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 25-year-old woman is evaluated for a 6-month history of dyspepsia associated with early satiety, occasional epigastric burning, rare nausea, and postprandial bloating and belching. She has no melena or weight loss. She was born in the United States, has not recently traveled outside the country, and has no family history of gastrointestinal cancer.

On physical examination, vital signs are normal. Mild diffuse tenderness to palpation of abdomen is noted.

Complete blood count and results of liver function tests are normal.

Which of the following is the most appropriate management?

A: Abdominal CT
B: Daily proton pump inhibitor
C: Helicobacter pylori serology
D: Stool antigen testing for H. pylori
E: Upper endoscopy

Answer and Critique

Back to the September 2022 issue of ACP IMpact