A 48-year-old woman is evaluated for a 2-month history of increased dyspnea, wheezing, and nonproductive cough. She also reports intermittent pain and swelling in the wrists and knees for the past 6 months. She was diagnosed with scleritis of the
A 22-year-old man is evaluated for a skin eruption on his leg. The patient lives in Virginia and is active outdoors. One week ago, he found a black tick on his lower leg, which his roommate removed with a tweezers. Yesterday he developed diffuse
A 27-year-old woman is evaluated for a 6-month history of fatigue, arthralgia, and myalgia. She has a history of urinary tract infections. Medications are an oral contraceptive pill and as-needed naproxen for pain. Following a physical exam, lab
D. Exercise treadmill stress test. The correct answer is D: Exercise treadmill stress test. ... In this setting, an exercise treadmill stress test is the most appropriate noninvasive imaging study.
A 32-year-old man is evaluated for a 2-month history of painless, violaceous skin nodules with surrounding edema on the chest, back, and lower extremities. He reports that he has sex with men. Medical history is significant for AIDS, with a CD4 cell
A 66-year-old man is evaluated in the emergency department following a fall 3 days ago, when he struck the right side of his chest against a table. Since that time he has experienced right-sided pleuritic chest pain and difficulty taking a deep
Test yourself with this quiz from DynaMed Plus. Screening for breast cancer refers to any test performed on a woman without current signs or symptoms of breast cancer, with the goal ... Mammography remains the screening test of choice. However, for
Test Yourself MKSAP image 2010, American College of Physicians, Medical Knowledge Self-Assessment Program (MKSAP.
A 37-year-old woman is evaluated for an episode of blood in her urine. She notes the passage of red-colored urine that resolved spontaneously and was not associated with her menstrual cycle. She reports having had several similar episodes in the past
A 37-year-old woman is evaluated in the emergency department for the acute onset of pain after 2 weeks of bloody diarrhea. The diarrhea has escalated to 15 times per day. She has ulcerative colitis that was diagnosed 2 years ago. She currently takes