Search results for "Test yourself"
MKSAP Quiz: Abrupt-onset abdominal cramping
An 80-year-old woman is hospitalized for a 1-day history of abrupt-onset, mild, diffuse lower abdominal cramping and discomfort, followed several hours later by initially loose, nonbloody stools that evolved into hematochezia. What is the most likely diagnosis?
https://gastroenterology.acponline.org/archives/2025/05/23/4.htm
23 May 2025
MKSAP Quiz: 9-month history of intermittent abdominal pain, diarrhea
A 32-year-old man is evaluated for a 9-month history of intermittent abdominal pain and diarrhea. He reports no hematochezia, melena, or weight loss. Following a physical exam and lab studies, what is the most appropriate next step in management?
https://gastroenterology.acponline.org/archives/2025/04/25/4.htm
25 Apr 2025
MKSAP Quiz: 2-year history of abdominal pain, bloating
A 53-year-old man is evaluated for a 2-year history of abdominal pain and bloating, particularly after eating meals, as well as intermittent diarrhea. He underwent Roux-en-Y gastric bypass for weight loss 11 years ago. Following a physical exam and other tests, what is the most likely diagnosis?
https://gastroenterology.acponline.org/archives/2025/03/28/4.htm
28 Mar 2025
MKSAP Quiz: 5-day history of nonbloody watery diarrhea
A 21-year-old man is evaluated for a 5-day history of nonbloody watery diarrhea that began after international travel. Following a physical exam, what is the most appropriate next step in management?
https://gastroenterology.acponline.org/archives/2025/02/28/4.htm
28 Feb 2025
MKSAP Quiz: Confusion, diaphoresis, and tremulousness
A 22-year-old woman is evaluated in the emergency department for an episode of confusion, diaphoresis, and tremulousness. Similar symptoms have been present for 6 months but are becoming more frequent and severe. Following lab tests and imaging, what genetic testing should be included in this patient's evaluation?
https://gastroenterology.acponline.org/archives/2025/01/24/4.htm
24 Jan 2025
MKSAP Quiz: Constant, moderate epigastric pain
A 68-year-old man is evaluated in follow-up for constant, moderate epigastric pain that radiates to the back. Chronic pancreatitis was diagnosed 1 week ago. He is a 45-pack-year smoker. He does not currently drink alcohol. Following a physical exam and other tests, what is the most appropriate additional treatment for pain?
https://gastroenterology.acponline.org/archives/2024/12/20/4.htm
20 Dec 2024
MKSAP Quiz: ED evaluation for fever, jaundice
A 59-year-old woman is evaluated in the emergency department for fever and jaundice. She has decompensated alcoholic cirrhosis with ascites. Following a physical exam and other tests, what is the most appropriate initial treatment?
https://gastroenterology.acponline.org/archives/2024/11/22/4.htm
22 Nov 2024
MKSAP Quiz: Treatment of HCV
A 58-year-old woman is evaluated for treatment of hepatitis C virus (HCV) infection. She has unresectable metastatic pancreatic adenocarcinoma. She requests treatment of her HCV infection. What is the most appropriate management?
https://gastroenterology.acponline.org/archives/2024/10/25/4.htm
25 Oct 2024
MKSAP Quiz: 4-month history of diarrhea
A 21-year-old man is evaluated for a 4-month history of diarrhea. Bowel movements are liquid and nonbloody and sometimes are preceded by lower abdominal cramps. He has near-daily bloating. Following a physical exam and lab tests, what is the most appropriate management?
https://gastroenterology.acponline.org/archives/2024/09/27/4.htm
27 Sep 2024
MKSAP Quiz: 3-month history of diarrhea
A 56-year-old woman is evaluated for a 3-month history of watery, nonbloody diarrhea that occurs four times daily, usually after meals. Abdominal cramping precedes each bowel movement. She occasionally experiences rectal urgency. She has not lost weight. Following a physical exam and colonoscopy, what is the most appropriate management?
https://gastroenterology.acponline.org/archives/2024/08/23/4.htm
23 Aug 2024
MKSAP Quiz: Screening after endometrial cancer
A 40-year-old woman is evaluated at follow-up for stage I endometrial cancer diagnosed 6 weeks ago. Colon cancer was diagnosed in her mother at age 55 years and her maternal aunt at age 60 years. What is the most appropriate screening strategy for this patient?
https://gastroenterology.acponline.org/archives/2024/07/26/4.htm
26 Jul 2024
MKSAP Quiz: Follow-up of cirrhosis due to nonalcoholic steatohepatitis
A 60-year-old woman is evaluated for follow-up of cirrhosis due to nonalcoholic steatohepatitis. Her cirrhosis has been complicated by ascites that has persisted despite escalating diuretic treatment. Following a physical exam and other tests, what is the most appropriate initial management?
https://gastroenterology.acponline.org/archives/2024/06/28/4.htm
28 Jun 2024
MKSAP Quiz: 6-month history of dyspepsia
A 25-year-old woman is evaluated for a 6-month history of dyspepsia associated with early satiety, occasional epigastric burning, rare nausea, and postprandial bloating and belching. She has no melena or weight loss. Following a physical exam and other tests, what is the most appropriate management?
https://gastroenterology.acponline.org/archives/2024/05/24/4.htm
24 May 2024
MKSAP Quiz: Follow-up of fundic gland polyps
A 55-year-old man is evaluated for follow-up of fundic gland polyps. After endoscopy and biopsy showing no dysplasia, when should a follow-up upper endoscopy be performed?
https://gastroenterology.acponline.org/archives/2024/04/26/4.htm
26 Apr 2024
MKSAP Quiz: Frequent watery, nonbloody diarrhea
A 25-year-old woman is evaluated for frequent watery, nonbloody diarrhea that began 5 years ago. She has a 2-year history of arthralgia and headaches. Diarrhea, arthralgia, and headaches resolved after the patient started a gluten-free diet 1 year ago. Symptoms occasionally return if she accidentally consumes gluten. Following a physical exam and lab tests, what is the most appropriate diagnostic test to perform next?
https://gastroenterology.acponline.org/archives/2024/03/22/4.htm
22 Mar 2024
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
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: 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
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