MKSAP Questions of the Week

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

 
Rheumatology Question 46

A 52-year-old man is evaluated during a follow-up visit for a 2-year history of progressively symptomatic rheumatoid arthritis. He reports increased difficulty with his job due to persistent pain and swelling in the first proximal interphalangeal joints, second and third metacarpophalangeal joints, and bilateral wrists. What is the most appropriate next step in management?

Publish date: 02/21/2019

 
Pulmonary Question 48

A 72-year-old man is evaluated for a 2-year history of cough and a 1-year history of increasing dyspnea. He describes the cough as nonproductive, and his shortness of breath is worse with exertion. Chest radiograph shows increased interstitial markings at the bases; calcified parietal pleural plaques are noted bilaterally. What is the most likely diagnosis?

Publish date: 02/14/2019

 
Neurology Question 46

A 53-year-old man is evaluated for persistent right-sided facial weakness. Bell palsy was diagnosed, and he began a 10-day course of prednisone. What is the most appropriate next step in management?

Publish date: 02/07/2019

 
Nephrology Question 75

A 28-year-old man is evaluated for recurrent nephrolithiasis. Medical history is significant for Crohn disease complicated by multiple small bowel strictures requiring resection. He began developing kidney stones 3 years ago following his last bowel surgery. What is the most appropriate additional treatment for this patient?

Publish date: 01/31/2019

 
Infectious Diseases Question 59

A 46-year-old man is evaluated for fever, dysuria, and urinary frequency of 1 day's duration. He also notes a sensation of deep pelvic pain near the rectum. He has no urethral discharge or testicular pain.What is the most appropriate treatment?

Publish date: 01/24/2019

 
Hematology/Oncology Question 18

A 68-year-old man is evaluated for a 3-year history of dyspnea on exertion. He experiences no headaches or blurred vision. Medical history is notable for a stroke 2 years ago.He is a smoker with an 80-pack-year smoking history. Medications are hydrochlorothiazide, lisinopril, aspirin, and simvastatin. What is the most appropriate next step in management?

Publish date: 01/10/2019

 
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

 
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