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MKSAP Quiz: 1-year history of lower extremity edema

This week's quiz asks readers to determine the most likely diagnosis for a 60-year-old man with a 30-year history of poorly controlled ankylosing spondylitis and intermittent uveitis who is evaluated for a 1-year history of lower extremity edema.
https://immattersacp.org/weekly/archives/2023/02/14/3.htm
14 Feb 2023

MKSAP Quiz: 2-day history of shortness of breath

A 35-year-old man is evaluated in the emergency department for a 2-day history of shortness of breath with no cough or hemoptysis. Medical history is unremarkable, and he takes no medications. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/07/05/4.htm
5 Jul 2022

MKSAP Quiz: Management of a metastatic neuroendocrine tumor

A 48-year-old woman is evaluated following the diagnosis of a metastatic neuroendocrine tumor. Two weeks ago, she underwent ultrasonography for biliary colic, which unexpectedly showed multiple hepatic lesions. Following tests, a physical exam, and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/03/22/3.htm
22 Mar 2022

MKSAP Quiz: Follow-up for systemic lupus erythematosus

A 30-year-old woman is seen in follow-up. She was diagnosed with systemic lupus erythematosus 12 years ago. She was treated for lupus nephritis, which is now quiescent. What health risk assessment should be performed now?
https://immattersacp.org/weekly/archives/2022/04/05/3.htm
5 Apr 2022

MKSAP Quiz: Motivating lifestyle change

A 28-year-old man is evaluated during a follow-up visit for hypertension and diabetes mellitus. He works two jobs and eats fast food for most meals. Which of the following is the most appropriate management?
https://immattersacp.org/weekly/archives/2023/03/21/3.htm
21 Mar 2023

MKSAP Quiz: Follow-up visit for chronic hypertension

A 44-year-old woman is evaluated during a follow-up visit for chronic hypertension. Over the past month, her average blood pressure measured with home blood pressure monitoring was 150/90 mm Hg. Following a physical exam and lab tests, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/10/11/3.htm
11 Oct 2022

MKSAP Quiz: Evaluation for incontinence

An 88-year-old man is evaluated for incontinence. When he needs to urinate, he is very slow getting to the bathroom. He has dementia, and he uses a walker for ambulation. Following a physical exam and urinalysis, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2023/03/14/3.htm
14 Mar 2023

MKSAP Quiz: Syncopal and near-fainting events

A 68-year-old man is evaluated for an episode of syncope and repeated episodes of near-fainting when standing and working on his tractor. Current medical problems are hypertension and dyslipidemia. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/02/08/3.htm
8 Feb 2022

MKSAP Quiz: Follow-up of osteoporosis

A 70-year-old woman is evaluated for follow-up of osteoporosis, diagnosed 5 years ago. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/11/22/3.htm
22 Nov 2022

MKSAP Quiz: Difficulty swallowing for 6 months

A 54-year-old man is evaluated for difficulty swallowing of 6 months' duration. He initially had occasional choking with liquids, which has progressed to dysphagia with both liquids and solids. Following a physical exam, lab tests, and MRI of the brain, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2022/03/15/3.htm
15 Mar 2022

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