harrisons principles of internal medicine 17th edition online

... based onstudies of the offspring of mothers who ingested mercury- contaminated fish With respect to whether the consumption of fish by women during pregnancy is good or bad for offspring neurodevelopment, ... the route of exposure, the chemicaland physical properties of the poison, and its mechanism of action.The severity and reversibility of poisoning also depend on the functional reserve of the individual ... number of poisoning deaths, the availability of other pharmaceuticals and rapid proliferation of novel drugs of abuse also Trang 14contribute to the increasing death rate In many parts of the

Ngày tải lên: 30/04/2023, 08:44

... addi-tion of jaundice On the day of admission he developedshortness of breath The physical examination is notablefor a temperature of 38.4°C (101.1°F), blood pressure of95/65 mmHg, heart rate of 110/min, ... loss of <20% of the bloodvolume and usually presents with few clinical signs save for mild tachycardia Loss of 20–40% of the blood volume typically induces orthostasis Loss of >40% of the ... pneumothorax of the right lung.What is the best approach for treatment of this patient? A Needle aspiration of the pneumothorax B Observation and administration of 100% oxygen C Placement of a large-bore

Ngày tải lên: 22/01/2020, 22:18

... representative of the major areas covered in Harrison’s Principles of Internal Medicine, 15th ed., and (2) parallel the format and degree of difficulty of the questions on the examination of the ABIM ... level of competence in internal medicine Study of this self-assessment and review book should help to (1) identify areas of relative weakness; (2) confirm areas of expertise; (3) assess knowledge of ... REVIEW For use with the 15th edition of HARRISON’S PRINCIPLES OF INTERNAL MEDICINE EDITED BY RICHARD M STONE, MD Clinical Director, Adult Leukemia Program Department of Adult Oncology Dana-Farber

Ngày tải lên: 21/01/2020, 21:55

... has a temperature of 39⬚C (103⬚F), bloodpressure of 110/70, pulse of 110, and respiratory rate of Trang 14hyper-X DISORDERS OF THEGASTROINTESTINALSYSTEM —QUESTIONS234 25 The rest of the physical ... inone-third of affected patients as a result of both high volumes of secreted hydrochloricacid and the maldigestion of fat caused by inactivation of pancreatic lipase Other examples of secretory ... evaluation reveals a WBC of 16,000/␮L with a dif-ferential of 75% neutrophils, 10% bands, 10% cytes, and 5% monocytes; hematocrit of 42%; and plateletcount of 522,000/mL Plain film of the abdomen revealsair-fluid

Ngày tải lên: 22/01/2020, 07:19

... mechanism undergo-of action is(A) primary inhibition of fibrinolysis (prevents dissolu-tion of formed clots) (B) prevention of activation of the clotting cascade(C) prevention of activation of the clotting ... cascade andinhibition of fibrinolysis (D) enhancement of platelet activity(E) enhancement of platelet activity and inhibition ofactivation of the clotting cascade V-29. Which of the following statements ... pressure of 80/40 mmHg, heart rate of 120, and a temperature of 39.5⬚C (103⬚F) His urine shows numer-ous white cells His laboratory examination is remarkable for a white count of 2000, hematocrit of

Ngày tải lên: 19/06/2014, 15:20

... Up to half of allcases of cardiotoxicity occur 6 months or more after completion of therapy Efforts tolimit cardiotoxicity and thereby enable the administration of a higher total dose of anthra-cycline ... therapy, is of-ten fatal ill-VI-27. The most common source of bacterial infection ofintravenous cannulas is (A) contamination of fluids during the manufacturingprocess (B) contamination of fluids ... be of greatest help in the immediate man-agement of this boy would be (A) blood culture (B) examination of a blood smear (C) biopsy of an axillary lymph node (D) aspiration and Gram stains of

