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MKSAP Quiz: 2-week history of daily palpitations

A 41-year-old man is evaluated for a 2-week history of daily palpitations that last minutes at a time and resolve spontaneously. The palpitations are not associated with any specific activity. Following a physical exam, what is the most appropriate initial test?
https://immattersacp.org/weekly/archives/2024/04/09/3.htm
9 Apr 2024

MKSAP Quiz: 3-year history of pain in muscles, joints

A 47-year-old woman is evaluated for a 3-year history of pain in all of her muscles and joints. She is a commercial truck driver. Her sleep is poor, and she awakens unrefreshed. She completes a fibromyalgia diagnostic questionnaire and meets the criteria for fibromyalgia. She has anxiety and depression. Following a physical exam and lab results, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2024/04/02/3.htm
2 Apr 2024

MKSAP Quiz: New lesion on the side of the face

A 29-year-old woman is evaluated for a 6-month history of acne that worsens during menses. She has been using topical benzoyl peroxide wash and topical tretinoin cream, but there has been no improvement. What is the most appropriate management?
https://immattersacp.org/archives/2024/04/mksap-quiz-new-lesion-on-the-side-of-the-face.htm
1 Apr 2024

MKSAP Quiz: Evaluation for cough, wheezing

A 35-year-old woman is evaluated for a cough and wheezing occurring several times during the week, unrelated to exercise. She has a history of asthma that was previously well controlled with a budesonide inhaler. She is also taking albuterol five times weekly with good response. Following a physical exam, what treatment should be started?
https://immattersacp.org/weekly/archives/2024/03/26/3.htm
26 Mar 2024

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

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: 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: 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: 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: 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

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