Update your Knowledge with MKSAP 19 Q&A


For over 50 years, the Medical Knowledge Self-Assessment Program (MKSAP) has been the most trusted resource in self-assessment and continuous learning for internal medicine physicians and residents. The tradition continues with the upcoming ACP MKSAP.

ACP MKSAP, launching February 3, 2025, is the all-new, all digital subscription edition of MKSAP. Currently available for preorder, you can take advantage of discounted presale pricing and bundles. If you are not already a MKSAP 19 learner, preorder ACP MKSAP today to get immediate, free access to MKSAP 19 Complete Green and its features, including 12 syllabus sections and up to 3,000 associated deep-learning questions.

To learn about ACP MKSAP, please visit our website.


MKSAP 19 Q & A

A 57-year-old woman is evaluated for a 4-month history of progressive exertional dyspnea and occasional chest pain and palpitations. She has limited cutaneous systemic sclerosis with Raynaud phenomenon and gastroesophageal reflux disease. Medications are omeprazole and diltiazem.

On physical examination, blood pressure is 107/74 mm Hg and pulse rate is 90/min. Oxygen saturation is normal at rest. Characteristic skin findings of limited cutaneous systemic sclerosis are present. New cardiac findings include jugular venous distention, persistent splitting of S2, and 2/6 systolic murmur at the left lower sternal border that increases with inspiration. Lungs are clear.

ECG shows a heart rate of 95/min and is otherwise normal. Chest radiograph is normal. Echocardiography performed 12 months ago was normal.

Which of the following is the most appropriate diagnostic test?

A: CT angiography of the chest
B: Echocardiography
C: Exercise stress test
D: Pulmonary function testing

Answer and Critique

Back to the May 2024 issue of ACP Global