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 45-year-old man is evaluated for a painful ulcer of the left leg that has been present for 1 month. He describes no pain in his extremities, but he can walk only limited distances because of knee osteoarthritis. He has had no fever or chills. In addition to osteoarthritis, he has type 1 diabetes mellitus and hypertension. Medications are insulin, lisinopril, and naproxen.
On physical examination, vital signs are normal. On the lateral aspect of the left leg just superior to the malleolus, a sharply demarcated, 5-mm-deep, 3-cm-diameter ulcer with central eschar is present. Hair is absent below the knees. Pedal pulses are nonpalpable but are detected by Doppler ultrasonography. Monofilament testing shows decreased sensation distal to the ankles bilaterally. The remainder of the examination is normal.
Which of the following is the most likely diagnosis?
A: Arterial ulcer
B: Neuropathic ulcer
C: Pressure ulcer
D: Venous stasis ulcer
Back to the May 2026 issue of ACP Global