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MKSAP Quiz: 1-month history of progressive rash

A 22-year-old woman is evaluated for a 1-month history of progressive rash on the face, chest, and arms following sun exposure. She also has experienced wrist arthralgia and malaise for the past 2 weeks. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/archives/2022/05/mksap-quiz-1-month-history-of-progressive-rash.htm
1 May 2022

MKSAP Quiz: Abrupt-onset palpitations

A 42-year-old woman is evaluated in the emergency department for abrupt-onset palpitations. For the past year, she has been having similar episodes with increasing frequency. Following a physical exam and ECG, what is the most likely rhythm diagnosis?
https://immattersacp.org/archives/2022/06/mksap-quiz-abrupt-onset-palpitations.htm
1 Jun 2022

MKSAP Quiz: Several-month history of pruritic rash

A 20-year-old woman is evaluated for a several-month history of unintentional weight loss, diarrhea, poor glycemic control, and pruritic rash. She was diagnosed with type 1 diabetes mellitus 2 years ago. Medications are insulin glargine and insulin aspart injection. What is the most appropriate diagnostic test to perform next?
https://immattersacp.org/archives/2022/07/mksap-quiz-several-month-history-of-pruritic-rash.htm
1 Jul 2022

MKSAP Quiz: Difficult and painful swallowing

A 43-year-old man is evaluated for difficulty with swallowing and painful swallowing. The pain began approximately 5 days ago and occurs with both solids and liquids. He has recently diagnosed HIV infection and is receiving antiretroviral therapy. Following a physical exam and lab studies, what is the most appropriate treatment?
https://immattersacp.org/archives/2022/09/mksap-quiz-difficult-and-painful-swallowing.htm
1 Sep 2022

MKSAP Quiz: Evaluation for hidradenitis suppurativa

A 32-year-old woman is evaluated for hidradenitis suppurativa. She has had tender, foul-smelling, draining nodules in the axillary folds for 4 years. Doxycycline and topical clindamycin have not achieved satisfactory improvement. Following a physical exam and lifestyle support, what is the most appropriate additional treatment?
https://immattersacp.org/archives/2022/10/mksap-quiz-evaluation-for-hidradenitis-suppurativa.htm
1 Oct 2022

MKSAP Quiz: Evaluation for fatigue

A 42-year-old woman is evaluated for several months of fatigue. She reports a normal diet and no gastrointestinal symptoms. Medical history is notable for hypothyroidism and vitiligo. Following a physical exam and lab studies, what is the most appropriate initial diagnostic test?
https://immattersacp.org/archives/2022/11/mksap-quiz-evaluation-for-fatigue.htm
1 Nov 2022

MKSAP Quiz: Hospitalization for dyspnea, night sweats, productive cough

A 72-year-old man is hospitalized for dyspnea, night sweats, and productive cough; symptoms began 8 months ago. He also reports a 9.1-kg (20 lb) weight loss over the past 12 months. Medical history is notable for COPD. Following a physical exam, lab tests, and a chest radiograph, what is the most likely causative organism?
https://immattersacp.org/archives/2023/01/mksap-quiz-hospitalization-for-dyspnea-night-sweats-productive-cough.htm
1 Jan 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: Heaviness, swelling of breast

A 50-year-old woman is evaluated for heaviness and swelling of her right breast of 3 weeks' duration. One week ago, she noticed that her outer breast had a pink appearance. Following a physical and breast exams and complete blood count, what is the most likely diagnosis?
https://immattersacp.org/archives/2023/03/mksap-quiz-heaviness-swelling-of-breast.htm
1 Mar 2023

MKSAP Quiz: Inpatient with fever, dry cough, shortness of breath

A 55-year-old man is evaluated in the hospital for fever, dry cough, and shortness of breath of 3 days' duration. He has advanced squamous cell lung cancer, for which he recently started treatment with pembroluzimab and radiation. Following a physical exam, CT scan, and bronchoscopy, what is the most likely diagnosis?
https://immattersacp.org/archives/2023/04/mksap-quiz-inpatient-with-fever-dry-cough-shortness-of-breath.htm
1 Apr 2023

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