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MKSAP Quiz: Prenatal evaluation and sickle cell disease

A 22-year-old woman is seen for a routine prenatal evaluation; she is 10 weeks pregnant. This is her second pregnancy; the first pregnancy was uncomplicated. Medical history is notable for sickle cell disease requiring one to two hospitalizations per year for painful events. Following a physical exam, cardiac exam, and lab studies, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/05/05/3.htm
5 May 2020

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: 6-month history of incontinence

A 68-year-old woman is evaluated for a 6-month history of incontinence typified by continuous leakage and dribbling. Following a physical exam and urinalysis, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/12/22/3.htm
22 Dec 2020

MKSAP Quiz: Unable to achieve pregnancy

A 37-year-old woman is unable to achieve pregnancy despite 7 months of unprotected intercourse. Her menstrual cycles are normal, occurring every 28 days with associated breast tenderness and bloating. There have been no prior pregnancies or attempts to achieve pregnancy by either the patient or her male partner. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/04/14/3.htm
14 Apr 2020

MKSAP Quiz: Incidental gallbladder findings

A 65-year-old man is evaluated after a screening ultrasound for abdominal aortic aneurysm showed incidental gallbladder findings. He reports no symptoms. Following a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2020/07/14/3.htm
14 Jul 2020

MKSAP Quiz: 10-year history of chronic pain

A 51-year-old woman is referred for evaluation. She has a 10-year history of chronic pain that she describes as head-to-toe aching, twisting, and sometimes burning that involves several large muscle groups. The pain is constant, and she rates the severity as a 6 on a 10-point scale. Following a physical exam, what is the most appropriate next step in treatment?
https://immattersacp.org/weekly/archives/2020/07/21/4.htm
21 Jul 2020

MKSAP Quiz: 10-day history of abdominal cramping, diarrhea

A 36-year-old man is evaluated for a 10-day history of abdominal cramping, diarrhea, malaise, and nausea. Diarrhea is watery without mucus or blood. He recently returned from a trip to Lima, Peru. Following a physical exam and stool assay, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/02/25/3.htm
25 Feb 2020

MKSAP Quiz: 5-month history of exertional chest discomfort

A 60-year-old man with hypertension and hyperlipidemia is evaluated for a 5-month history of exertional chest discomfort that improves with rest but has progressively worsened and reduced his activity. Medications are low-dose aspirin, losartan, hydrochlorothiazide, and atorvastatin. Based on physical and cardiac exam and results of a stress echocardiogram and coronary angiogram, what is the most appropriate next step in the patient's management?
https://immattersacp.org/weekly/archives/2019/12/10/3.htm
10 Dec 2019

MKSAP Quiz: Evaluation for stiffness and pain

A 43-year-old man is evaluated for knee, hip, shoulder, and arm stiffness, worsening over the past year. He also has pain in the arms, legs, neck, and torso, both on and between the joints. He states that his discomfort is continuous. After a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/06/16/3.htm
16 Jun 2020

MKSAP Quiz: Posthospital evaluation for severe COPD

A 64-year-old woman is evaluated during a posthospital visit for severe COPD with an FEV1 of 30% of predicted. She has been admitted three times during the last year with acute exacerbations. Following physical and pulmonary exams, what is the most appropriate treatment to reduce this patient's COPD exacerbations?
https://immattersacp.org/weekly/archives/2019/08/20/3.htm
20 Aug 2019

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