MKSAP Questions of the Week

Gastroenterology Question 62

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

 
General Internal Medicine Question 46

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

 
Endocrinology Question 72

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

 
Dermatology Question 19

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

 
Cardiovascular Medicine Question 98

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

 
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

 
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