MKSAP 19 "Quiz Me!" Question

Test your medical knowledge each month with questions from The Medical Knowledge Self-Assessment Program® (MKSAP).


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, to be released in early 2022, 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 49-year-old woman is evaluated during a new patient visit. She has no medical problems or concerning symptoms and takes no medications.

On physical examination, vital signs are normal. The S1 is diminished, and there is an aortic ejection click shortly after the S1. The S2 is normal. There is a grade 2/6, high-pitched, decrescendo early diastolic murmur heard best at the left sternal border. The murmur is accentuated when the patient leans forward.

Which of the following is the most appropriate diagnostic test?

A. Cardiac catheterization
B. Cardiac magnetic resonance imaging
C. Stress echocardiography
D. Transesophageal echocardiography
E. Transthoracic echocardiography

Answer and Critique

Back to the April 2022 issue of ACP IMpact