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
A 27-year-old man is evaluated in the emergency department after three episodes of loss of consciousness and falling down that started 2 weeks ago. He has no memory of the events. The third event was witnessed by a coworker who noted that the patient cried out, had whole-body stiffening, and fell backward off his chair. While on the ground, the patient's whole body shook with synchronous limb jerking for 2 minutes. Afterward, the patient was very sleepy and had slow, snoring-like breathing. He remained in a state of impaired alertness for 8 minutes. He gradually awoke by the time he reached the emergency department 20 minutes later, and now has recovered to normal.
On physical examination, vital signs are normal. All other examination findings, including those from a neurologic examination, are unremarkable.
Which of the following is the most likely diagnosis?
A: Generalized convulsive status epilepticus
B: Generalized tonic-clonic seizure
C: Myoclonic seizure
D: Psychogenic nonepileptic spells/events
Back to the January 2025 issue of ACP Global