Ngày tải lên: 19/06/2014, 15:20

... broad-spectrum antibiotics for a prolonged period A number of other types of fungal infection occur in these patients About 75% of all cases of Cryptococcus neoformans infection occur in persons who have AIDS ... from loss of position sense characteristic of tabes dorsalis About 10% ofpatients with late untreated syphilis experience cardiovascular complications, usually inthe form of aneurysms of the ascending ... primarily by which of the following mechanisms? (A) Opening of calcium channels (B) Release of calcium from the sarcoplasmic reticu-lum (C) Stimulation of myosin ATPase (D) Stimulation of membrane phospholipase

Ngày tải lên: 19/06/2014, 15:20

... abnormalities consist of disor-ganized arrangements of myocytes in the ventricular septum As many as 50% of thesecases have familial predisposition, often resulting from one of several mutations ... administered at a dose of 1 – 1.5 mg/kg to a maximum dose of 3 mg/kg Should lidocaine be ineffective, the use ofprocainamide at a dose of 20 – 30 mg/min to a maximum dose of 17 mg/kg may be effec-tive ... thedevelopment of increased cardiac blood flow and a surge of catecholamines The onset of Trang 14symptoms is typically during the peak of physical exertion and decreases after uation of the activity.discontin-VII-96

Ngày tải lên: 19/06/2014, 15:20

... reveals a blood pressure of 180/96, pulse of 98, and a temperature of 37.1ЊC (98.7ЊF). Lab- oratory values reveal a serum creatinine of 177 ␮ mol/L (2 mg/dL). Which of the following statements ... administration of 25 g of D-xylose, a 5-h urine collection contains 0.8 g of X DISORDERS OF THE GASTROINTESTINAL SYSTEM — QUESTIONS X-19 (Continued) D-xylose... Administration of prednisone, ... dose of cyclosporine (B) obtain ultrasonography of the renal allograft (C) obtain a biopsy of the renal allograft (D) administer pulsed steroid therapy (E) administer an intravenous bolus of furosemide

Ngày tải lên: 19/06/2014, 15:20

... inone-third of affected patients as a result of both high volumes of secreted hydrochloricacid and the maldigestion of fat caused by inactivation of pancreatic lipase Other examples of secretory ... three causes account for 90% of cases of colonic obstruction Adhe- Trang 6sions and hernias cause about 75% of cases of small-intestine obstruction but are mon causes of colonic obstruction.uncom-X-29 ... the absence of HBeAg in serumdoes not preclude the development of chronic hepatitis B infection In acute hepatitis B,the disappearance of HBeAg from serum often presages resolution of the acute

Ngày tải lên: 19/06/2014, 15:20

... aremost commonly affected; patients often give a history of some initiating trauma The joint is often swollen, and in the case of ankle involvement, collapse of the tarsal bones maylead to a concave ... after the ad-ministration of human chorionic gonadotropin(hCG) (D) the appearance of menses after a short course ofprogesterone therapy (E) a lack of hot flashes XII-6. Which of the following inhibits ... result in which of the ing? follow-(A) Normalization of the serum calcium level, provement of the bone densitometry studies, and adecreased incidence of nephrolithiasis (B) Normalization of the serum

Ngày tải lên: 19/06/2014, 15:20

... the excretion of 0.03 to 0.3 g/d of albumin, is also statistically predictive of the progression of renal disease In contrast, nocturia is usually a manifestation ofundertreatment of diabetes and ... of the following would help exclude the diagnosis of seizure in a patient with sudden loss of con-sciousness? (A) A brief period of tonic-clonic movements at the time of falling (B) An aura of ... indication not of renal failure but of an osmoticdiuresis There is no clear-cut relation between insulin requirement and the development of any of the long-term complications of diabetes, including

Ngày tải lên: 19/06/2014, 15:20

... requisitions of speakers is given in the following table Number of Balance of Units If a perpetual inventory record of speakers is maintained on a LIFO basis, the March 8 issue will consist of: RATIONALE: ... balances on hand, purchases, and requisitions of the grates is given in the following table Number of Balance of Units If a perpetual inventory record of the metal grates is maintained on a FIFO ... hand, purchases, and requisitions of XRG is given in the following table Number of Kilograms Price per Kilogram Balance of Kilograms If a perpetual inventory record of XRG is maintained on a FIFO

