Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 26-year-old woman is evaluated for a 4-month history of amenorrhea. Menses began at age 13 years. At age 18 years, the patient was placed on an oral contraceptive pill to control heavy bleeding. She discontinued the oral contraceptive pill 4 months ago because she ...
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MKSAP: 67-year-old man with an abdominal aortic aneurysm
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.A 67-year-old businessman is evaluated during a routine health examination. He has a 30 pack-year history of smoking, but quit 5 years ago. He consumes two or more alcoholic beverages on most days. He is asymptomatic, but performs no regular physical exercise. He takes no ...
MKSAP: 24-year-old woman is evaluated for irregular menses and infertility
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.A 24-year-old woman is evaluated for irregular menses and infertility. She reports having had normal puberty but having irregular menses until she started taking an oral contraceptive pill.She has been unable to become pregnant since marrying 1 year ago despite regular intercourse and discontinuing ...
MKSAP: 63-year-old woman with a 4 week history of fatigue
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.A 63-year-old woman is evaluated during a follow-up visit for a 4-week history of fatigue; pain in the proximal interphalangeal joints, knees, and hips; and low-grade fever.She has not had joint swelling, chest pain, or shortness of breath. Over the past 4 years, she ...
MKSAP: 28 year old woman with easy bruising and bleeding gums
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.A 28-year-old woman has a 3-month history of easy bruising and bleeding gums. She feels otherwise well. Medical and family histories are unremarkable, and she takes no medications.On physical examination, temperature is normal, blood pressure is 110/70 mm Hg, pulse rate is 64/min, and respiration ...
MKSAP: 64-year-old man with a new right-sided headache
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.A 64-year-old man is evaluated for a new right-sided headache that began 1 day ago. He awoke yesterday with a dull ache over his right forehead that has gradually increased in intensity. He also notes some right eye discomfort, sensitivity to light, and that his ...
MKSAP: 74-year-old man with gradually progressive dyspnea
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.A 74-year-old man is evaluated for a 5-year history of gradually progressive dyspnea and dry cough without wheezing or hemoptysis. For the past 2 years he has had pain and occasional swelling in both knees. He has not had fever or lost weight. He smoked one ...
MKSAP: 70-year-old woman with hypothyroidism and a fractured hip
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.A 70-year-old woman with hypothyroidism fell and fractured her hip. During preoperative evaluation for hip fracture repair, she mentions recent mild fatigue, which has not significantly limited performance of her daily activities, and ongoing right upper-quadrant abdominal pain after eating. She takes levothyroxine, ...
MKSAP: 44-year-old man with chronic joint pain
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.A 44-year-old man is evaluated for a 2-year history of joint pain in the wrists, hands, knees, ankles, and feet. He also has a 12-year history of plaque psoriasis. His current medications include acetaminophen for joint pain, topical hydrocortisone and calcipotriene ointments, and ...
MKSAP: A 70-year-old man with a history of a systolic murmur presents with exertional dyspnea
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.A 70-year-old man with a history of a systolic murmur presents for further assessment of exertional dyspnea. He has had dyspnea his entire life, but has noted a recent deterioration in his exercise capacity. He has no other medical conditions and is ...
MKSAP: 62-year-old man is evaluated for an asymptomatic nodule
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.A 62-year-old man is evaluated for an asymptomatic nodule on his shoulder that has been present for more than 1 year. Skin findings are shown.
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MKSAP: A 35-year-old man with red eye and acute eye pain
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 35-year-old man is evaluated for red eye and acute onset of right eye pain. He wears contact lenses daily. Fluorescein staining is positive for corneal abrasion without a dendritic, or branching, pattern. He is instructed to stop wearing the contact ...
MKSAP: 68-year-old woman with difficulty seeing out of her left eye
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.A 68-year-old woman is evaluated in the emergency department for difficulty seeing out of her left eye.The symptoms were first present upon awakening 45 minutes earlier. She describes her vision as “looking through a dark veil.” Her right eye is unaffected. There ...
MKSAP: A 50-year-old woman is evaluated for a rash on the back of her elbows and knees
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.A 50-year-old woman is evaluated for a rash on the back of her elbows and knees. A similar rash has occurred in the past, with her first episode as a young adult. She has used over-the-counter hydrocortisone cream without relief. She does not smoke or drink and is otherwise healthy.
