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 woman is evaluated in the emergency department for fatigue, headaches, confusion, and weakness that have progressed over the past 6 weeks. She has an 11.3 kg (25 lb) unintentional weight loss over the past month. She has an 85-pack-year history of smoking and quit smoking 3 months ago.
On physical examination, blood pressure is 125/75 mm Hg, pulse rate is 92/min, respiration rate is 21/min, and oxygen saturation is 89% with the patient breathing ambient air. BMI is 17. An expiratory wheeze is noted on the left side. The remainder of the examination is normal.
Laboratory evaluation reveals a serum sodium level of 123 mEq/L (123 mmol/L).
CT scan of the chest shows a 4-cm mediastinal mass compressing the left upper lobe bronchus with associated bulky mediastinal lymphadenopathy.
Which of the following is the most likely diagnosis?
A: Adenocarcinoma of lung
B: Fibrosing mediastinitis
C: Large cell lung cancer
D: Small cell lung cancer