This week's quiz asks readers to choose the most appropriate management of a 55-year-old man who was hospitalized two months ago for severe acute pancreatitis and had hypodense pancreatic lesions two weeks ago on contrast-enhanced pancreas-protocol CT.
29 Nov 2022
A 42-year-old woman is evaluated for several months of fatigue. She reports a normal diet and no gastrointestinal symptoms. Medical history is notable for hypothyroidism and vitiligo. Following a physical exam and lab studies, what is the most appropriate initial diagnostic test?
1 Nov 2022
A 70-year-old woman is evaluated for follow-up of osteoporosis, diagnosed 5 years ago. What is the most appropriate management?
22 Nov 2022
A 43-year-old man is evaluated for difficulty with swallowing and painful swallowing. The pain began approximately 5 days ago and occurs with both solids and liquids. He has recently diagnosed HIV infection and is receiving antiretroviral therapy. Following a physical exam and lab studies, what is the most appropriate treatment?
1 Sep 2022
A 68-year-old man is evaluated during a routine follow-up visit. Medical history is significant for type 2 diabetes mellitus, hyperlipidemia, hypertension, and aortofemoral bypass surgery 2 years ago. Following a physical exam, what is the most appropriate additional treatment?
15 Nov 2022
A 32-year-old woman is evaluated for hidradenitis suppurativa. She has had tender, foul-smelling, draining nodules in the axillary folds for 4 years. Doxycycline and topical clindamycin have not achieved satisfactory improvement. Following a physical exam and lifestyle support, what is the most appropriate additional treatment?
1 Oct 2022
A 57-year-old woman is evaluated for fatigue, generalized achiness, and oral dryness without ocular dryness. Following a physical exam and lab studies, what is the most likely cause of this patient's oral dryness?
8 Nov 2022
A 44-year-old woman is evaluated during a follow-up visit for chronic hypertension. Over the past month, her average blood pressure measured with home blood pressure monitoring was 150/90 mm Hg. Following a physical exam and lab tests, what is the most appropriate next step in management?
11 Oct 2022
A 42-year-old woman is evaluated in the emergency department for abrupt-onset palpitations. For the past year, she has been having similar episodes with increasing frequency. Following a physical exam and ECG, what is the most likely rhythm diagnosis?
1 Jun 2022
A 54-year-old man with a 5-year history of persistent asthma is evaluated during a follow-up visit. He has had one exacerbation within the last year, which was treated with glucocorticoids. What is the most appropriate management?
1 Nov 2022