MKSAP Questions of the Week

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

 
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

 
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