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MKSAP Quiz: Difficult-to-control hypertension

A 62-year-old man is evaluated during a follow-up visit for difficult-to-control hypertension. He also has chronic kidney disease and hyperlipidemia. Following a physical exam and lab studies, what is the most appropriate additional treatment?
https://immattersacp.org/weekly/archives/2021/08/24/3.htm
24 Aug 2021

MKSAP Quiz: Follow-up of osteoporosis

A 70-year-old woman is evaluated for follow-up of osteoporosis, diagnosed 5 years ago. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/11/22/3.htm
22 Nov 2022

MKSAP Quiz: Follow-up for stable chronic kidney disease

A 57-year-old man is evaluated during follow-up for stable chronic kidney disease diagnosed 1 year ago. He also has type 2 diabetes mellitus, hyperlipidemia, and peripheral artery disease. On physical examination, blood pressure is 128/74 mm Hg, pulse rate is 65/min, and respiration rate is 18/min. Bilateral carotid and lower abdominal quadrant bruits are heard. Peripheral extremity pulses are diminished. The remainder of the examination is normal. After laboratory studies, what is the appropriate management?
https://immattersacp.org/weekly/archives/2021/11/09/3.htm
9 Nov 2021

MKSAP quiz: Appropriate treatment for primary hyperaldosteronism

A 67-year-old man is evaluated during a follow-up visit for resistant hypertension. He was recently evaluated for primary hyperaldosteronism, and the screening plasma aldosterone concentration/plasma renin activity ratio was >20. A dedicated adrenal CT scan showed diffuse bilateral adrenal hyperplasia. After history and physical, cardiac and pulmonary exams, and discussion of patient preferences, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/07/19/3.htm
19 Jul 2022

MKSAP Quiz: 2-day history of shortness of breath

A 35-year-old man is evaluated in the emergency department for a 2-day history of shortness of breath with no cough or hemoptysis. Medical history is unremarkable, and he takes no medications. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/07/05/4.htm
5 Jul 2022

MKSAP Quiz: Enlarging, painful inguinal lymph node

A 56-year-old man is evaluated for an enlarging, painful inguinal lymph node he first noticed 1 month ago. He has a history of follicular lymphoma of 8 years' duration. Following a physical exam, lab tests, and PET/CT scan, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2021/10/05/3.htm
5 Oct 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: medical history of mitral regurgitation

A 45-year-old man undergoes a pre-employment physical examination. Medical history is notable for aortic coarctation with an end-to-end anastomosis performed at 4 years of age. During a physical exam, a grade 2/6 mid-peaking systolic murmur is noted at the second right intercostal space. What is the most likely cause of this patient's systolic murmur?
https://immattersacp.org/weekly/archives/2021/06/29/3.htm
29 Jun 2021

MKSAP Quiz: Right-upper-quadrant abdominal discomfort

A 36-year-old woman is evaluated for a 3-day history of constant right-upper-quadrant abdominal discomfort and abdominal distention. She has no significant medical history. Following a physical exam and lab tests, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2021/10/19/3.htm
19 Oct 2021

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