MKSAP Questions of the Week

Endocrinology Q 7

A 25-year-old woman is evaluated for anterior neck pain, fatigue, exercise intolerance, excessive sweating, and tremors that began 6 weeks ago. Other than an upper respiratory infection 2 months ago, she has been healthy. Medical history is otherwise unremarkable, and she takes no medications. On physical examination, pulse rate is 105/min. Other vital signs are normal. The patient's thyroid gland is tender to palpation and is without discrete nodules. No thyroid bruit is auscultated. Bilateral lid lag is noted, but there is no proptosis, conjunctival injection, or chemosis. There is a fine tremor of her outstretched hands. Deep tendon reflexes are brisk.

Publish date: 05/20/2020

Dermatology Q 1

A 63-year-old man is evaluated for a skin eruption that is itchy and worsening for the past several weeks. Medical history is unremarkable, and he takes no medications. On physical examination, vital signs are normal. There are tense bullae on an erythematous base and scattered erosions on the trunk and extremities.

Publish date: 05/13/2020

Cardiovascular Medicine Q 1

A 19-year-old man is evaluated in the emergency department for a 2-week history of abdominal pain and exertional dyspnea. He underwent cardiac transplantation 10 months ago for viral myocarditis. Medications are tacrolimus, prednisone, mycophenolate mofetil, valganciclovir, trimethoprim-sulfamethoxazole, valsartan, calcium–vitamin D supplement, and low-dose aspirin.

Publish date: 05/06/2020

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