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MKSAP Quiz: Evaluation for headaches and nausea

A 45-year-old woman is evaluated for headaches and nausea that started 2 weeks ago. Her headaches are worse in the morning and have been associated with vomiting. Medical history is significant for metastatic breast cancer diagnosed 4 years ago. Physical and funduscopic exam and an MRI of the brain are done. Based on the findings, what is the most appropriate initial treatment?
https://immattersacp.org/archives/2022/03/mksap-quiz-evaluation-for-headaches-and-nausea.htm
1 Mar 2022

MKSAP Quiz: Establish care visit for pediatric cancer survivor

A 28-year-old woman is seen to establish care. Medical history is significant for acute lymphoblastic leukemia diagnosed and treated at age 5 years; she has been leukemia free since completion of therapy. Following a physical exam and cervical cancer screening, what is the most appropriate additional survivorship assessment to perform next?
https://immattersacp.org/weekly/archives/2022/02/22/3.htm
22 Feb 2022

MKSAP Quiz: Discuss bariatric surgery

A 39-year-old woman comes to the office to discuss bariatric surgery. She has been unable to lose weight with diet and exercise, including supervised weight loss programs. Following a physical exam, what is the most appropriate treatment for this patient?
https://immattersacp.org/weekly/archives/2022/02/15/3.htm
15 Feb 2022

MKSAP Quiz: Syncopal and near-fainting events

A 68-year-old man is evaluated for an episode of syncope and repeated episodes of near-fainting when standing and working on his tractor. Current medical problems are hypertension and dyslipidemia. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/02/08/3.htm
8 Feb 2022

MKSAP Quiz: Abdominal pain for several months

A 56-year-old man is evaluated for right-upper-quadrant abdominal pain of several months' duration. He otherwise has been well. Following a physical exam, lab studies, and other tests, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2022/02/01/4.htm
1 Feb 2022

MKSAP Quiz: Ulcerating, painful lesion

A 72-year-old man is evaluated for an ulcerating, painful lesion on his left calf that began as a patch of red skin 2 to 3 weeks ago. He has dialysis-dependent end-stage kidney disease, atrial fibrillation, and hypertension. Following a physical exam and other tests, what is the most likely diagnosis?
https://immattersacp.org/archives/2022/02/mksap-quiz-ulcerating-painful-lesion.htm
1 Feb 2022

MKSAP Quiz: Follow-up evaluation for colon cancer

A 69-year-old woman undergoes follow-up evaluation for stage III colon cancer, which was resected 2 years ago. She is asymptomatic and takes no medications. Following a physical exam and surveillance CT scan that reveals two lesions in the right lobe of the liver, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/01/25/3.htm
25 Jan 2022

MKSAP Quiz: 4-week history of lower extremity weakness

A 52-year-old man is evaluated for 4-week history of left lower extremity weakness that began with tripping on the left foot. He now must lift his knee to clear his foot off the ground. He reports no pain but has mild tingling on the lateral border of his left foot. Following a physical exam, lab test, and electromyogram, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/01/18/3.htm
18 Jan 2022

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: 6-week history of weight loss

A 24-year-old woman is evaluated for a 6-week history of weight loss, fever, night sweats, and productive cough, with recently increasing malaise and fatigue. She works in a state prison. She takes no medications. Following a physical exam and other tests, what is the most appropriate initial treatment?
https://immattersacp.org/archives/2022/01/mksap-quiz-6-week-history-of-weight-loss.htm
1 Jan 2022

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