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MKSAP Quiz: Evaluation of an elevated serum creatinine level

A 71-year-old man is evaluated in the hospital for an elevated serum creatinine level. He was hospitalized 2 days ago for a 4-day history of progressive right lower leg cellulitis. History is also significant for type 2 diabetes mellitus with prior episodes of cellulitis. Following a physical exam, lab studies, and a kidney biopsy, what is the most likely cause of this patient's kidney disease?
https://immattersacp.org/weekly/archives/2020/08/11/3.htm
11 Aug 2020

MKSAP Quiz: Evaluation for a changing mole

A 26-year-old woman is evaluated for a changing mole on her left lower leg. She says it is getting bigger and darker. The patient is 5 weeks pregnant. Her only medication is a prenatal vitamin. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2020/04/07/3.htm
7 Apr 2020

MKSAP Quiz: Abdominal aortic aneurysm found during routine examination

A 69-year-old man is evaluated during a routine examination. He is asymptomatic. Medical history is significant for hypertension. On physical examination, vital signs are normal. A bruit is heard over the abdomen, and a pulsatile mass is present in the epigastrium. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2020/03/31/3.htm
31 Mar 2020

MKSAP Quiz: Decreased libido, fatigue

A 32-year-old man is evaluated for decreased libido and fatigue. His symptoms have increased over the last 6 months. Following a physical exam and visual exam, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2020/07/07/3.htm
7 Jul 2020

MKSAP Quiz: Acne breakout for 6 months

A 16-year-old woman is evaluated for an acne breakout on her face of 6 months' duration. She has been using over-the-counter benzoyl peroxide products, but the acne is not improving. After a history and physical, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/06/30/3.htm
30 Jun 2020

MKSAP Quiz: Preconception counseling for mitral stenosis

A 26-year-old woman seeks preconception counseling. She has a history of mitral stenosis and underwent mitral valve replacement with a tilting-disc mechanical prosthesis 5 years ago. Following a physical exam, lab studies, and electrocardiogram, what is the most appropriate anticoagulation regimen for this patient during the first trimester?
https://immattersacp.org/weekly/archives/2020/06/23/3.htm
23 Jun 2020

MKSAP Quiz: 3-year history of knee stiffness

A 58-year-old man is evaluated for a 3-year history of left knee stiffness, which was intermittent but has become more persistent in the past 4 months. He reports no daily pain but has knee stiffness for 10 minutes in the morning and when he sits for an extended period of time. Following a physical exam and radiograph, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/11/17/3.htm
17 Nov 2020

MKSAP Quiz: Follow-up evaluation of dementia

A 53-year-old woman is brought to the office by her husband for follow-up evaluation of behavioral-variant frontotemporal dementia, which was diagnosed 9 months ago. Her clinical symptoms of occasional aphasia, minor memory impairment, behavioral disinhibition, and obsessive-compulsive behaviors have worsened since diagnosis and have become disruptive. Her husband asks about possible medications to control her symptoms. What is the most appropriate medication to recommend?
https://immattersacp.org/weekly/archives/2021/06/08/3.htm
8 Jun 2021

MKSAP Quiz: Lower extremity edema and fatigue

A 29-year-old man is hospitalized for lower extremity edema and fatigue that has progressed over the past 6 months. Laboratory studies document kidney failure. Following a physical exam, additional lab studies, and kidney biopsy, results of which tests will most likely explain this patient's findings?
https://immattersacp.org/weekly/archives/2021/05/25/3.htm
25 May 2021

MKSAP Quiz: Follow-up for urinary incontinence

A 67-year-old man is evaluated in follow-up for urinary incontinence. Six months ago, he began tamsulosin for occasional nocturia, frequency, and urgency related to benign prostatic hyperplasia. Tamsulosin decreased the frequency of nocturia, but he continued to have daytime urinary urgency with a few occasions of urine leakage. Following a physical exam and bladder ultrasonography, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/10/20/3.htm
20 Oct 2020

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