MKSAP Questions of the Week

A 46-year-old man is evaluated for fever, dysuria, and urinary frequency of 1 day's duration. He also notes a sensation of deep pelvic pain near the rectum. He has no urethral discharge or testicular pain.What is the most appropriate treatment?

Publish date: 01/24/2019

A 68-year-old man is evaluated for a 3-year history of dyspnea on exertion. He experiences no headaches or blurred vision. Medical history is notable for a stroke 2 years ago.He is a smoker with an 80-pack-year smoking history. Medications are hydrochlorothiazide, lisinopril, aspirin, and simvastatin. What is the most appropriate next step in management?

Publish date: 01/10/2019

A 55-year-old man is evaluated in follow-up after a recent routine screening for antibody to hepatitis C virus (HCV) was positive.His medical history is unremarkable; he has not used illicit drugs or had any history of blood transfusions. What is the most appropriate diagnostic test to perform next?

Publish date: 01/03/2019

A 49-year-old man is evaluated during a routine examination. He is asymptomatic but is concerned about his risk for cardiovascular disease. In addition to diet and exercise, what is the most appropriate next step in management?

Publish date: 12/27/2018

A 65-year-old man is evaluated because of painless neck swelling and difficulty swallowing that has progressively worsened over the last year. What is the most appropriate treatment?

Publish date: 12/20/2018

A 53-year-old woman is evaluated for a slowly enlarging, telangiectatic, pearly, ulcerated 1-cm plaque on the left temple. What is the most appropriate treatment for this lesion?

Publish date: 12/13/2018

A 42-year-old woman is evaluated for episodes of palpitations that last several seconds in duration. They occur once or twice a month and are accompanied by lightheadedness and mild dyspnea. What is the most appropriate diagnostic testing option?

Publish date: 12/06/2018

A 59-year-old man is evaluated for a 6-month history of gout. He was doing well on colchicine and allopurinol but developed hypersensitivity to allopurinol, which resolved with cessation of the agent.What is the most appropriate next step in management?

Publish date: 11/29/2018

A 28-year-old woman is evaluated after a 4-hour self-limited episode of palpitations. The symptoms occurred while at work yesterday. She has no history of cardiovascular disease and has no other cardiovascular symptoms. She is active without limitations. She is on no medications. On physical examination, blood pressure is 110/70 mm Hg, pulse rate is 60/min and regular, and respiration rate is 15/min. BMI is 23. The estimated central venous pressure is elevated. What is the most likely diagnosis?

Publish date: 11/15/2018

A 67-year-old man is evaluated for a 6-month history of worsening exertional dyspnea. He has a history of severe COPD diagnosed 4 years ago and previously had minimal exertional symptoms. What is the most appropriate diagnostic test to perform next?

Publish date: 11/15/2018