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MKSAP Quiz: Brief episodes of wrist pain, swelling, redness

A 58-year-old woman is evaluated for brief episodes of pain, swelling, and redness in the right wrist for 4 days. During the past 2 years, she has had similar episodes in her left wrist and left third metacarpophalangeal joint, which resolved without treatment. Following a physical exam, lab studies, and radiograph, what is the most appropriate laboratory study to perform next?
https://immattersacp.org/archives/2024/02/mksap-quiz-brief-episodes-of-wrist-pain-swelling-redness.htm
1 Feb 2024

MKSAP Quiz: 1-year history of insomnia

An 87-year-old woman is evaluated for a 1-year history of bothersome insomnia. She reports taking up to 2 hours to fall asleep. She also feels that her sleep is less refreshing. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2023/11/21/3.htm
21 Nov 2023

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: 3-year history of erythema, flaking

A 78-year-old man is evaluated for a 3-year history of erythema and flaking on the scalp and face. Following a physical exam, what is the most appropriate treatment?
https://immattersacp.org/archives/2023/09/mksap-quiz-3-year-history-of-erythema-flaking.htm
1 Sep 2023

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: 3-day history of headaches, low-grade fever

A 17-year-old woman is evaluated in the emergency department in September for a 3-day history of headaches, low-grade fever, sore throat, cough, and stiff neck. She is otherwise well and takes no medications. Following a physical exam and other tests, what is the most likely cause of this patient's findings?
https://immattersacp.org/archives/2023/11/mksap-quiz-3-day-history-of-headaches-low-grade-fever.htm
1 Nov 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

Test Yourself: MKSAP Quiz

A 32-year-old man comes to the office after being told at a health fair screening that he had blood in his urine.
https://immattersacp.org/archives/2009/02/mksap.htm
1 Feb 2009

MKSAP quiz: Inclusion body myositis

An 82-year-old man is seen in follow-up for inclusion body myositis. A prednisone taper over the past 4 months was completed without clinical improvement. Following a physical exam and lab test, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2023/10/24/3.htm
24 Oct 2023

MKSAP Quiz: Evaluation for dyspnea

This week's quiz asks readers to determine the most appropriate treatment for a 42-year-old man with hypertrophic cardiomyopathy who is experiencing dyspnea.
https://immattersacp.org/weekly/archives/2022/04/12/3.htm
12 Apr 2022

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