Ngày tải lên: 16/11/2017, 15:56

... rate of r will, therefore, grow to e r⫽ (2.718)r by the end of the first year By the end of t years it will grow to e rt⫽ (2.718)rt Appendix Table 4 at the end of the book is a table of values of ... between the values of the two perpetuities: The expression in brackets is the annuity factor, which is the present value at dis-count rate r of an annuity of $1 paid at the end of each of t periods.7 ... try to take advantage of it Therefore, beware of self-styled experts who offer you a chance to participate in a sure thing Later in the book we will invoke the absence of money machines to prove

Ngày tải lên: 06/07/2014, 08:20

... individuals who own a handful of shares If you owned one GE share, you would own 000002 percent of the company and have a claim on the same tiny fraction of GE’s profits Of course, the more shares ... investment is made with a net present value of Thus the payoff to the owners of Fledgling Electronics stock can be represented as the sum of (1) a level stream of earnings, which could be paid out as ... payoff to owners of common stocks comes in two forms: (1) cash divi-dends and (2) capital gains or losses Suppose that the current price of a share is P0, that the expected price at the end of

Ngày tải lên: 06/07/2014, 08:20

... projects with truly superior profitability. Think, for example, of what would happen if you were to jot down your mates of the cash flows from operating various lines of business You would prob- ... discount rate of 10 percent, your proposed department storehas an NPV of $1 million: Notice how sensitive this NPV is to the ending value of the real estate For ple, an ending value of $120 million ... would bring the value of the prop-erty to $134 million by year 10. The present value (at r⫽ 10) of the growing stream of rents is This PV is the initial market value of the property. 5 Another

Ngày tải lên: 06/07/2014, 08:20

... annual salary of $750,000; an annualbonus of 2 percent of Disney’s net income above a threshold of normal profitabil-ity; and a 10-year option that allowed him to purchase 2 million shares of stock ... they also often lose their jobs.For example, a study of the remuneration of the chief executives of large U.S firmsfound that the heads of firms that were in the top 10 percent in terms of stock ... large part of the compensation of traders and salespeople in securities firms is in the form of bonuses or stock options How do managers of large corporations share in the fortunes of their firms?

Ngày tải lên: 06/07/2014, 08:20

... None of the above I-127. (Continued) SELF-ASSESSMENT AND BOARD REVIEW For use with the 17th edition of HARRISON’S PRINCIPLES OF INTERNAL MEDICINE EDITED BY CHARLES WIENER, MD Professor of Medicine ... problem solving. This book is offered as a companion to the remarkable 17th edition of Harrison’s Principles of Internal Medicine. It is designed for the student of medicine to reinforce the knowl- edge ... learning and as a resource for preparing for the Internal Medicine board examination. We appreciate the confidence of the editors of Harri- son’s ,17th edition, to allow us to do this book. We thank...

Ngày tải lên: 16/02/2014, 18:20

... Department of Medicine, Cedars-Sinai Medical Center, Professor of Medicine, UCLA School of Medicine, Los Angeles, California Peter C. Brazy, MD Professor of Medicine, University of Wisconsin, Chief of ... Assistant Professor of Internal Medicine, University of Michigan Medical Center, Ann Arbor, Michigan Janet L. Abrahm, MD Associate Professor of Medicine, University of Pennsylvania School of Medicine, ... Professor and Chairman, Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland Robert Hernandez, MD University of Miami School of Medicine, Division of General Medicine, ...

Ngày tải lên: 15/03/2014, 12:20

... representative of the major areas covered in Harrison’s Principles of Internal Medicine, 15th ed., and (2) parallel the format and degree of difficulty of the questions on the examination of the ABIM. ... of competence in internal medicine. Study of this self-assessment and review book should help to (1) identify areas of relative weakness; (2) confirm areas of expertise; (3) assess knowledge of ... about 80% of cases; Marfan syndrome and neurofibromatosis do so in about 30 to 40% of cases. By contrast, Huntington’s chorea, HARRISON'S INTERNAL MEDICINE PRINCIPLES OF 15 TH EDITION SELF-ASSESSMENT...

Ngày tải lên: 19/06/2014, 15:20