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

A 28-year-old woman is evaluated for a 2-month history of left-sided neck and shoulder pain and paresthesia in her left arm from her fingers to her shoulder. Her symptoms worsen with overhead arm activity. She takes no medications.

On physical examination, she has full range of motion in her left neck, shoulder, elbow, and wrist. Muscle bulk, tone, and strength in the upper extremities are normal bilaterally. Neurologic examination reveals normal reflexes and sensation in the upper extremities bilaterally. Upper extremity pulses are full and equal. There is no cyanosis, swelling, or edema.

Which of the following is the most likely diagnosis?

A: Arterial thoracic outlet syndrome
B: Cervical radiculopathy
C: Neurogenic thoracic outlet syndrome
D: Venous thoracic outlet syndrome

Answer and Critique

Back to the November 2024 issue of ACP Global