MKSAP has been trusted by internists since 1967 as the best resource for updating knowledge. MKSAP 19, available in Complete, Digital, and Print packages, consists of 11 comprehensive text chapters with related multiple-choice questions. You'll find 1,200 completely new questions to help you identify learning gaps, stay current, and gain the knowledge you need to provide the best possible patient care. MKSAP 19's original and high-quality questions evolve out of case studies and patient scenarios based on the latest evidence.
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MKSAP 19 Q & A
A 45-year-old woman is evaluated for 4-month history of persistent rhinorrhea, frontal headache, loss of smell, and malaise. She has self-treated with saline irrigation and antihistamine/decongestants.
On physical examination, vital signs are normal. Nasal turbinates are swollen, and thick yellow nasal discharge is noted. Maxillae and forehead are tender to palpation. The remainder of the examination is normal.
Which of the following is the most appropriate diagnostic test to perform next?
A: CT of the sinuses
B: MRI of the sinuses
C: Nasal swabbing for culture
D: Plain radiography of the sinuses