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MKSAP Quiz: Multiple segmental pulmonary emboli

A 65-year-old man is diagnosed with multiple segmental pulmonary emboli in the right lung. He has no other medical problems, and he takes no medications. He is alert and engaged in shared decision making. After a physical exam and discussion with the patient, what is the appropriate treatment recommendation?
https://immattersacp.org/weekly/archives/2022/05/31/3.htm
31 May 2022

MKSAP Quiz: Establishing care for HIV

A 31-year-old man arrives to establish care for newly diagnosed HIV infection. He is asymptomatic. Medical history is otherwise noncontributory, and he takes no medications. Following a physical exam and review of lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2021/08/17/3.htm
17 Aug 2021

MKSAP quiz: medical history of mitral regurgitation

A 45-year-old man undergoes a pre-employment physical examination. Medical history is notable for aortic coarctation with an end-to-end anastomosis performed at 4 years of age. During a physical exam, a grade 2/6 mid-peaking systolic murmur is noted at the second right intercostal space. What is the most likely cause of this patient's systolic murmur?
https://immattersacp.org/weekly/archives/2021/06/29/3.htm
29 Jun 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: Severe anxiety and repetitive behavior

A 25-year-old man evaluated during a new patient visit is concerned about his ability to arrive on time at a new job because every morning before leaving his apartment, he feels compelled to perform multiple checks to ensure that all electronic devices are turned off and all windows and doors are locked. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2021/08/03/3.htm
3 Aug 2021

MKSAP Quiz: 1-year history of weight gain, easy bruising

A 52-year-old woman is evaluated for a 1-year history of a 6.8-kg (15-lb) weight gain, easy bruising, hypertension, and worsening diabetes control. Lab studies reveal hypercortisolism. What is the most likely cause?
https://immattersacp.org/weekly/archives/2021/07/20/3.htm
20 Jul 2021

MKSAP Quiz: Several months of itchy, scaly feet

A 50-year-old man is evaluated for a several-month history of itchy, scaly feet. It has persisted despite the application of a moisturizing lotion. A physical exam reveals erythematous scaly patches on the sides of the feet and maceration between toes. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2021/07/13/3.htm
13 Jul 2021

MKSAP Quiz: Follow-up evaluation for colon cancer

A 69-year-old woman undergoes follow-up evaluation for stage III colon cancer, which was resected 2 years ago. She is asymptomatic and takes no medications. Following a physical exam and surveillance CT scan that reveals two lesions in the right lobe of the liver, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/01/25/3.htm
25 Jan 2022

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: 4-week history of lower extremity weakness

A 52-year-old man is evaluated for 4-week history of left lower extremity weakness that began with tripping on the left foot. He now must lift his knee to clear his foot off the ground. He reports no pain but has mild tingling on the lateral border of his left foot. Following a physical exam, lab test, and electromyogram, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/01/18/3.htm
18 Jan 2022

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