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.
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ACP MKSAP Pulmonary Medicine
A 54-year-old patient is evaluated for a 6-month history of dyspnea. The patient also reports 1 month of bilateral lower extremity edema but no chest pain, fevers, or cough. The patient has no medical history and takes no medications.
On physical examination, pulse rate is 104/min; other vital signs are normal. Cardiac examination reveals an accentuated pulmonic closure sound and a grade 2/6 holosystolic murmur at the left lower sternal border. Bilateral 1+ pitting edema to the knees is noted.
Chest radiograph is normal. Echocardiogram shows an elevated estimated right ventricular systolic pressure of 50 mm Hg and mild right ventricular dilation. The left ventricle is normal.
Which of the following is the most appropriate diagnostic test to perform next?
A: CT angiography
B: 6-Minute walk test
C: Pulmonary angiography
D: Ventilation-perfusion scanning
Back to the March 2026 issue of ACP Global