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MKSAP Quiz: Last menstrual period more than 12 months ago

A 48-year-old woman is evaluated during a routine examination. She reports that her last menstrual period was more than 12 months ago. She states she has occasional hot flushes. Following a physical exam and pregnancy test, what is the most appropriate management?
https://acpinternist.org/weekly/archives/2023/11/28/3.htm
28 Nov 2023

MKSAP Quiz: 3-day history of headaches, low-grade fever

A 17-year-old woman is evaluated in the emergency department in September for a 3-day history of headaches, low-grade fever, sore throat, cough, and stiff neck. She is otherwise well and takes no medications. Following a physical exam and other tests, what is the most likely cause of this patient's findings?
https://acpinternist.org/archives/2023/11/mksap-quiz-3-day-history-of-headaches-low-grade-fever.htm
1 Nov 2023

MKSAP Quiz: 1-year history of insomnia

An 87-year-old woman is evaluated for a 1-year history of bothersome insomnia. She reports taking up to 2 hours to fall asleep. She also feels that her sleep is less refreshing. What is the most appropriate treatment?
https://acpinternist.org/weekly/archives/2023/11/21/3.htm
21 Nov 2023

MKSAP Quiz: 3-year history of erythema, flaking

A 78-year-old man is evaluated for a 3-year history of erythema and flaking on the scalp and face. Following a physical exam, what is the most appropriate treatment?
https://acpinternist.org/archives/2023/09/mksap-quiz-3-year-history-of-erythema-flaking.htm
1 Sep 2023

MKSAP Quiz: 4-week history of blood per rectum

A 26-year-old woman is evaluated for a 4-week history of intermittent bright red blood per rectum and the feeling of incomplete evacuation. She has loose and blood-streaked bowel movements four or five times daily. Following a physical exam, lab studies, and colonoscopy, what is the most appropriate treatment?
https://acpinternist.org/weekly/archives/2023/11/14/3.htm
14 Nov 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://acpinternist.org/weekly/archives/2023/11/07/3.htm
7 Nov 2023

MKSAP Quiz: Evaluation for fatigue of 3 months' duration

A 36-year-old woman is evaluated for fatigue of 3 months' duration and dyspnea on exertion of 1 month's duration. She is 1 month postpartum. She takes no medications. Following a physical examination and lab studies, what is the most appropriate management?
https://acpinternist.org/archives/2023/10/mksap-quiz-evaluation-for-fatigue-of-3-months-duration.htm
1 Oct 2023

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://acpinternist.org/weekly/archives/2023/10/31/3.htm
31 Oct 2023

MKSAP Quiz: Pruritic rash on elbows and knees

A 27-year-old man is evaluated for a pruritic rash on his elbows and knees of 3 years' duration. Celiac disease was diagnosed 7 months ago. He started a gluten-free diet, and the diarrhea resolved but the rash has persisted. Following a physical exam and other tests, what is the most appropriate management?
https://acpinternist.org/archives/2023/07/mksap-quiz-pruritic-rash-on-elbows-and-knees.htm
1 Jul 2023

MKSAP Quiz: Evaluation for pneumonia

An 81-year-old man is evaluated in the hospital for pneumonia. Following a physical exam and CT scan of the chest, what pleural fluid test is most appropriate in directing therapy?
https://acpinternist.org/weekly/archives/2023/10/17/3.htm
17 Oct 2023

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