MKSAP has been trusted by internists since 1967 as the best resource for updating knowledge. MKSAP 17, available in Complete, Digital, and Print packages, consists of 11 comprehensive text chapters with related multiple-choice questions. You'll find 1,200 completely new questions to help you identify learning gaps, stay current, and gain the knowledge you need to provide the best possible patient care. MKSAP 17's original and high-quality questions evolve out of case studies and patient scenarios based on the latest evidence.
For more information on MKSAP 17, or to order your copy, visit mksap17.acponline.org.
MKSAP 17 Q & A
A 26-year-old woman is evaluated for a 3-day history of pain and redness of the left eye. She also notes increased pain when looking at bright objects with that eye. Her symptoms have been progressively worsening since onset. Medical history is unremarkable, although she reports generalized fatigue, chronic low back pain, and stiffness over the past several months. The back pain awakens her at night and improves throughout the day with activity. Her only medication is as-needed ibuprofen for her back pain, which provides some relief.
On physical examination, temperature is normal, blood pressure is 126/64 mm Hg, and pulse rate is 54/min. BMI is 27. On ophthalmologic examination, extraocular muscle movements and visual acuity are normal. There is pronounced redness of the sclera surrounding the border where it meets the cornea in the left eye. The left pupil is constricted, and there is photophobia with illumination of the left eye. The right eye is normal. The physical examination is normal except for tenderness to palpation over the buttocks in the region of the sacroiliac joints.
Which of the following is the most likely diagnosis?
A: Corneal ulcer
B: Episcleritis
C: Scleritis
D: Uveitis
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