A 74-year-old man is evaluated for a five-year history of gradually progressive dyspnea and dry cough without wheezing or hemoptysis. For the past 2 years he has had pain and occasional swelling in both knees. Physical examination shows no digital
A 48-year-old man is evaluated for a 7-year history of spreading plaques associated with dry, itchy skin. He has no other significant medical history and takes no medications. Following a physical exam and chest radiograph, what is the most
Low-risk patients without evidence of myocardial infarction can be evaluated with an exercise or pharmacologic stress test. ... However, a stress test in a patient with probable acute coronary syndrome could provoke an extension of her myocardial
A 27-year-old man is evaluated for leg pain. The patient is moderately obese (BMI=33) and had been sedentary until recently, when he joined a health club. However, after only a few minutes on the treadmill, he develops progressive pain in both his
A 24-year-old woman is evaluated for a 1-month history of increasing pain and bleeding from a skin ulcer next to her stoma. The skin symptoms get worse each time she changes her appliance. She underwent proctocolectomy 4 years ago for medically
A 50-year-old woman is evaluated for a rash on the back of her elbows and knees. A similar rash has occurred in the past, with her first episode as a young adult.A 50-year-old woman is evaluated for a rash on the back of her elbows and knees. A
Test Yourself MKSAP image 2010, American College of Physicians, Medical Knowledge Self-Assessment Program (MKSAP.
Based upon a physical exam and chest radiograph, what is the most likely diagnosis?.
A 59-year-old man is evaluated for a 4-day history of progressive worsening of fatigue, forgetfulness, constipation, excessive thirst and increased urination. He has no pain. Based upon the findings of a physical exam and lab results, what is the
A 68-year-old man is evaluated in the emergency department for a 5-day history of an asymptomatic rash on the upper back and upper arms. The lesions grew suddenly and are neither pruritic nor painful. The patient has had associated fevers. He has a