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, 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 67-year-old man is evaluated for a 1-minute episode of right-sided weakness and aphasia that occurred yesterday. The patient also has type 2 diabetes mellitus treated with metformin.

On physical examination, blood pressure is 164/100 mm Hg; all other vital signs are within normal limits. Cardiac examination reveals a regular rhythm; no murmurs or carotid bruits are heard on cardiac auscultation. A neurologic examination has normal findings.

Which of the following is the most appropriate next diagnostic test?

A: Carotid ultrasonography
B: Electroencephalography
C: Magnetic resonance angiography of the brain
D: Transesophageal echocardiography

Answer and Critique

Back to the November 2022 issue of ACP IMpact