These cases and commentary, which address hematology, are excerpted from ACP's Medical Knowledge Self-Assessment Program (MKSAP15).
Which of the following is the best test to assess the patient's mental status? ... to do the random letter A test, and cannot correctly answer simple questions that require organization of her thinking.
The patient is administered empiric therapy with dexamethasone, vancomycin, ceftriaxone, ampicillin, and acyclovir pending additional test results. ... Results of standard laboratory studies are normal. Which of the following is the most appropriate next
Cold reactive autoantibodies are IgM antibodies and are not a cause of a positive IgG antibody test. ... In this case, the direct antibody test would be positive for complement but not IgG.
The following cases and commentary, which address sepsis, are excerpted from ACP's Medical Knowledge Self-Assessment Program (MKSAP14).. A 67-year-old man is receiving mechanical ventilation for acute respiratory distress syndrome. He underwent
The American Heart Association/American Stroke Association recommends a water swallow test performed at the bedside by a trained observer as the best bedside predictor of aspiration. ... A prospective study of the water swallow test demonstrated a
Results of colonoscopy are also normal. Which of the following is the most appropriate next radiological imaging test in this patient? ... In patients at risk for radiocontrast nephropathy, transesophageal echocardiography is the test of choice for
Correct answer: D. Upper endoscopy. Upper endoscopy is the most appropriate test to perform next. ... Colonoscopy is the recommended initial diagnostic test after hemodynamic resuscitation in most patients with significant lower gastrointestinal bleeding.