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 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.


A 40-year-old man is evaluated for episodic dizziness. Three years ago, he developed left ear sensorineural hearing loss confirmed by audiometry, with associated tinnitus. For the past 6 months, he has had episodes of “room spinning” that last from 30 minutes to several hours; episodes are associated with nausea and sometimes vomiting. He experiences disequilibrium intermittently. MRI of the brain performed 6 months ago was normal. The patient is otherwise healthy and takes no medications.

On physical examination, vital signs are normal. The Dix-Hallpike maneuver on the left side causes dizziness without vertigo or nystagmus.

Which of the following is the most likely diagnosis?

A: Benign paroxysmal positional vertigo
B: Labyrinthitis
C: Meniere disease
D: Vertebrobasilar stroke
E: Vestibular migraine

Answer and Critique

Back to the November 2021 issue of ACP Global