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MKSAP Quiz: 2-month history of fatigue, cold intolerance

A 35-year-old woman is evaluated for a 2-month history of fatigue, cold intolerance, constipation, and menorrhagia. She has no recent history of iodinated contrast or iodine supplementation. Following a physical exam and lab studies, what is the most appropriate next diagnostic test?
https://immattersacp.org/weekly/archives/2022/08/30/3.htm
30 Aug 2022

MKSAP Quiz: 6-month history of intermittent claudication

A 68-year-old man is evaluated for a 6-month history of intermittent claudication. His symptoms have been slowly progressive but are not life limiting. Medical history is significant for hypertension, hyperlipidemia, and carotid artery stenosis treated with left carotid endarterectomy. He is a former smoker but quit 10 years ago. Following a physical exam and lab studies, what is the most appropriate treatment to reduce this patient's cardiovascular risk?
https://immattersacp.org/weekly/archives/2022/08/23/3.htm
23 Aug 2022

MKSAP Quiz: Follow-up visit for rheumatoid arthritis

A 58-year-old man is evaluated at a follow-up visit. He has had rheumatoid arthritis for 5 years. Increasing morning stiffness, fatigue, increasing joint pain, and swelling of small hand joints have developed in the past 6 months. Following a physical exam and other tests, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/08/16/3.htm
16 Aug 2022

MKSAP Quiz: 4-month history of progressive exertional dyspnea

A 57-year-old woman is evaluated for a 4-month history of progressive exertional dyspnea and occasional chest pain and palpitations. She has limited cutaneous systemic sclerosis with Raynaud phenomenon and gastroesophageal reflux disease. Following a physical exam and lab tests, what is the most appropriate diagnostic test?
https://immattersacp.org/weekly/archives/2022/08/09/3.htm
9 Aug 2022

MKSAP Quiz: Early-stage nodular sclerosing Hodgkin lymphoma

A 27-year-old woman is evaluated following a recently confirmed diagnosis of early-stage nodular sclerosing Hodgkin lymphoma. She has had no fevers, night sweats, or weight loss. Medical history is unremarkable, and she takes no medications. Following physical exam, lab tests and scans, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/08/02/3.htm
2 Aug 2022

MKSAP Quiz: Evaluation for dementia

A 72-year-old man is evaluated for dementia with fluctuations in attentiveness, visual hallucinations, and slowness of movements over the past year. He has also acted out his dreams in his sleep a few times over the last 2 years. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/07/26/3.htm
26 Jul 2022

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: Follow-up for positive HIV test

A 35-year-old man undergoes follow-up evaluation for a positive HIV screening test obtained 3 days ago. He is ready to start treatment. HIV testing 1 year ago was negative. He takes no medications. The physical examination is normal. Following immunoassays, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/07/12/4.htm
12 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: Several-month history of pruritic rash

A 20-year-old woman is evaluated for a several-month history of unintentional weight loss, diarrhea, poor glycemic control, and pruritic rash. She was diagnosed with type 1 diabetes mellitus 2 years ago. Medications are insulin glargine and insulin aspart injection. What is the most appropriate diagnostic test to perform next?
https://immattersacp.org/archives/2022/07/mksap-quiz-several-month-history-of-pruritic-rash.htm
1 Jul 2022

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