MKSAP Questions of the Week

Rheumatology Question 36

A 61-year-old man is evaluated for a 10-month history of generalized weakness. He reports no pain or myalgia. History is significant for hypercholesterolemia treated with a stable dose of simvastatin for the past 3 years. On physical examination, temperature is normal, blood pressure is 138/74 mm Hg, pulse rate is 70/min, and respiration rate is 16/min. What is the most likely diagnosis?

Publish date: 07/03/2019

 
Dermatology Question 26

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. What is the most likely diagnosis?

Publish date: 06/27/2019

 
Endocrinology Question 23

A 40-year-old woman is evaluated for amenorrhea of 4 months' duration. She has had weight gain, facial hair, alopecia, and debilitating fatigue. Her medical history is significant for psoriasis. She seems to be gaining weight in her face, abdomen, and neck. She also bruises easily. Her only medication is clobetasol for psoriasis. What is the most likely diagnosis?

Publish date: 06/12/2019

 
Gastroenterology Question 92

A 25-year-old man is evaluated in follow-up after recently testing positive for hepatitis B surface antigen. He underwent testing as part of the immigration process from Somalia. Two other siblings also have hepatitis B virus (HBV) infection. What is the most appropriate management?

Publish date: 06/05/2019

 
Hematology Oncology Question 80

A 58-year-old man undergoes follow-up evaluation for cancer of the ascending colon diagnosed 3 weeks ago. Colonoscopy at that time revealed a fungating mass in the ascending colon. What is the most appropriate management at this time?

Publish date: 05/30/2019

 
Infectious Diseases Question 55

A 35-year-old woman is evaluated for intermittent fever, sweats, fatigue, and dull midchest pain of 2 weeks' duration. Medical history is significant for liver transplantation 6 months ago for primary biliary cirrhosis; she was seronegative for cytomegalovirus and Epstein-Barr virus, and her donor was positive for both. What is the most likely cause of her clinical findings?

Publish date: 05/22/2019

 
Nephrology Question 77

A 53-year-old woman is evaluated during a routine follow-up visit. Medical history is significant for hypertension and chronic active hepatitis B infection. What is the most likely cause of this patient's kidney findings?

Publish date: 05/17/2019

 
General Internal Medicine Question 39

A 48-year-old man is evaluated for a 2-day history of right anterior knee pain and swelling. The pain began suddenly and has increased in intensity. He currently rates his pain as an 8 on a 10-point scale. What is the most appropriate next step in management?

Publish date: 05/09/2019

 
Neurology Question 2

A 67-year-old woman is evaluated for a 1-year history of increasing forgetfulness. She reports greater difficulty keeping track of upcoming appointments, recalling details of recent telephone conversations, and remembering names of new acquaintances. What is the most likely diagnosis?

Publish date: 05/02/2019

 
Rheumatology Question 4

A 46-year-old woman is evaluated for a 3-month history of a rash during the summertime. She is otherwise well and takes no medications. What is the most likely diagnosis?

Publish date: 04/25/2019

 
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