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 28-year-old woman is evaluated in the emergency department for an episode of syncope. Before the syncopal event, she was standing motionless in a warm environment for several minutes, and then she felt warm, dizzy, and nauseated. She lost consciousness for less than 30 seconds. She experienced no trauma during the event and had no confusion afterward. She has previously experienced presyncope at work while standing for long periods of time but had never lost consciousness. She has no medical problems and takes no medications.

On physical examination, vital signs and the remainder of the examination are normal.

An ECG is normal.

Which of the following is the most appropriate treatment?

A: Avoidance of triggers
B: Fludrocortisone
C: Midodrine
D: Propranolol

Answer and Critique

Back to the December 2021 issue of ACP IMpact