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MKSAP Quiz: Follow-up discussion of test results

A 26-year-old woman is seen for follow-up discussion of test results. Three days ago, she was evaluated for a 1-week history of a nonpruritic rash that appears to be resolving since the initial evaluation. The patient reports no recent history of oral or genital ulcers. Following a physical exam and lab results, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2021/09/14/3.htm
14 Sep 2021

MKSAP Quiz: Recurrent symptomatic lower UTIs

A 32-year-old woman undergoes consultation for recurrent symptomatic lower urinary tract infections. They have increased in frequency over the past 3 years to a rate of about two times per year. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2021/12/21/3.htm
21 Dec 2021

MKSAP Quiz: Chronic intermittent nonbloody diarrhea

A 25-year-old woman is evaluated for chronic intermittent nonbloody diarrhea with associated abdominal cramping, burping, and bloating. Symptoms began several months ago. Following a physical exam and stool testing, what is the most likely cause of this patient's diarrheal illness?
https://immattersacp.org/weekly/archives/2021/05/18/3.htm
18 May 2021

MKSAP Quiz: Evaluation for low back pain

A 47-year-old man is evaluated for low back pain. The pain began 5 days ago while he was playing basketball. It is localized to the lumbar back and does not radiate. The patient is unable to sit or stand for long periods, but the pain improves when lying down. After a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/05/17/4.htm
17 May 2022

MKSAP Quiz: Mass in right axilla

A 63-year-old woman is evaluated for a mass in her right axilla. She first noticed the mass 2 months ago. She has also had a persistent cough. She was diagnosed 3 years ago with stage IIB right breast cancer for which she underwent lumpectomy, chemotherapy, and breast irradiation. Following a physical exam, chest radiograph, and CT scan, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2021/11/23/3.htm
23 Nov 2021

MKSAP Quiz: Routine follow-up appointment with schizophrenia

A 56-year-old man is evaluated during a routine follow-up appointment. He has schizophrenia treated with olanzapine. Currently, the patient experiences no hallucinations or delusions. He is otherwise healthy. Following a physical exam, what should also be monitored in this patient?
https://immattersacp.org/weekly/archives/2021/10/26/3.htm
26 Oct 2021

MKSAP Quiz: Evaluation for daytime sleepiness

A 31-year-old woman is evaluated for a 1-year history of daytime sleepiness. She falls asleep while watching TV, at the theater, and occasionally during a meal. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2021/06/15/3.htm
15 Jun 2021

MKSAP Quiz: A 3-year history of decline in cognition

A 60-year-old man is evaluated for a 3-year history of gradual, progressive decline in his cognition, behavior, and motor skills. Following a physical exam, MRI, and neuropsychological testing, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2021/09/28/3.htm
28 Sep 2021

MKSAP Quiz: COPD evaluated during a routine visit

A 66-year-old man with a history of COPD is evaluated during a routine visit. He is able to walk one flight of stairs and one block before he develops dyspnea. He was last treated for two acute exacerbations of COPD within the last year, one of which required hospitalization. Following a physical exam and other tests, what patient characteristics place him at highest risk for a recurrent acute exacerbation?
https://immattersacp.org/weekly/archives/2021/03/09/3.htm
9 Mar 2021

MKSAP Quiz: Establish care visit for pediatric cancer survivor

A 28-year-old woman is seen to establish care. Medical history is significant for acute lymphoblastic leukemia diagnosed and treated at age 5 years; she has been leukemia free since completion of therapy. Following a physical exam and cervical cancer screening, what is the most appropriate additional survivorship assessment to perform next?
https://immattersacp.org/weekly/archives/2022/02/22/3.htm
22 Feb 2022

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