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 59-year-old man is hospitalized with a 5-day history of nonproductive cough and fever. He recreationally breeds carrier pigeons. He reports no travel outside of the United States. Medical history is noncontributory, and he takes no medications.

On physical examination, temperature is 39.1 °C (102.4 °F), blood pressure is 136/72 mm Hg, pulse rate is 110/min, and respiration rate is 20/min. Oxygen saturation is 92% breathing ambient air. Breath sounds are decreased at the lung bases bilaterally.

A chest radiograph shows bilateral interstitial infiltrates.

Which of the following is the most likely cause of this patient's symptoms?

A. Avian influenza A H7N9
B. Chlamydia psittaci
C. Coxiella burnetii
D. Hanta virus
E. Rhodococcus equi

Answer and Critique

Back to the June 2022 issue of ACP IMpact