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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: 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/2020/05/04/3.htm
4 May 2020

MKSAP Quiz: 6-month history of dyspnea on exertion

A 38-year-old man is evaluated for a 6-month history of dyspnea on exertion. He has gastroesophageal reflux disease and Raynaud phenomenon. He does not smoke and has no cough or wheezing. Following a physical exam, pulmonary function testing, and high-resolution CT, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/11/19/3.htm
19 Nov 2019

MKSAP Quiz: Evaluation for an elevated globulin fraction

A 67-year-old woman undergoes follow-up evaluation for an elevated globulin fraction of total serum protein level. She has no symptoms. Following a physical exam and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2019/07/23/3.htm
23 Jul 2019

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: 2-month history of a burning sensation

A 45-year-old man is evaluated for a 2-month history of a burning sensation starting in his stomach and radiating into his chest, usually occurring 4 to 5 times weekly. He says that he usually eats dinner late and then goes to sleep. He often wakes up with a sour taste in his mouth. Following a physical exam, which is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2020/04/21/3.htm
21 Apr 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: Evaluation for a carotid bruit

A 67-year-old man is evaluated for a carotid bruit detected on routine medical examination. He reports no history of previous focal neurologic symptoms or visual loss. He has type 2 diabetes mellitus and hyperlipidemia treated with metformin, moderate-intensity pravastatin, and aspirin. Following a physical exam, neurological exam, and lab results, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2019/11/12/3.htm
12 Nov 2019

MKSAP Quiz: 6-day history of lightheadedness, nightly fevers

A 19-year-old man is hospitalized with a 6-day history of lightheadedness and nightly fevers, as well as sore throat and other symptoms. A blotchy rash on his trunk and arms has recently resolved. He returned home 12 days ago from a trip to Vietnam, for which he did not receive specific immunizations or other prophylaxis. What is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/10/29/3.htm
29 Oct 2019

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

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