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 65-year-old man is evaluated in the emergency department for a 24-hour history of difficulty walking and inability to urinate. He has hypertension treated with amlodipine.
On physical examination, vital signs are normal. Muscle strength is 4/5 for both hip flexors. Patellar reflexes are 3+ bilaterally. There are bilateral extensor plantar responses in the toes, decreased sensation to pinprick below the nipple line bilaterally, and a palpable bladder. Upper extremity reflexes are 2+ in both biceps. Arm strength is normal. Gait is ataxic.
Which of the following is the most appropriate diagnostic test to perform next?
A: CT myelography
B: MRI of the brain
C: MRI of the lumbosacral spine
D: MRI of the thoracic spine