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MKSAP Questions of the Week

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

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

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