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Update your Knowledge with MKSAP 19 Q&A

MKSAP 19

For over 50 years, the Medical Knowledge Self-Assessment Program (MKSAP) has been the most trusted resource in self-assessment and continuous learning for internal medicine physicians and residents. The tradition continues with the upcoming ACP MKSAPTM.

Launching February 3, 2025, ACP MKSAP is the all-new, all-digital subscription edition of MKSAP. Currently available for preorder, you can take advantage of discounted presale pricing and bundles. If you are not already a MKSAP 19 learner, preorder ACP MKSAP today to get immediate, free access to MKSAP 19 Complete Green and its features, including 12 syllabus sections and up to 3,000 associated deep-learning questions.

To learn about ACP MKSAP, please visit our website.

MKSAP 19 Q & A

An 18-year-old man is evaluated for a heart murmur noted on a preparticipation sports examination. He remembers being told about a murmur in the past, but he has had no prior testing or intervention. He is asymptomatic, without known medical problems, and takes no medications.

On physical examination, vital signs are normal. The estimated central venous pressure is normal. Apical impulse is normal, and a thrill is noted along the left sternal border. A grade 4/6 holosystolic murmur is heard at the left sternal border, obscuring the S2. The remainder of the physical examination is unremarkable.

An ECG and chest radiograph are normal.

Which of the following is the most likely diagnosis?

A: Atrial septal defect
B: Coarctation of the aorta
C: Patent ductus arteriosus
D: Ventricular septal defect

Answer and Critique

Back to the September 2024 issue of ACP Global