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MKSAP Quiz: Persistent rhinorrhea, frontal headache

A 45-year-old woman is evaluated for 4-month history of persistent rhinorrhea, frontal headache, loss of smell, and malaise. Following a physical exam, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2022/06/28/3.htm
28 Jun 2022

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: Follow-up after upper endoscopy, colonoscopy

A 21-year-old woman is evaluated at follow-up after upper endoscopy and colonoscopy, which were performed because of iron deficiency anemia unresponsive to oral iron therapy. Upper endoscopy revealed fundic gland polyps carpeting the stomach and multiple small adenomatous polyps in the duodenum. Following a colonoscopy, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/06/14/3.htm
14 Jun 2022

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: Abrupt-onset palpitations

A 42-year-old woman is evaluated in the emergency department for abrupt-onset palpitations. For the past year, she has been having similar episodes with increasing frequency. Following a physical exam and ECG, what is the most likely rhythm diagnosis?
https://immattersacp.org/archives/2022/06/mksap-quiz-abrupt-onset-palpitations.htm
1 Jun 2022

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: 8-week history of postprandial abdominal pain

A 54-year-old man is evaluated for an 8-week history of postprandial, gnawing, epigastric abdominal pain after every meal. Pain begins 30 minutes after eating, persists for 1 hour, and gradually resolves. Following a physical exam and upper endoscopy, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2022/05/10/3.htm
10 May 2022

MKSAP Quiz: 1-month history of progressive rash

A 22-year-old woman is evaluated for a 1-month history of progressive rash on the face, chest, and arms following sun exposure. She also has experienced wrist arthralgia and malaise for the past 2 weeks. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/archives/2022/05/mksap-quiz-1-month-history-of-progressive-rash.htm
1 May 2022

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