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MKSAP Quiz: 3-month history of daily headaches

A 64-year-old woman is evaluated for a 3-month history of daily headaches of sudden, spontaneous onset. Following a physical exam and MRI, what is the most appropriate treatment of this patient's headaches?
https://acpinternist.org/weekly/archives/2023/01/24/3.htm
24 Jan 2023

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://acpinternist.org/archives/2023/01/mksap-quiz-hospitalization-for-dyspnea-night-sweats-productive-cough.htm
1 Jan 2023

MKSAP Quiz: 2-week history of fatigue, poor appetite, arthralgia, and rash

A 19-year-old woman is evaluated for a 2-week history of fatigue, poor appetite, arthralgia of the hands and knees, and a rash, all of which appeared 1 day after a beach trip. After physical exam, lab studies, and kidney ultrasound, what is the most appropriate diagnostic test to perform next?
https://acpinternist.org/weekly/archives/2023/01/17/3.htm
17 Jan 2023

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://acpinternist.org/archives/2022/11/mksap-quiz-evaluation-for-fatigue.htm
1 Nov 2022

MKSAP Quiz: 1-week history of burning pain, rash

A 62-year-old man is evaluated for a 1-week history of burning pain and a rash over the chest and low back. Medical history is notable for idiopathic pulmonary fibrosis and a single lung transplantation 3 years ago. Following a physical exam, hospital admission, and pending test results, what is the most appropriate additional management?
https://acpinternist.org/weekly/archives/2023/01/10/3.htm
10 Jan 2023

MKSAP Quiz: Recently identified monoclonal protein

A 61-year-old woman is seen in consultation regarding a recently identified monoclonal protein. Medical history is notable for rheumatoid arthritis that has been stable for several years. Following a physical exam and lab tests, what is the most appropriate management?
https://acpinternist.org/weekly/archives/2023/01/03/3.htm
3 Jan 2023

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://acpinternist.org/archives/2022/10/mksap-quiz-evaluation-for-hidradenitis-suppurativa.htm
1 Oct 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://acpinternist.org/archives/2022/09/mksap-quiz-difficult-and-painful-swallowing.htm
1 Sep 2022

MKSAP Quiz: Follow-up visit for asthma

A 54-year-old man with a 5-year history of persistent asthma is evaluated during a follow-up visit. He has had one exacerbation within the last year, which was treated with glucocorticoids. What is the most appropriate management?
https://acpinternist.org/weekly/archives/2022/11/01/3.htm
1 Nov 2022

MKSAP Quiz: Oral dryness without ocular dryness

A 57-year-old woman is evaluated for fatigue, generalized achiness, and oral dryness without ocular dryness. Following a physical exam and lab studies, what is the most likely cause of this patient's oral dryness?
https://acpinternist.org/weekly/archives/2022/11/08/3.htm
8 Nov 2022

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