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MKSAP Quiz: 5-month history of exertional chest discomfort

A 60-year-old man with hypertension and hyperlipidemia is evaluated for a 5-month history of exertional chest discomfort that improves with rest but has progressively worsened and reduced his activity. Medications are low-dose aspirin, losartan, hydrochlorothiazide, and atorvastatin. Based on physical and cardiac exam and results of a stress echocardiogram and coronary angiogram, what is the most appropriate next step in the patient's management?
https://immattersacp.org/weekly/archives/2019/12/10/3.htm
10 Dec 2019

MKSAP Quiz: Evaluation after an ED visit

A 27-year-old man is evaluated during a follow-up visit. He recently visited the emergency department for a burn sustained while setting off fireworks at a party while intoxicated. He has a history of depression but never followed up for treatment and reports that his mood has improved remarkably since then. Following additional medical history and a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2024/02/06/3.htm
6 Feb 2024

MKSAP Quiz: 2-week history of heat intolerance in pregnancy

A 32-year-old woman is evaluated in the first trimester of pregnancy for a 2-week history of heat intolerance, palpitations, and tremulousness. Her only medication is folic acid. Following a physical examination and laboratory studies, what is the most appropriate diagnostic test?
https://immattersacp.org/weekly/archives/2024/01/23/3.htm
23 Jan 2024

MKSAP Quiz: Evaluation for increasingly frequent angina

A 68-year-old man is evaluated for increasingly frequent angina. One month ago, coronary angiography was performed because of the occurrence of angina at lower levels of exertion. Following coronary angiography, the patient increased his dosage of isosorbide mononitrate; however, his exertional chest discomfort worsened. Following a physical exam and electrocardiogram, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2024/01/16/3.htm
16 Jan 2024

MKSAP Quiz: Dyspnea, exertional syncope

A 75-year-old man is evaluated for dyspnea and an episode of exertional syncope. He is diagnosed on clinical examination with aortic stenosis. Following an ECG, echocardiogram, and other data, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2023/10/31/3.htm
31 Oct 2023

MKSAP Quiz: Follow-up of hypoparathyroidism

A 57-year-old man is evaluated during routine follow-up of hypoparathyroidism. He underwent resection of locally advanced squamous cell carcinoma of the tongue base and received adjuvant radiation therapy. Hypoparathyroidism developed after treatment. Serum calcium, magnesium, and urine calcium excretion are measured. What measurement should also be obtained for management of this patient's hypoparathyroidism?
https://immattersacp.org/weekly/archives/2023/11/07/3.htm
7 Nov 2023

MKSAP Quiz: 2-month history of worsening dry cough

A 59-year-old man is evaluated for a 2-month history of worsening dry cough. He has no other symptoms. Following a physical exam, CT scan of the chest, and other procedures, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2023/12/19/3.htm
19 Dec 2023

MKSAP Quiz: 1-year history of widespread joint, muscle pain

A 37-year-old woman is evaluated for a 1-year history of widespread joint and muscle pain, fatigue, poor sleep, and difficulty focusing. Following a physical exam and lab tests, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2024/01/09/3.htm
9 Jan 2024

MKSAP quiz: Inclusion body myositis

An 82-year-old man is seen in follow-up for inclusion body myositis. A prednisone taper over the past 4 months was completed without clinical improvement. Following a physical exam and lab test, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2023/10/24/3.htm
24 Oct 2023

MKSAP Quiz: Assessment of multiple sclerosis status

A 49-year-old woman is evaluated for a 3-year history of slowly worsening bilateral lower extremity weakness, fatigue, and numbness in the hands and is diagnosed with multiple sclerosis after a physical exam and further testing. What best describes the status of this patient's disease?
https://immattersacp.org/weekly/archives/2023/12/12/3.htm
12 Dec 2023

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