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MKSAP Quiz: Epilepsy management

A 35-year-old man is evaluated for a 3-year history of epilepsy. Seizures typically occur twice monthly. Treatment with oxcarbazepine and lamotrigine, although initially reducing seizure frequency, has been largely ineffective. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2021/03/02/3.htm
2 Mar 2021

MKSAP Quiz: Peripheral 9-mm solid pulmonary nodule

A 72-year-old woman is evaluated during a routine visit. She has a 30-pack-year smoking history and quit 5 years ago. A screening low-dose chest CT scan shows a peripheral 9-mm solid pulmonary nodule in the left upper lobe and emphysema. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/08/25/4.htm
25 Aug 2020

MKSAP Quiz: 4-week history of dyspnea on exertion

A 54-year-old woman is evaluated for a 4-week history of dyspnea on exertion, malaise, fatigue, and anorexia. History is significant for hypertension, gout, and osteoarthritis. Following a physical exam, lab studies, and chest radiograph, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/10/27/3.htm
27 Oct 2020

MKSAP Quiz: INR management

A 61-year-old woman undergoes routine evaluation. She reports no recent changes in her medications. She has a history of idiopathic deep venous thrombosis. Her only medication is warfarin, initiated 2 months ago. Following a physical exam and international normalized ratio (INR) measurement of 7.2, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/07/28/3.htm
28 Jul 2020

MKSAP Quiz: 2-month history of nonproductive cough

A 62-year-old man is evaluated for a 2-month history of nonproductive cough, progressive dyspnea, and fatigue. He reports a 6.8-kg (15-lb) weight loss during this time. He has a 30-pack-year history of smoking. He worked in a navy ship yard 32 years ago. Following a physical exam, chest radiograph, and thoracentesis, what is the most appropriate next step?
https://immattersacp.org/weekly/archives/2020/11/10/3.htm
10 Nov 2020

MKSAP Quiz: Evaluation for worsening fatigue

A 76-year-old woman is evaluated for worsening fatigue. She reports no additional symptoms. Medical history is significant for myelodysplastic syndrome diagnosed 3 years ago. Following a physical exam and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2021/02/02/3.htm
2 Feb 2021

MKSAP Quiz: 5-year history of knee pain

A 67-year-old man is evaluated for a 5-year history of right knee pain, with morning stiffness lasting 20 minutes. Following a physical exam, what is the most appropriate initial imaging study?
https://immattersacp.org/weekly/archives/2021/06/22/3.htm
22 Jun 2021

MKSAP Quiz: 2-month history of foot pain

A 42-year-old woman is evaluated for a 2-month history of left foot pain between the third and fourth toes, accompanied by a burning sensation and the sensation of walking on a pebble. She has not experienced any trauma in the area, and she does not have edema or erythema. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2021/01/26/3.htm
26 Jan 2021

MKSAP Quiz: Persistent dyspepsia despite treatment

A 65-year-old man is evaluated for persistent dyspepsia despite treatment with antacid therapy. He also has recent weight loss of 3 kg (6.6 lb) and development of epigastric abdominal pain. Following a physical exam, biopsy, and CT scan, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2021/05/11/3.htm
11 May 2021

MKSAP Quiz: Aspirin management before polypectomy

A 58-year-old man is counseled before undergoing colonoscopy and polypectomy in 10 days' time. Two years earlier, he had an inferior wall myocardial infarction. His medications are low-dose aspirin, atorvastatin, metoprolol, and enalapril. What is the most appropriate management of his aspirin therapy?
https://immattersacp.org/weekly/archives/2021/04/13/3.htm
13 Apr 2021

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