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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: Follow-up visit for a kidney transplant

A 40-year-old man is evaluated during a follow-up visit for a kidney transplant he received 2 years ago. History is also significant for hypertension. Medications are tacrolimus, mycophenolate mofetil, prednisone, and nifedipine. Which treatment should be added?
https://immattersacp.org/weekly/archives/2021/02/23/4.htm
23 Feb 2021

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: 4-year history of headaches

A 39-year-old woman is evaluated for a 4-year history of headaches that typically occur twice weekly and last 8 to 12 hours when not treated early. The pain is bilateral, frontotemporal, vice-like, and aggravated by physical activity. Following a physical and neurological exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/08/18/4.htm
18 Aug 2020

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: 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 of an elevated serum creatinine level

A 71-year-old man is evaluated in the hospital for an elevated serum creatinine level. He was hospitalized 2 days ago for a 4-day history of progressive right lower leg cellulitis. History is also significant for type 2 diabetes mellitus with prior episodes of cellulitis. Following a physical exam, lab studies, and a kidney biopsy, what is the most likely cause of this patient's kidney disease?
https://immattersacp.org/weekly/archives/2020/08/11/3.htm
11 Aug 2020

MKSAP Quiz: Assessment at hospital discharge

A 58-year-old man is assessed for discharge from the hospital. He was admitted 3 days ago with fever and chills. He has non-Hodgkin lymphoma and a tunneled subclavian venous catheter used for chemotherapy infusion. The patient is ready to be discharged to complete intravenous daptomycin therapy as an outpatient. What is the most appropriate weekly monitoring of his daptomycin therapy?
https://immattersacp.org/weekly/archives/2021/02/09/3.htm
9 Feb 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: Evaluation for generalized hair loss

A 27-year-old woman is evaluated in the office for generalized hair loss. She has not had any similar episodes previously. The patient is 3 months postpartum and does not take any medications. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/09/22/3.htm
22 Sep 2020

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