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MKSAP Quiz: Left lower pelvic pain

A 62-year-old woman is evaluated for left lower pelvic pain for the last 3 months. Family history is significant for ovarian cancer in her mother at age 51 years and triple-negative breast cancer in her sister at age 42 years. A CT shows an 8-cm left adnexal mass in the pelvis. What is the most appropriate initial management?
https://immattersacp.org/weekly/archives/2024/03/19/3.htm
19 Mar 2024

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: Swollen leg and recent cancer treatment

A 68-year-old woman is evaluated in the emergency department for swelling in her right leg of 3 days' duration. She completed therapy for breast cancer 1 month ago. She takes no medications. Following a physical exam, what is the most appropriate test?
https://immattersacp.org/weekly/archives/2024/02/20/3.htm
20 Feb 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

MKSAP Quiz: 3-year history of erythema, flaking

A 78-year-old man is evaluated for a 3-year history of erythema and flaking on the scalp and face. Following a physical exam, what is the most appropriate treatment?
https://immattersacp.org/archives/2023/09/mksap-quiz-3-year-history-of-erythema-flaking.htm
1 Sep 2023

MKSAP Quiz: Evaluation for intestinal metaplasia

A 40-year-old woman is evaluated for intestinal metaplasia found on recent upper endoscopy to assess postprandial pain. No ulcers were visualized but generalized erythema and irregular mucosal pattern was noted. Following biopsy specimens, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2024/01/30/3.htm
30 Jan 2024

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: 3-day history of headaches, low-grade fever

A 17-year-old woman is evaluated in the emergency department in September for a 3-day history of headaches, low-grade fever, sore throat, cough, and stiff neck. She is otherwise well and takes no medications. Following a physical exam and other tests, what is the most likely cause of this patient's findings?
https://immattersacp.org/archives/2023/11/mksap-quiz-3-day-history-of-headaches-low-grade-fever.htm
1 Nov 2023

MKSAP Quiz: Evaluation for decreased libido, erectile dysfunction

A 58-year-old man is evaluated for decreased libido and erectile dysfunction that began insidiously over the past 6 months. He is not having nocturnal or early morning erections. His medical history is otherwise unremarkable. Following a physical exam and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2024/02/13/3.htm
13 Feb 2024

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