For over 50 years, the Medical Knowledge Self-Assessment Program (MKSAP) has been the most trusted resource in continuous learning for internal medicine physicians and residents. The tradition continues with MKSAP 19.
MKSAP 19 is available in several flexible formats, allowing you to choose the format that best fits your lifestyle. Each format includes 12 syllabus sections and 1,200 associated deep-learning self-assessment questions.
Learn about the new features in MKSAP 19, as well as pricing and release dates.
MKSAP 19 Q & A
A 62-year-old man in the ICU is evaluated for fever and chills. He underwent a subtotal colectomy for stage III adenocarcinoma of the descending colon 8 days ago; 6 days ago, hospital-acquired pneumonia was diagnosed and piperacillin-tazobactam was initiated; the patient was moved to the ICU. He was improving but developed increasing fever and hypotension 2 days ago. Repeat blood cultures were obtained, a subclavian catheter was removed, and the tip was cultured.
On physical examination today, temperature is 39.5 °C (103.1 °F), blood pressure is 115/60 mm Hg, pulse rate is 108/min, and respiration rate is 26/min. Crackles are present at the lung bases bilaterally. The surgical wound is healing and nontender, and bowel sounds are present. The remainder of the examination is unremarkable.
Blood culture and catheter tip culture from 48 hours ago show budding yeast.
Which of the following is the most likely cause of the patient's findings?
A: Blastomyces dermatitidis
B: Candida albicans
C: Cryptococcus neoformans
D: Histoplasma capsulatum