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MKSAP Quiz: Preconception counseling

This week's quiz asks readers to determine the appropriate management for a 28-year-old woman with hypertension who is seeking preconception counseling.
https://immattersacp.org/weekly/archives/2022/01/11/3.htm
11 Jan 2022

MKSAP Quiz: Follow-up evaluation for nephrolithiasis

A 61-year-old woman has a follow-up evaluation for the incidental discovery of several hypodense lesions in both lobes of her liver and a 2.5-cm mesenteric mass during CT imaging for nephrolithiasis. She has fully recovered from the nephrolithiasis and now feels entirely well. Following a physical exam and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2021/08/10/3.htm
10 Aug 2021

MKSAP Quiz: Intractable pruritus during pregnancy

A 22-year-old woman is evaluated for intractable pruritus that keeps her awake at night. She is in her 25th week of pregnancy. Following a physical exam, lab studies, tests for hepatitis, and an ultrasound, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2021/07/27/3.htm
27 Jul 2021

MKSAP Quiz: Follow-up for elevated serum creatinine level

A 35-year-old man is evaluated during a follow-up visit for an elevated serum creatinine level discovered during a recent hospitalization for cellulitis of the right lower leg. He is a migratory agricultural worker. Following a physical exam, lab studies, and kidney ultrasound, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2021/09/21/3.htm
21 Sep 2021

MKSAP Quiz: Follow-up after upper endoscopy, colonoscopy

A 21-year-old woman is evaluated at follow-up after upper endoscopy and colonoscopy, which were performed because of iron deficiency anemia unresponsive to oral iron therapy. Upper endoscopy revealed fundic gland polyps carpeting the stomach and multiple small adenomatous polyps in the duodenum. Following a colonoscopy, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/06/14/3.htm
14 Jun 2022

MKSAP Quiz: Establishing care for HIV

A 31-year-old man arrives to establish care for newly diagnosed HIV infection. He is asymptomatic. Medical history is otherwise noncontributory, and he takes no medications. Following a physical exam and review of lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2021/08/17/3.htm
17 Aug 2021

MKSAP Quiz: Hospitalization for shortness of breath

A 43-year-old man is hospitalized for shortness of breath, tingling in the extremities, and weakness. Three weeks ago, he had watery diarrhea that lasted 5 days. He reports no travel and no sexual contact in the past year. Following a physical and neurological exam, what is the most likely cause of this patient's neurologic syndrome?
https://immattersacp.org/weekly/archives/2022/06/07/3.htm
7 Jun 2022

MKSAP Quiz: Multiple segmental pulmonary emboli

A 65-year-old man is diagnosed with multiple segmental pulmonary emboli in the right lung. He has no other medical problems, and he takes no medications. He is alert and engaged in shared decision making. After a physical exam and discussion with the patient, what is the appropriate treatment recommendation?
https://immattersacp.org/weekly/archives/2022/05/31/3.htm
31 May 2022

MKSAP quiz: Severe anxiety and repetitive behavior

A 25-year-old man evaluated during a new patient visit is concerned about his ability to arrive on time at a new job because every morning before leaving his apartment, he feels compelled to perform multiple checks to ensure that all electronic devices are turned off and all windows and doors are locked. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2021/08/03/3.htm
3 Aug 2021

MKSAP Quiz: Establish care visit for pediatric cancer survivor

A 28-year-old woman is seen to establish care. Medical history is significant for acute lymphoblastic leukemia diagnosed and treated at age 5 years; she has been leukemia free since completion of therapy. Following a physical exam and cervical cancer screening, what is the most appropriate additional survivorship assessment to perform next?
https://immattersacp.org/weekly/archives/2022/02/22/3.htm
22 Feb 2022

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