harrisons principles of internal medicine 18e pdf

... 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 ... recommendation is of particular importance in con-nection with new or infrequently used drugs Trang 4SELF-ASSESSMENT AND BOARD REVIEWFor use with the 15th edition of HARRISON’S PRINCIPLES OF INTERNAL MEDICINE

Ngày tải lên: 19/06/2014, 15:20

... to half of all cases of cardiotoxicity occur 6 months or more after completion of therapy. Efforts to limit cardiotoxicity and thereby enable the administration of a higher total dose of anthra- ... therapy, is of- ten fatal VI-27. The most common source of bacterial infection of intravenous cannulas is (A) contamination of fluids during the manufacturing process (B) contamination of fluids during ... examination of the serum for anticardiolipin antibody VI-1 03 A 67-year-old man presents with a history of headache for 5 days and 2 days of swelling of. .. ulnar nerve The diagnosis of leprosy

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

... 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

... 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

... Deposition of calcium pyrophosphate crystals Deposition of urate crystals Lymphocytic infiltration of synovium Neutrophilic infiltration of synovium Loss of articular cartilage XI-26 Which of ... causes account for 90% of cases of colonic obstruction. Adhe- X. D ISORDERS OF THE G ASTROINTESTINAL S YSTEM — A NSWERS 242 sions and hernias cause about 75% of cases of small-intestine obstruction ... the absence of HBeAg in serum does 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

... chronic ingestion of large doses of vitamin D2 or D3 (usually in excess of 50,000 to 100,000 IU daily for months) Ingestion of a single large dose of. .. numbers of insulin receptors ... 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 of undertreatment of diabetes... ... results of his neurologic examination at this time are normal Cerebral angiography reveals 80% stenosis of the left internal carotid artery... majority of XX males have a fragment of the

Ngày tải lên: 19/06/2014, 15:20

... 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 ... 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 ... 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 Cancer Institute Associate Professor

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

... addition of jaundice On the day of admission he developed shortness of breath The physical examination is notable for a temperature of 38.4°C (101.1°F), blood pressure of 95/65 mmHg, heart rate of ... sounds on the side of the transplanted lung but no adventitious sounds Review of pulmonary function testing shows an FEV1/FVC ratio of 50% of the predicted value and an FEV1 of 0.91 L Additionally, ... rate of 24, tidal volume of mL/kg, FIO2 of 1.0, and positive end-expiratory pressure of 12 cmH2O An arterial blood gas measurement is performed on these settings; the results are pH 7.20, PaCO2 of

Ngày tải lên: 22/01/2020, 22:18

... 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

... fatigue Symptoms of complications Symptoms of the cause (2ry H.) ~ii tfD $j : Elevated blood pressure .~ ~: ~:I = Signs of the cause (2ry H), see later Manifestations of the cause of hypertension: ... (vegetations) , Detection of calcification of the valves , Detection of pulmonary and aortic pressure , Diagnosis of pericardial effusion , Diagnosis of cardiomyopathy, septal defects, aortic ... normal COP o Release of atrial naturetic peptide. <D Activation of the renin angiotensin aldosterone system. Summery of compensatory mechanisms. Heart failurelActivation of sympathetic, renin

Ngày tải lên: 06/03/2014, 11:21

... Details of the clinical features and mechanisms of the various types of syncope will be found in the Principles. 166 PART II / CARDINAL MANIFESTATIONS OF NEUROLOGIC DISEASE TABLE 18-1 Types of Syncope ... urinary tract infections,in-phlebothrombosis) can be found in Harrison’s Principles of Internal Medicine. 1 The management of shock, if present, takes precedence over allother diagnostic and therapeutic ... volume or discontinue or adjust the dosageof the offending drug(s) A number of simple maneuvers may help to clarify the medical lem of syncope Measurement of blood pressure while the patient islying

Ngày tải lên: 10/08/2014, 00:21

... status of the patient determines the timing of planned operative intervention. Imme- diate removal of the bullet or excision of shattered brain tissue is usu- ally of no advantage. SEQUELAE OF HEAD ... degeneration (because of relative sparing of axis cylinders), an infiltration of inflammatory cells in a perivascular distribution, and often a perivenous pattern of distribution of demye- lination. ... of foci of destruction of myelinated fibers. The attacks are subacute in onset but may be acute and are often followed by remission of symptoms and even recovery. Epidemiology The geography of

Ngày tải lên: 10/08/2014, 00:21

... 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 ... expression of these disor- ders depends on a family of genes that can impart a certain degree of risk and then be modi- fied by subsequent environmental factors. The risk of the development of disease...

Ngày tải lên: 16/02/2014, 18:20

... quantity of ice cream you are willing to produce and offer for sale? Here are some possible answers. Price The price of ice cream is one determinant of the quantity supplied. When the price of ice ... MARKET FORCES OF SUPPLY AND DEMAND 77 MARKET SUPPLY VERSUS INDIVIDUAL SUPPLY Just as market demand is the sum of the demands of all buyers, market supply is the sum of the supplies of all sellers. ... the price of the good. This relationship between price and quantity supplied is called the law of supply: Other things equal, when the price of a good rises, the quantity supplied of the good...

Ngày tải lên: 15/12/2013, 11:15