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 MKSAP 19.
MKSAP 19 is available in several flexible formats, allowing you to choose the format that best fits your lifestyle. Each format includes 12 syllabus sections and up to 3,000 associated deep-learning questions.
To learn about the features in MKSAP 19, visit
MKSAP 19 Q & A
An 80-year-old woman is evaluated in the emergency department. She has a 48-hour history of six maroon stools and mild lower abdominal pain. No bleeding is witnessed during 6 hours in the emergency department. She has hypertension and coronary artery disease. Current medications are atorvastatin, metoprolol, lisinopril, omeprazole, and low-dose aspirin.
On physical examination, blood pressure is 150/85 mm Hg and pulse rate is 70/min. Abdomen is soft and nontender.
Hemoglobin level is 10 g/dL (100 g/L).
Which of the following is the most appropriate diagnostic test?
A: Colonoscopy
B: CT angiography
C: Tagged red cell scintigraphy
D: Upper endoscopy
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