Update your Knowledge with MKSAP Q&A
For nearly 60 years, ACP’s 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 ACP MKSAP®. The all-digital, subscription-based program provides continually updated clinical information, a robust question bank, and the opportunity to unlock additional questions and earn badges through ACP MKSAP CORE™. The new ABIM Data Download feature is now available, allowing learners to download their most recent ABIM assessment results into the ACP MKSAP program.
ACP Members enjoy discounted pricing on their one-year or three-year subscriptions.
To learn about ACP MKSAP, please visit our website.
ACP MKSAP Common Symptoms
A 55-year-old woman is evaluated for shoulder pain. The pain began yesterday as a sharp jolt in the anterior aspect of the right shoulder while pruning an overhead branch. Since that time, she has been unable to lift her right arm more than a few inches because of pain and weakness. She works as a landscaper and has had recurrent episodes of shoulder pain and weakness while performing overhead activities over the past few years, but this episode is much more painful and associated with weakness. Medical history is otherwise unremarkable, and she takes no medications.
On physical examination, vital signs are normal. Palpation elicits pain in the right anterolateral shoulder worse at the subacromial space. She has full passive range of motion. There is weakness in abduction and external rotation. The painful arc and drop-arm tests are positive. The cross-arm adduction test is negative.
Which of the following is the most likely diagnosis?
A: Acromioclavicular joint degeneration
B: Adhesive capsulitis
C: Full-thickness rotator cuff tear
D: Labral tear
Back to the July 2026 issue of ACP Global