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MKSAP Quiz: Evaluation for decreased libido, erectile dysfunction

A 58-year-old man is evaluated for decreased libido and erectile dysfunction that began insidiously over the past 6 months. He is not having nocturnal or early morning erections. His medical history is otherwise unremarkable. Following a physical exam and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2024/02/13/3.htm
13 Feb 2024

MKSAP Quiz: Evaluation after an ED visit

A 27-year-old man is evaluated during a follow-up visit. He recently visited the emergency department for a burn sustained while setting off fireworks at a party while intoxicated. He has a history of depression but never followed up for treatment and reports that his mood has improved remarkably since then. Following additional medical history and a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2024/02/06/3.htm
6 Feb 2024

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: Evaluation for intestinal metaplasia

A 40-year-old woman is evaluated for intestinal metaplasia found on recent upper endoscopy to assess postprandial pain. No ulcers were visualized but generalized erythema and irregular mucosal pattern was noted. Following biopsy specimens, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2024/01/30/3.htm
30 Jan 2024

MKSAP Quiz: 2-week history of heat intolerance in pregnancy

A 32-year-old woman is evaluated in the first trimester of pregnancy for a 2-week history of heat intolerance, palpitations, and tremulousness. Her only medication is folic acid. Following a physical examination and laboratory studies, what is the most appropriate diagnostic test?
https://immattersacp.org/weekly/archives/2024/01/23/3.htm
23 Jan 2024

MKSAP Quiz: Evaluation for increasingly frequent angina

A 68-year-old man is evaluated for increasingly frequent angina. One month ago, coronary angiography was performed because of the occurrence of angina at lower levels of exertion. Following coronary angiography, the patient increased his dosage of isosorbide mononitrate; however, his exertional chest discomfort worsened. Following a physical exam and electrocardiogram, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2024/01/16/3.htm
16 Jan 2024

MKSAP Quiz: 1-year history of widespread joint, muscle pain

A 37-year-old woman is evaluated for a 1-year history of widespread joint and muscle pain, fatigue, poor sleep, and difficulty focusing. Following a physical exam and lab tests, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2024/01/09/3.htm
9 Jan 2024

MKSAP Quiz: Cough, rhinorrhea, and wheezing for 3 weeks

A 23-year-old man is evaluated for cough, rhinorrhea, and wheezing of 3 weeks' duration. He has no fevers, chills, or chest pain and no history of asthma or allergies. He is a pastry chef and notes that his symptoms improve on nonworking weekends. Following a physical exam and other tests, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2024/01/02/3.htm
2 Jan 2024

MKSAP Quiz: 6-month history of fatigue, joint and chest pain, sun sensitivity

A 25-year-old woman is evaluated for a 6-month history of fatigue, joint pain, sun sensitivity, and pleuritic chest pain. Medications are an oral contraceptive pill and as-needed naproxen. Following a physical exam and other lab results, what is the most appropriate test?
https://immattersacp.org/archives/2024/01/mksap-quiz-6-month-history-of-fatigue-joint-and-chest-pain-sun-sensitivity.htm
1 Jan 2024

MKSAP Quiz: 2-month history of worsening dry cough

A 59-year-old man is evaluated for a 2-month history of worsening dry cough. He has no other symptoms. Following a physical exam, CT scan of the chest, and other procedures, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2023/12/19/3.htm
19 Dec 2023

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