IM MKSAP Questions And Answers 100% Verified.
35 yo F evaluated after lab shows an elevated LDL during routine screening. Family hx remarkable for MI in father at 45. Most appropriate primary prevention for ASCVD in this patient? - correct answer.High intensity rosuvastatin
40 yo F who s...
35 yo F evaluated after lab shows an elevated LDL during routine screening. Family hx
remarkable for MI in father at 45. Most appropriate primary prevention for ASCVD in this
patient? - correct answer.High intensity rosuvastatin
40 yo F who seeks advice on whether she should undergo breast cancer screening with
mammography. PT engaged in discussion of the potential benefits and harms of
initiating mammography now. Most appropriate screening test? - correct answer.No
testing
49 yo M scheduled for total right knee arthroplasty. Low molecular weight heparin and
intermittent pneumatic compression will be initiated and continued. What is the
recommended duration of low molecular weight heparin prophylaxis? - correct
answer.Total of 35 days
67 yo M evaluated for 2 year history of worsening pain in his feet. Describes the pain as
long-standing, burning, and aching. Most appropriate treatment? - correct answer.Oral
duloxetine
23 yo F evaluated for depression as she prepares for discharge from the hospital from
hospice care. She as diagnosed with metastatic ovarian cancer 2 years ago. Most
appropriate treatment? - correct answer.Methylphenidate
52 yo M evaluated for 2 day history of painless red eye, which began on the right side
and quickly spread to the left. Reports that his eyes have a thin mucopurulent discharge
and that eyelids are matted shut in the morning upon waking. Most appropriate
treatment? - correct answer.Trimethoprim-polymyxin B ophthalmic drops
Two new treatments for patients with heart failure with preserved EF were compared in
a randomized controlled trial. Primary outcome was reduction in heart failure related
hospitalizations. Which of the following is needed to conclude that tx A is superior to tx
B? - correct answer.Harms and cost of treatment
,68 yo M is evaluated for fever, perineal pain, dysuria, frequency, and intermittent
straining that began yesterday. Sx began 48 hours after a prostate biopsy due to an
elevated PSA. Most appropriate tx? - correct answer.Trimethoprim-sulfamethoxazole
22 yo M evaluated during a pre-employment examination. Pt is starting a new job as a
registered nurse. Which of the following is the most appropriate vaccination strategy for
this health care worker? - correct answer.Administer a second dose of MMR vaccine
A 32 yo F is evaluated during a domestic airline flight for an episode of weakness and
lightheadedness. She is pregnant at 35 weeks gestation. Most appropriate next step in
management? - correct answer.Connect with the ground-based physician
82 yo M is evaluated during a routine exam. Pt lives alone and son expresses
reservations about his father continuing to drive. Which of the following is the most
appropriate mgt regarding this pt's driving? - correct answer.Advise the pt to retire from
driving
36 yo F is evaluated for a 3 year history of fatigue that worsens after activity and does
not improve with rest. She also notes intermittent diffuse myalgia and arthralgia,
constipation, dizziness, headaches, urinary urgency, memory problems, and
paresthesias. - correct answer.No further testing is recommended
62 yo M is evaluated for severe low back pain that began 2 days ago and is
progressively worsening. Pain began when he was lifting concrete blocks at his job. -
correct answer.MRI of the lumbosacral spine
24 yo F is evaluated for a breast lump. She has had no breast trauma or discharge from
the nipples. Nulliparous and has regular menstrual cycles. Most appropriate test to
perform in this patient? - correct answer.Ultrasonography
24 yo M is evaluated for a 6 week hx of severely depressed mood and loss of interest in
work, family, and friends. During this time he has been sleeping more than usual , but
still feels like he has no energy. Most likely diagnosis - correct answer.Bipolar disorder
27 yo M is evaluated during a routine follow up for obesity. On his previous two visits,
he had a BMI of 38. - correct answer.Bariatric surgery
39 yo M is evaluated for a 3 month hx of dry, intermittent cough. Reports no other
associated sx and has had no unusual environmental exposures. Most appropriate
management? - correct answer.Discontinue lisinopril
46 yo M seeks advice on whether he should undergo prostate cancer screening. He
recently underwent direct-to-direct consumer genetic testing, which revealed that his
risk for prostate cancer is 33% higher. Most appropriate management? - correct
answer.Pt education and no further testing.
, 55 yo F is evaluated for left-sided tinnitus that has gradually emerged over the last 6
months. Most appropriate management? - correct answer.MRI of the internal auditory
canal
82 yo F is evaluated for severe and progressive SOB on ambulation. (Bottom):
Spirometry performed 2 months ago showed an FEV1 of 42% of predicted. - correct
answer.Pulmonary rehab
A 50 yo M is seen for preoperative medical evaluation before left shoulder arthroplasty.
(Bottom): MELD score is 22. - correct answer.Cancel surgery and refer for liver
transplant evaluation
24 yo M is evaluated as an add-on pt for a 1 week hx of nasal congestion, watery eyes,
and cough productive of yellow sputum. Pt is new to the practice and indicated on the
intake form that his gender is transmale. Most appropriate next step? - correct
answer.Obtain a social and sexual history
A 75 yo M is being discharged following treatment for acute decompensated heart
failure. Pt and wife are alerted to sx that indicate worsening of his heart failure and are
informed of when he should seek immediate medical assistance. - correct
answer.Timely discharge summary for the primary care physician.
54 yo M is evaluated for a 6 month hx of R shoulder pain. He describes the pain as
moderately severe aching that is diffusely localized over the shoulder without radiation
to the arm. - correct answer.Adhesive capsulitis
32 yo M evaluated for ongoing intermittent premature ejaculation of 3 years duration
which is distressing to him and spouse. Most appropriate treatment? - correct
answer.Topical lidocaine
67 yo F evaluated for urinary incontinence that has worsened over the past 2 years.
She experiences incontinence when she laughs or sneezes but reports no dysuria,
hematuria, or loss of continence at night. - correct answer.Pelvic floor muscle training
(Kegal exercises)
81 yo F admitted to the ICU 8 days ago for multisystem organ failure associated with a
severe episode of multilobar pneumonia. She has required mechanical ventilation since
admission. - correct answer.Consult with the hospital ethics committee
54 yo F is evaluated for a 9 month hx of vaginal irritation and itching. She also has pain
during intercourse and uses vaginal lubricants without much relief. At age 50, she
developed severe menopause-related vasomotor sx that responded to a 2 year course
of estrogen replacement therapy. - correct answer.Vaginal estrogen therapy
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