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MKSAP Quiz: 3-day history of headaches, low-grade fever

A 17-year-old woman is evaluated in the emergency department in September for a 3-day history of headaches, low-grade fever, sore throat, cough, and stiff neck. She is otherwise well and takes no medications. Following a physical exam and other tests, what is the most likely cause of this patient's findings?
https://immattersacp.org/archives/2023/11/mksap-quiz-3-day-history-of-headaches-low-grade-fever.htm
1 Nov 2023

MKSAP Quiz: Lower extremity edema, rash

A 31-year-old woman is evaluated for lower extremity edema, a rash over both legs, and fatigue that have worsened during the past 3 months. She has no other medical problems and takes no medications. Following a physical exam and lab studies, what viral study will support the most likely diagnosis?
https://immattersacp.org/archives/2023/02/mksap-quiz-lower-extremity-edema-rash.htm
1 Feb 2023

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: 3-day history of left knee pain, swelling

A 43-year-old woman is evaluated for a 3-day history of left knee pain and swelling. Similar episodes have occurred in either knee as well as the left wrist during the past 2 years. Following a physical exam, radiographs, and joint aspiration of the left knee, what laboratory study will most likely identify the cause of this patient's symptoms?
https://immattersacp.org/weekly/archives/2021/03/16/3.htm
16 Mar 2021

MKSAP Quiz: 1-week history of chest pressure

A 35-year-old woman is evaluated for a 4-month history of exertional dyspnea and a 1-week history of chest pressure. She has no sputum production, cough, or wheezes. She has never smoked. Following a physical examination, laboratory studies, electrocardiogram, and chest radiograph, what is the most appropriate initial test?
https://immattersacp.org/weekly/archives/2020/03/17/3.htm
17 Mar 2020

MKSAP Quiz: 6 months of exertional dyspnea

A 46-year-old man is evaluated for 6 months of exertional dyspnea, fatigue, and ankle edema. Recently he experienced near-syncope walking up two flights of stairs. He has no other medical problems and takes no medications. Following a physical exam, transthoracic echocardiogram, and other tests, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/06/09/3.htm
9 Jun 2020

MKSAP Quiz: Evaluation of abnormal thyroid laboratory results

A 29-year-old woman is seen in follow-up for evaluation of abnormal thyroid laboratory results. She is currently 26 weeks pregnant. She was originally evaluated 1 week ago for concerns about lack of weight gain during pregnancy, palpitations, anxiety, and insomnia. After a physical exam and considering lab results, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/09/29/3.htm
29 Sep 2020

MKSAP Quiz: Midsystolic ejection click and systolic murmur

A 54-year-old man is evaluated during a routine examination. He is asymptomatic, and he exercises regularly without any limitations. Cardiac examination reveals a midsystolic ejection click and a grade 2/6 crescendo-decrescendo systolic murmur at the second right intercostal space. Following a transthoracic echocardiogram, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/09/15/3.htm
15 Sep 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: 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

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