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MKSAP quiz: Managing a serous cystadenoma

A 65-year-old woman is evaluated at a follow-up visit. She presented to the emergency department 2 weeks ago with a 2-day history of left-lower-quadrant abdominal pain. The radiology report shows a pancreatic cyst with all the imaging features of a serous cystadenoma. What is the most appropriate management?
https://gastroenterology.acponline.org/archives/2024/02/23/4.htm
23 Feb 2024

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MKSAP Quiz: ICU admission for hematemesis

This month's quiz asks readers to determine the most appropriate next step in management for a 62-year-old man with cirrhosis and gastric varices.
https://gastroenterology.acponline.org/archives/2023/09/22/4.htm
22 Sep 2023

MKSAP Quiz: 6-month history of constipation

A 52-year-old man is evaluated for a 6-month history of constipation. He has bowel movements once every 5 days, low back pain after 2 days without a bowel movement, and straining during defecation. He reports no abdominal pain. After a physical exam and lab tests, what is the most appropriate management?
https://gastroenterology.acponline.org/archives/2023/11/17/4.htm
17 Nov 2023

MKSAP quiz: 4-month history of loose bowel movements

A 60-year-old man is evaluated for a 4-month history of four to five loose bowel movements daily with antecedent abdominal cramps. He also has a 1-year history of type 2 diabetes mellitus, treated with lifestyle interventions until 4 months ago, and hypothyroidism. What is the most likely cause of the patient's diarrhea?
https://gastroenterology.acponline.org/archives/2023/10/27/4.htm
27 Oct 2023

MKSAP Quiz: 3-month history of epigastric pain

A 40-year-old woman is evaluated for a 3-month history of epigastric pain, bloating, abdominal fullness, nausea, and diarrhea 30 to 60 minutes after meals that is worse with larger meals. Following a physical exam and other tests, what is the most appropriate treatment?
https://gastroenterology.acponline.org/archives/2024/01/26/4.htm
26 Jan 2024

MKSAP Quiz: Recurrence of ulcerative colitis symptoms

This month's quiz asks readers to determine the most appropriate treatment for a 32-year-old man with recurrent symptoms of ulcerative colitis on tapering of glucocorticoids.
https://gastroenterology.acponline.org/archives/2023/06/23/4.htm
23 Jun 2023

MKSAP Quiz: Dyspnea in a patient with cirrhosis

This month's quiz asks readers to determine the most appropriate diagnostic test to perform in a 60-year-old patient with cirrhosis and a six-month history of dyspnea on exertion.
https://gastroenterology.acponline.org/archives/2023/05/26/4.htm
26 May 2023

MKSAP Quiz: Evaluation for nocturnal heartburn, regurgitation

A 35-year-old woman is evaluated for nocturnal heartburn and regurgitation. She has a 5-year history of gastroesophageal reflux disease. She takes omeprazole every day 30 minutes before breakfast. Following a physical exam, what is the most appropriate additional management?
https://gastroenterology.acponline.org/archives/2023/08/25/4.htm
25 Aug 2023

MKSAP Quiz: Evaluation for gastroesophageal reflux disease

A 55-year-old man is evaluated for gastroesophageal reflux disease (GERD). He has a 20-year history of GERD, which is well controlled with medication, and is an active smoker. Following a physical exam and finding of a chest radiograph, what is the most appropriate management?
https://gastroenterology.acponline.org/archives/2023/12/22/4.htm
22 Dec 2023

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