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Sort by: Relevance | Newest | OldestMKSAP Quiz: Painful rash occurring bilaterally
A 32-year-old woman is evaluated for a painful rash occurring bilaterally on her lower extremities, which began 2 days ago. She was admitted to the hospital 5 days ago for diagnosis and treatment of pulmonary embolism with heparin and warfarin. Her father had a pulmonary embolism after a long airplane ride. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/archives/2019/02/mksap-quiz-painful-rash-occurring-bilaterally.htm
1 Feb 2019
MKSAP Quiz: 1-week history of sore throat, odynophagia
A 30-year-old man is evaluated for a 1-week history of sore throat and odynophagia. He reports no fever, nausea, vomiting, diarrhea, or other symptoms. He was recently diagnosed with HIV infection and began antiretroviral therapy 2 weeks ago. Following a physical exam, oral exam, and lab studies, what is the most appropriate management?
https://immattersacp.org/archives/2021/03/mksap-quiz-1-week-history-of-sore-throat-odynophagia.htm
1 Mar 2021
MKSAP Quiz: New rash on legs
A 32-year-old woman is evaluated for a new rash on her legs. She was diagnosed with pyelonephritis 4 days ago and was started on a 7-day regimen of trimethoprim-sulfamethoxazole based on urine culture and sensitivity data; her urinary symptoms have improved. Medical history includes Hashimoto thyroiditis treated with levothyroxine; her dose was increased 4 weeks ago based on thyroid function studies. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/archives/2018/06/mksap-quiz-new-rash-on-legs.htm
1 Jun 2018
MKSAP Quiz: 2-month history of increased dyspnea
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 left eye 1 month ago that improved with glucocorticoid drops. She also had two episodes of right pinna pain, redness, and swelling. After physical examination, what is the most likely diagnosis?
https://immattersacp.org/archives/2020/01/mksap-quiz-2-month-history-of-increased-dyspnea.htm
1 Jan 2020
MKSAP Quiz: Follow-up on ED visit
A 31-year-old man is evaluated for follow-up 2 days after an emergency department visit for palpitations. He reports intermittent palpitations and occasional episodes of shortness of breath. What is the most appropriate next step in management?
https://immattersacp.org/archives/2017/06/mksap.htm
1 Jun 2017
MKSAP Quiz: Acute onset of vision loss
A 64-year-old man is evaluated in the emergency department for acute onset of vision loss in the left eye, which began 1 hour ago. He can barely see his own hands in front of his eye. He has no eye pain. Following a physical exam, eye exam, and lab studies, what is the most likely diagnosis?
https://immattersacp.org/archives/2019/07/mksap-quiz-acute-onset-of-vision-loss.htm
1 Jul 2019
MKSAP Quiz: 1-month history of rash
A 52-year-old woman is evaluated for a 1-month history of a spreading rash on her back, chest, and arms. She has been using over-the-counter topical glucocorticoids without relief. She does not have any other associated symptoms and otherwise feels well. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/archives/2018/09/mksap-quiz-1-month-history-of-rash.htm
1 Sep 2018
MKSAP Quiz: Evaluation for increasing fatigue
An 81-year-old man is evaluated for increasing fatigue. He has no other symptoms to report. Medical history is significant for diabetes mellitus and hypertension. He does not drink alcohol or smoke. Following a physical exam and lab studies, what is the most appropriate diagnostic test to perform next to evaluate this patient's anemia?
https://immattersacp.org/archives/2019/09/mksap-quiz-evaluation-for-increasing-fatigue.htm
1 Sep 2019
MKSAP Quiz: 8-year history of joint pain
A 50-year-old man is evaluated for an 8-year history of joint pain, particularly in the hands, and progressively worsening fatigue. Medical history is otherwise unremarkable. He takes ibuprofen as needed. There are swelling and tenderness of the second and third metacarpophalangeal (MCP) joints bilaterally, and tenderness but no swelling of the fourth and fifth MCP joints bilaterally. There is bony hypertrophy of the first MCP joints and knees bilaterally. The proximal interphalangeal joints and wrists are normal. Following a physical exam, lab studies, and a radiograph, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/archives/2017/05/mksap.htm
1 May 2017
MKSAP Quiz: Worsening headaches
A 26-year-old woman is evaluated for progressively worsening headaches that began intermittently 6 months ago and became daily 3 months ago. The patient describes bilateral “vise-like” pain that is steady, moderate in intensity, and unaffected by physical activity. She also has experienced brief, temporal, sharp pains and a few episodes of transient binocular visual dimming. Following a physical exam, funduscopy, MRI, and lumbar puncture, what is the most appropriate treatment?
https://immattersacp.org/archives/2018/04/mksap-quiz-worsening-headaches.htm
1 Apr 2018