MKSAP Questions of the Week

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

 
Dermatology Question 22

A 53-year-old man is evaluated for itching lasting 5 months. He reports that his whole body is itchy and that a short course of emollients and antihistamine medication did not improve his symptoms. What is the most appropriate next step in management?

Publish date: 04/17/2019

 
Endocrinology Question 2

A 34-year-old man is evaluated for episodic palpitations of 8 months' duration. The palpitations last 5 to 10 minutes and then resolve spontaneously. They are usually associated with sweating and anxiety. Medical history is significant for thyroidectomy for medullary thyroid carcinoma diagnosed at 12 years of age. In addition to the presenting diagnosis, what disorder is this patient most likely to develop?

Publish date: 04/09/2019

 
Gastroenterology Question 61

A 57-year-old man is evaluated during a routine examination. His medical history is notable for chronic hepatitis C infection with cirrhosis, which was diagnosed 3 years ago. He undergoes surveillance ultrasound for hepatocellular carcinoma every 6 months. What is the most appropriate next step in management?

Publish date: 04/04/2019

 
Hematology Oncology Question 103

A 44-year-old woman is evaluated for a 2-month history of a painless right neck mass. Medical history is unremarkable, and she takes no medications. She is a lifelong nonsmoker. An initial CT scan of the neck shows a 4.5-cm, partially necrotic, right-sided lymph node. What study should be performed next?

Publish date: 03/28/2019

 
Infectious Diseases Question 36

A 30-year-old woman is evaluated in follow-up after being recently diagnosed with HIV infection. She is asymptomatic. Medical history is unremarkable, and she takes no medications; she has not yet started antiretroviral therapy. What immunizations should this patient receive today?

Publish date: 03/21/2019

 
Nephrology Question 71

A 50-year-old man is evaluated in the hospital for fatigue, joint pain, and skin lesions. His symptoms started 2 weeks ago with fever and sore throat, which subsided in 2 days. Four days after the onset of symptoms, he noted dark red spots on his ankles and shins, which spread to involve his legs, thighs, and buttocks; the skin lesions were not painful or itchy. What is the most likely diagnosis?

Publish date: 03/21/2019

 
General Internal Medicine Question 53

A 28-year-old man is evaluated for right knee pain that began 2 days ago. He was playing football when he stopped suddenly and pivoted to make a catch. The right knee is swollen with a palpable effusion. What is the most likely diagnosis?

Publish date: 03/07/2019

 
Neurology Question 58

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. What is the most appropriate treatment?

Publish date: 02/28/2019

 
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