harrisons textbook of internal medicine online

... 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 ... 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 ... frequent change of position and Trang 20I PRACTICE OFMEDICINE —ANSWERS8 close inspection at areas of pressure points The therapy of an ulcer is based on its stage:(1) nonblanchable erythema of intact

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

... 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

... Probable duration of life of the child |Autopsy | Cause of death, i.e acts of commission and acts of omission | Foeticide | Abandoning of children and concealment of birth | Development of foetus Chapter ... Classification of sexual offences | Meaning and scope of the offence of ‘rape’ with particular emphasis on implications of consent/ nonconsent | Medicolegal examination of the victim and of the alleged ... effort to notice transformation of medical jurisprudence to clinical foren-sic medicine The present edition of Textbook of Forenforen-sic Medicine and Toxicology will be of great help not only to the

Ngày tải lên: 21/01/2020, 14:03

... 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 ... 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 ... 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

... 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

... for submission and one for the office file A sample of standard proforma of examination of a case of rape is provided in Proformas 26.1 to 26.3 History – History of the incident and post-incident ... consisted of a survey offorensic documentation of torture, interviews with individualphysicians who examine detainees, analyses of officialmedical reports of detainees, and interviews with survivors of ... any 12 Date of admission as inpatient and IP No 13 Date of discharge 14 Condition on discharge 15 Opinion as to cause of injury Name of Institution Signature of DMO* Station Name of DMO Registration

Ngày tải lên: 23/01/2020, 04:52

... 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

... Trang 1 Atlas of Dermatology in Internal Medicine Trang 3Néstor P SánchezEditor Atlas of Dermatology in Internal Medicine Trang 4Néstor P SánchezProfessor of Dermatology and Dermatopathology ... Department of Dermatology University of Puerto Rico School of Medicine Medical Sciences Campus San Juan, Puerto Rico Mark Pittelkow, MD Professor of Dermatology Mayo Graduate School of Medicine ... management of common cutaneous manifestations of systemic diseases Atlas of Dermatology in Internal Medicine is organized to refl ect current knowledge in dermatology relevant to Internal Medicine

Ngày tải lên: 10/08/2017, 14:25

... Institute of Reproductive Sciences, Oxford, UK Stephen Kennedy MA MD MRCOG Professor of Reproductive Medicine and Head of Department Nuffield Department of Obstetrics & Gynaecology, University of ... University of Oxford, Institute of Reproductive Sciences, Oxford, UK Eppendrof AG, Hamburg, GermanyElpida Fragouli PhD of Obstetrics and Gynaecology, University ofOxford, Institute of Reproductive ... variety of options for the ment of offspring ranging from almost embryonic tofully formed (Fig 1.2) Offspring born to marsupialsreflect the least developed infants or newborns.Kangaroo offspring

Ngày tải lên: 20/01/2020, 23:37

... affecting the chances of survival and/or improving the quality of life of the patient Cutaneous manifestations of internal malignancies can be classifi ed into a number of ways One can look at ... skin from internal malignancies, cutaneous signs and symptoms of internal malignancies, and some of the most important and well-recognized paraneoplastic syndromes Cutaneous Metastasis of Internal ... Department of Dermatology , University of Puerto Rico School of Medicine , Medical Sciences Campus , San Juan , Puerto Rico e-mail: chifu14@hotmail.com L Ramírez Department of Medicine

Ngày tải lên: 21/01/2020, 08:25

... of gender separation and isolation, and in consequence of this women have been barred from sacred offices such as the priesthood and other positions of power and authority [2] The relegation of ... male roles Mothers of important men are admired, though their status really derives from that of their sons The very fact of being the bearer of sons and heirs gave women of reproductive age ... choice of techniques of assisted reproduction may be influenced by prevailing local patterns of kinship and marriage, including ideas about the mechanisms of biological inheritance and the causes of

Ngày tải lên: 21/01/2020, 18:02

... the Quality of Questions and Objective Tests of General Surgery and Internal Medicine Modules at the Vietnam Military Medical University Summary Objectives: To evaluate the quality of questions ... and objective tests of surgery and internal results of the tests were extracted from the testing data of Vietnam Military Medical University and were analyzed by the Conquest software to provide ... to provide the parameters of the questions and Separation reliability is from 0.86 to 0.96); many test questions are found with difficulty level beyond the ability of candidates (too easy or

Ngày tải lên: 01/05/2024, 01:50