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MKSAP Quiz: 4-year history of headaches

A 39-year-old woman is evaluated for a 4-year history of headaches that typically occur twice weekly and last 8 to 12 hours when not treated early. The pain is bilateral, frontotemporal, vice-like, and aggravated by physical activity. Following a physical and neurological exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/08/18/4.htm
18 Aug 2020

MKSAP Quiz: Follow-up evaluation for meningococcal bacteremia

A 28-year-old woman undergoes follow-up evaluation after a recent hospitalization for meningococcal bacteremia. Lumbar puncture results during hospitalization were negative for meningitis. She completed a course of ceftriaxone 1 week ago and reports feeling well since stopping antibiotics. Following a physical exam, what is the most appropriate preventive measure?
https://immattersacp.org/weekly/archives/2020/08/04/3.htm
4 Aug 2020

MKSAP Quiz: Recent worsening of balance in Parkinson disease

A 76-year-old man is evaluated for recent worsening of balance. He has no dizziness or lightheadedness. The patient has an 8-year history of Parkinson disease treated with carbidopa-levodopa and entacapone. Findings from physical, cognitive, cerebellar, and sensory examinations are unremarkable. Which of the following is the most appropriate test to determine the patient's risk of falling backward?
https://immattersacp.org/weekly/archives/2020/11/03/3.htm
3 Nov 2020

MKSAP Quiz: Assessment at hospital discharge

A 58-year-old man is assessed for discharge from the hospital. He was admitted 3 days ago with fever and chills. He has non-Hodgkin lymphoma and a tunneled subclavian venous catheter used for chemotherapy infusion. The patient is ready to be discharged to complete intravenous daptomycin therapy as an outpatient. What is the most appropriate weekly monitoring of his daptomycin therapy?
https://immattersacp.org/weekly/archives/2021/02/09/3.htm
9 Feb 2021

MKSAP Quiz: Evaluation of an elevated serum creatinine level

A 71-year-old man is evaluated in the hospital for an elevated serum creatinine level. He was hospitalized 2 days ago for a 4-day history of progressive right lower leg cellulitis. History is also significant for type 2 diabetes mellitus with prior episodes of cellulitis. Following a physical exam, lab studies, and a kidney biopsy, what is the most likely cause of this patient's kidney disease?
https://immattersacp.org/weekly/archives/2020/08/11/3.htm
11 Aug 2020

MKSAP Quiz: Elevated blood pressure during pregnancy

A 28-year-old woman is evaluated during a follow-up visit for elevated blood pressure measurements during pregnancy. She is at 12 weeks' gestation of her first pregnancy. She feels well, and the pregnancy has been otherwise uncomplicated. Following a physical exam and lab studies, what is the most likely cause of this patient's elevated blood pressure?
https://immattersacp.org/weekly/archives/2020/05/19/3.htm
19 May 2020

MKSAP Quiz: Decreased libido, fatigue

A 32-year-old man is evaluated for decreased libido and fatigue. His symptoms have increased over the last 6 months. Following a physical exam and visual exam, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2020/07/07/3.htm
7 Jul 2020

MKSAP Quiz: Ulcerating, painful lesion

A 72-year-old man is evaluated for an ulcerating, painful lesion on his left calf that began as a patch of red skin 2 to 3 weeks ago. He has dialysis-dependent end-stage kidney disease, atrial fibrillation, and hypertension. Following a physical exam and other tests, what is the most likely diagnosis?
https://immattersacp.org/archives/2022/02/mksap-quiz-ulcerating-painful-lesion.htm
1 Feb 2022

MKSAP Quiz: Validity of a study

During a routine health examination, a patient asks about an article that recommended avoiding statin therapy because of the risk for memory loss. The findings were based on cross-sectional data analysis of a well-validated national health survey. What is the most likely threat to the validity of this study?
https://immattersacp.org/weekly/archives/2020/04/28/3.htm
28 Apr 2020

MKSAP Quiz: Acne breakout for 6 months

A 16-year-old woman is evaluated for an acne breakout on her face of 6 months' duration. She has been using over-the-counter benzoyl peroxide products, but the acne is not improving. After a history and physical, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/06/30/3.htm
30 Jun 2020

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