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MKSAP Quiz: 2-year history of migraine

A 20-year-old man is evaluated for a 2-year history of migraine that began when he started college. Migraine episodes occur 6 to 12 days per month, with more frequent episodes associated with increased stress from difficult assignments or final examinations. All physical examination findings, including vital signs, are unremarkable. What is the most appropriate preventive measure?
https://immattersacp.org/weekly/archives/2024/03/12/3.htm
12 Mar 2024

MKSAP Quiz: Slowly progressive dyspnea

A 30-year-old man is seen in the office for slowly progressive dyspnea that first appeared when walking rapidly or uphill. He denies orthopnea, palpitations, or chest pain. He has no other medical problems and takes no medications. Following a physical exam and lab tests, what is the most likely diagnosis?
https://immattersacp.org/archives/2024/03/mksap-quiz-slowly-progressive-dyspnea.htm
1 Mar 2024

MKSAP Quiz: Runner evaluation during a marathon

A 22-year-old woman participating in a marathon is evaluated in the medical tent for headache, confusion, and disorientation after she stopped running at mile 20. This is her first marathon. Following a physical exam and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2024/03/05/3.htm
5 Mar 2024

MKSAP Quiz: 6-month history of fatigue, joint and chest pain, sun sensitivity

A 25-year-old woman is evaluated for a 6-month history of fatigue, joint pain, sun sensitivity, and pleuritic chest pain. Medications are an oral contraceptive pill and as-needed naproxen. Following a physical exam and other lab results, what is the most appropriate test?
https://immattersacp.org/archives/2024/01/mksap-quiz-6-month-history-of-fatigue-joint-and-chest-pain-sun-sensitivity.htm
1 Jan 2024

MKSAP Quiz: 1-month history of fever, malaise, weight loss

A 52-year-old woman is evaluated for a 1-month history of fever, malaise, and weight loss. She has a history of cardiomyopathy, for which she received a heart transplant 5 years ago; 3 months ago, an episode of rejection occurred, and high-dose glucocorticoids were initiated. Following a physical exam and CT scan, which infection is the most likely cause of the patient's findings?
https://immattersacp.org/weekly/archives/2024/02/27/3.htm
27 Feb 2024

MKSAP Quiz: Cough, rhinorrhea, and wheezing for 3 weeks

A 23-year-old man is evaluated for cough, rhinorrhea, and wheezing of 3 weeks' duration. He has no fevers, chills, or chest pain and no history of asthma or allergies. He is a pastry chef and notes that his symptoms improve on nonworking weekends. Following a physical exam and other tests, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2024/01/02/3.htm
2 Jan 2024

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://immattersacp.org/archives/2023/10/mksap-quiz-evaluation-for-fatigue-of-3-months-duration.htm
1 Oct 2023

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://immattersacp.org/weekly/archives/2023/11/28/3.htm
28 Nov 2023

Test yourself case study: hepatic mass

ACP Internist has brought back its MKSAP quiz. This popular feature was so heavily requested by our readers that we're restoring it in our print edition and ACP Internist Weekly e-mail updates.
https://immattersacp.org/archives/2008/10/mksap.htm
1 Oct 2008

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

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