with polymyalgia rheumatica 3 months ago. Following a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/03/24/3.htm
24 Mar 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
MKSAP Quiz: Evaluation for erythema and tenderness
A 71-year-old man is evaluated for erythema and tenderness of the left lower leg for 1 week's duration. This is the second similar episode of the left lower leg. The last episode was 2 months ago. He was previously treated successfully with antibiotics. Following tissue findings on a physical exam and starting antibiotics, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/12/08/3.htm
8 Dec 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: Incidental gallbladder findings
A 65-year-old man is evaluated after a screening ultrasound for abdominal aortic aneurysm showed incidental gallbladder findings. He reports no symptoms. Following a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2020/07/14/3.htm
14 Jul 2020
MKSAP Quiz: Evaluation of an elevated serum creatinine level
A 71-year-old man is evaluated in the hospital for an elevated serum creatinine level. He was hospitalized 2 days ago for a 4-day history of progressive right lower leg cellulitis. History is also significant for type 2 diabetes mellitus with prior episodes of cellulitis. Following a physical exam, lab studies, and a kidney biopsy, what is the most likely cause of this patient's kidney disease?
https://immattersacp.org/weekly/archives/2020/08/11/3.htm
11 Aug 2020