Search results for "Test Yourself"
MKSAP Quiz: Follow-up visit for rheumatoid arthritis
A 58-year-old man is evaluated at a follow-up visit. He has had rheumatoid arthritis for 5 years. Increasing morning stiffness, fatigue, increasing joint pain, and swelling of small hand joints have developed in the past 6 months. Following a physical exam and other tests, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/08/16/3.htm
16 Aug 2022
MKSAP Quiz: Follow-up for stable chronic kidney disease
A 57-year-old man is evaluated during follow-up for stable chronic kidney disease diagnosed 1 year ago. He also has type 2 diabetes mellitus, hyperlipidemia, and peripheral artery disease. On physical examination, blood pressure is 128/74 mm Hg, pulse rate is 65/min, and respiration rate is 18/min. Bilateral carotid and lower abdominal quadrant bruits are heard. Peripheral extremity pulses are diminished. The remainder of the examination is normal. After laboratory studies, what is the appropriate management?
https://immattersacp.org/weekly/archives/2021/11/09/3.htm
9 Nov 2021
MKSAP Quiz: Evaluation for worsening choking
A 75-year-old man is evaluated for choking that started 3 months ago and has progressively worsened. Parkinson disease was diagnosed 3 months ago. His only medication is carbidopa-levodopa. After physical examination, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2021/12/07/3.htm
7 Dec 2021
MKSAP Quiz: Treatment of elevated cholesterol levels
A 58-year-old man is evaluated during a routine visit. He has psoriatic arthritis and hypertension. Following a physical exam and lab studies, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2021/12/14/3.htm
14 Dec 2021
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://immattersacp.org/weekly/archives/2023/11/21/3.htm
21 Nov 2023
MKSAP Quiz: Early-stage nodular sclerosing Hodgkin lymphoma
A 27-year-old woman is evaluated following a recently confirmed diagnosis of early-stage nodular sclerosing Hodgkin lymphoma. She has had no fevers, night sweats, or weight loss. Medical history is unremarkable, and she takes no medications. Following physical exam, lab tests and scans, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/08/02/3.htm
2 Aug 2022
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://immattersacp.org/archives/2023/07/mksap-quiz-pruritic-rash-on-elbows-and-knees.htm
1 Jul 2023
MKSAP Quiz: Preconception counseling
This week's quiz asks readers to determine the appropriate management for a 28-year-old woman with hypertension who is seeking preconception counseling.
https://immattersacp.org/weekly/archives/2022/01/11/3.htm
11 Jan 2022
MKSAP Quiz: Follow-up for elevated serum creatinine level
A 35-year-old man is evaluated during a follow-up visit for an elevated serum creatinine level discovered during a recent hospitalization for cellulitis of the right lower leg. He is a migratory agricultural worker. Following a physical exam, lab studies, and kidney ultrasound, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2021/09/21/3.htm
21 Sep 2021
MKSAP quiz: Appropriate treatment for primary hyperaldosteronism
A 67-year-old man is evaluated during a follow-up visit for resistant hypertension. He was recently evaluated for primary hyperaldosteronism, and the screening plasma aldosterone concentration/plasma renin activity ratio was >20. A dedicated adrenal CT scan showed diffuse bilateral adrenal hyperplasia. After history and physical, cardiac and pulmonary exams, and discussion of patient preferences, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/07/19/3.htm
19 Jul 2022