MKSAP Questions of the Week

Rheumatology Question 1

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

 
Cardiovascular Medicine 29

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

 
Pulmonary Question 17

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

 
Endocrinology Question 58

A 34-year-old man is evaluated for a 2-year history of fatigue, low libido, and infertility. What is the most appropriate diagnostic test to perform next?

Publish date: 11/08/2018

 
Neurology Question 25

A 54-year-old man is seen for follow-up evaluation of a tremor in his upper extremities that has been present since age 20 years. What is the most appropriate next step in treating this patient's tremor?

Publish date: 11/01/2018

 
Nephrology Question 59

A 28-year-old man is evaluated for a 2-month history of progressive lower extremity edema, weight loss, and fatigue. Medical history is significant for recreational use of inhaled cocaine; he denies injection drug use. What is most likely to establish the cause of this patient's FSGS?

Publish date: 10/26/2018

 
Hematology/Oncology Question 10

A 28-year-old woman is evaluated for a 1-week history of progressive dyspnea and fatigue. She was diagnosed with Hodgkin lymphoma 2 months ago and is receiving chemotherapy with doxorubicin, bleomycin, vinblastine, and dacarbazine (ABVD). What is the most likely diagnosis?

Publish date: 10/18/2018

 
Infectious Diseases Question 13

A 28-year-old man is evaluated after being informed his roommate at a homeless shelter was diagnosed with pulmonary tuberculosis. What is the most likely diagnosis?

Publish date: 10/11/2018

 
Dermatology Question 1

A 62-year-old woman is evaluated for multiple areas of scaling and rough skin on her forehead and cheeks, the backs of her hands, and forearms. What is the most likely diagnosis?

Publish date: 09/26/2018

 
General IM 11

A 28-year-old man is evaluated for a 3-week history of “stuffiness,” decreased hearing, and discomfort in his left ear. He has no other symptoms and otherwise feels well except for mild nasal congestion that he attributes to seasonal allergies. Medical history is unremarkable, and he takes no medications. What is the most appropriate next step in management?

Publish date: 09/12/2018

 
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