You are using an outdated browser. Please upgrade your browser to improve your experience.

You are using an outdated browser.

To ensure optimal security, this website will soon be unavailable on this browser. Please upgrade your browser to allow continued use of ACP websites.

You are here

Update your Knowledge with MKSAP 19 Q&A

MKSAP 19

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 68-year-old woman is evaluated in the emergency department for sudden-onset, crampy, left-lower-quadrant abdominal pain followed several hours later by passage of bright red blood per rectum. She has hypertension and hyperlipidemia. Current medications are lisinopril and simvastatin.

On physical examination, vital signs are normal. Abdomen is soft and nondistended, with left-lower-quadrant tenderness and no rebound or guarding. Anorectal examination shows scant bright red blood in the rectal vault.

Laboratory testing shows a leukocyte count of 12,000/μL (12 × 109/L) and a blood urea nitrogen level of 24 mg/dL (8.5 mmol/L); other routine laboratory results are normal.

Abdominal and pelvic CT scan shows only segmental thickening of the descending and sigmoid colon.

Which of the following is the most likely diagnosis?

A: Acute diverticulitis
B: Clostridioides difficile infection
C: Colonic ischemia
D: Ulcerative colitis

Answer and Critique

Back to the March 2022 issue of ACP Global