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MKSAP Quiz: Increasing headache and red eye

A 64-year-old man is evaluated for a new right-sided headache that began 1 day ago. He awoke yesterday with a dull ache over his right forehead that has gradually increased in intensity. He also notes some right eye discomfort, sensitivity to light,
February 2011

MKSAP Quiz: Mildly pruritic eruption on a woman's right nipple

A 55-year-old woman is seen in follow-up for a mildly pruritic eruption on and surrounding her right nipple, which developed about 5 months ago. She has no family history of eczema or psoriasis, and she is otherwise healthy. What is the most likely
September 2012

MKSAP Quiz: 3-week history of progressive fatigue

Absolute neutrophil count:. 400/µL (0.4 10. 9. /L). Direct Coombs (antiglobulin) test:.
June 2015

MKSAP Quiz: Heart murmur and reduced exercise capacity

The test of choice for confirming the diagnosis of atrial septal defect suspected on physical examination is transthoracic echocardiography.
April 2011

MKSAP Quiz: Dyspnea during walking

A 79-year-old woman is seen for an annual examination. She is in good health except for osteopenia, for which she takes calcium and Vitamin D supplements. She walks regularly to and from the bus stop several times per week. It takes her 25 minutes
March 2010

MKSAP Quiz: preoperative evaluation for renal transplant

A 35-year-old man with a 20-year history of type 1 diabetes mellitus is undergoing preoperative evaluation for renal transplantation.
October 2009

MKSAP quiz: Treating an itchy rash on hands and arm

A 20-year-old male college student is having trouble sleeping because of an itchy rash on his hands and inner aspect of his arm.
June 2009

MKSAP Quiz: Skin lesion that grows and bleeds

A 64-year-old woman is evaluated for a 6-week history of dyspnea, dry cough, fever, chills, night sweats, and fatigue, which have not responded to treatment with azithromycin and levofloxacin; she has lost 2.2 kg (5 lb) during that time. Based upon
March 2012

MKSAP Quiz: Foot pain following catheterization

A 68-year-old man was admitted to the hospital 3 days ago for a non-ST-elevation myocardial infarction and underwent cardiac catheterization via the right groin. Today, the patient reports pain in his left toes and diffuse soreness in the left calf.
November 2012

MKSAP Quiz: 1-week history of discharge

Vaginal pH is 6.0, “whiff” test is positive. Results of saline microscopy are shown. ... A urine pregnancy test is negative. MKSAP photo (c) American College of Physicians.
February 2015

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