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MKSAP Quiz: Involuntary urine loss with coughing

A 68-year-old woman is evaluated for involuntary urine loss that occurs with coughing, sneezing, and laughing and occasionally with physical exertion. She has no dysuria, urinary frequency, hematuria, or nocturia but does report vaginal dryness and dyspareunia. She performs pelvic floor muscle training exercises four times daily. Following a physical exam and pelvic exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/06/21/3.htm
21 Jun 2022

MKSAP Quiz: 1-year history of lower extremity edema

This week's quiz asks readers to determine the most likely diagnosis for a 60-year-old man with a 30-year history of poorly controlled ankylosing spondylitis and intermittent uveitis who is evaluated for a 1-year history of lower extremity edema.
https://immattersacp.org/weekly/archives/2023/02/14/3.htm
14 Feb 2023

MKSAP Quiz: Evaluation for chronic cough

A 23-year-old woman is evaluated for chronic cough. She reports several episodes of chronic bronchitis as a child and persistent cough productive of thick purulent sputum since childhood. Following a physical exam and other tests, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2023/02/07/3.htm
7 Feb 2023

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: 12-week history of night sweats, fevers, weight loss

A 33-year-old man is evaluated for a 12-week history of night sweats, fevers, and weight loss without other localizing symptoms. Medical history is otherwise unremarkable, and he takes no medications. Following a physical exam, lab tests, and other procedures, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2023/01/31/3.htm
31 Jan 2023

MKSAP Quiz: 3-month history of daily headaches

A 64-year-old woman is evaluated for a 3-month history of daily headaches of sudden, spontaneous onset. Following a physical exam and MRI, what is the most appropriate treatment of this patient's headaches?
https://immattersacp.org/weekly/archives/2023/01/24/3.htm
24 Jan 2023

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: Evaluation for influenza immunization

A 49-year-old man is evaluated for influenza immunization. Two weeks ago, he underwent surgical resection for stage III colon cancer. He will begin a 3-month course of adjuvant chemotherapy in 3 weeks. What is the preferred influenza immunization strategy?
https://immattersacp.org/weekly/archives/2022/05/24/3.htm
24 May 2022

MKSAP Quiz: Evaluation for low back pain

A 47-year-old man is evaluated for low back pain. The pain began 5 days ago while he was playing basketball. It is localized to the lumbar back and does not radiate. The patient is unable to sit or stand for long periods, but the pain improves when lying down. After a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/05/17/4.htm
17 May 2022

MKSAP Quiz: 1-week history of burning pain, rash

A 62-year-old man is evaluated for a 1-week history of burning pain and a rash over the chest and low back. Medical history is notable for idiopathic pulmonary fibrosis and a single lung transplantation 3 years ago. Following a physical exam, hospital admission, and pending test results, what is the most appropriate additional management?
https://immattersacp.org/weekly/archives/2023/01/10/3.htm
10 Jan 2023

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