... representative of the major areas covered in Harrison s PrinciplesofInternal Medicine, 15th ed., and (2) parallel the format and degree of difficulty of the questions on the examination of the ABIM ... REVIEW For use with the 15th editionofHARRISON S PRINCIPLESOFINTERNALMEDICINE EDITED BY RICHARD M STONE, MD Clinical Director, Adult Leukemia Program Department of Adult Oncology Dana-Farber ... level of competence in internalmedicine 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...
... temperature of 40ЊC (104ЊF), blood pressure of 120/70, heart rate of 70, and respiratory rate of 20 The remainder of the physical examination is remarkable for an erythematous posterior pharynx, areas of ... therapy, is often 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 ... be of greatest help in the immediate management of this boy would be (A) (B) (C) (D) blood culture examination of a blood smear biopsy of an axillary lymph node aspiration and Gram stains of...
... 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% of patients with late untreated syphilis experience cardiovascular complications, usually in the form of aneurysms of the ascending ... Insertion of permanent cardiac pacemaker (B) Insertion of temporary cardiac pacemaker followed by insertion of permanent cardiac pacemaker (C) Administration of atropine, mg IV (D) Administration of...
... For use with the 17th editionofHARRISON S PRINCIPLESOFINTERNALMEDICINE EDITED BY CHARLES WIENER, MD Professor ofMedicine and Physiology Vice Chair, Department ofMedicine Director, Osler ... problem solving This book is offered as a companion to the remarkable 17th editionofHarrison s PrinciplesofInternalMedicine It is designed for the student ofmedicine to reinforce the knowledge ... the Theory and Practice ofMedicine Harvard Medical School Chairman, Department ofMedicine Physician-in-Chief, Brigham and Women’s Hospital Boston HARRISON' S INTERNALMEDICINE SELF-ASSESSMENT...
... Houston, Texas Associate Clinical Professor Weill Cornell College ofMedicine John T Patlan, Jr., MD Assistant Professor ofMedicine Department of General InternalMedicine MD Anderson Cancer Center ... PA: American College of Physicians; 1999 Mark DB Decision-making in clinical medicine In: Fauci AS, Braunwald E, Kasper KL, et al., eds Harrison s PrinciplesofInternalMedicine 17th ed New ... the clinical situation is one of the most challenging tasks in medicine Retention of information is difficult; organization of the facts and recall of a myriad of data in precise application...
... Professor ofInternal Medicine, University of Michigan, Ann Arbor, Michigan Kathleen S Schrank, MD Professor of Medicine, Chief, Division of Emergency Medicine, University of Miami School of Medicine, ... Kelley, MD Professor of Medicine, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania Carolyn J Kelly, MD Professor of Medicine, Department of Medicine, University of California ... 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...
... mechanism of action is (A) primary inhibition of fibrinolysis (prevents dissolution of formed clots) (B) prevention of activation of the clotting cascade (C) prevention of activation of the clotting ... cascade and inhibition of fibrinolysis (D) enhancement of platelet activity (E) enhancement of platelet activity and inhibition of activation of the clotting cascade V-29 Which of the following statements ... majority of patients with APML The mechanism of action of this drug appears to be induction of differentiation of the malignant clone As such, patients enter remission slowly over a period of 30...
... magnitude of the shunt depends on the size of the defect, the diastolic properties of both ventricles, and the relative impedance of the pulmonary and systemic circulations Defects of the sinus ... abnormalities consist of disorganized arrangements of myocytes in the ventricular septum As many as 50% of these cases have familial predisposition, often resulting from one of several mutations ... administered at a dose of – 1.5 mg/kg to a maximum dose of mg/kg Should lidocaine be ineffective, the use of procainamide at a dose of 20 – 30 mg/min to a maximum dose of 17 mg/kg may be effective...
... pressure of 180/96, pulse of 98, and a temperature of 37.1ЊC (98.7ЊF) Laboratory values reveal a serum creatinine of 177 mol/L (2 mg/dL) Which of the following statements is true? (A) The presence of ... temperature of 39ЊC (103ЊF), blood pressure of 110/70, pulse of 110, and respiratory rate of 234 X DISORDERS OF THE GASTROINTESTINAL SYSTEM — QUESTIONS X-84 (Continued) 25 The rest of the physical ... accumulation of toxic metabolites Furthermore, the degree of acidosis is disproportionate to the degree of renal insufficiency Ethylene glycol intoxication often requires a large amount of alkali...
... one-third of affected patients as a result of both high volumes of secreted hydrochloric acid and the maldigestion of fat caused by inactivation of pancreatic lipase Other examples of secretory ... 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 the following ... three causes account for 90% of cases of colonic obstruction Adhe- 242 X DISORDERS OF THE GASTROINTESTINAL SYSTEM — ANSWERS sions and hernias cause about 75% of cases of small-intestine obstruction...
... increased deposition of copper is not known, but serum ceruloplasmin levels are low because of secondary inhibition of formation of this protein as a result of the excess of copper Whatever the ... after the administration of human chorionic gonadotropin (hCG) (D) the appearance of menses after a short course of progesterone therapy (E) a lack of hot flashes XII-6 Which of the following inhibits ... in which of the following? (A) Normalization of the serum calcium level, improvement of the bone densitometry studies, and a decreased incidence of nephrolithiasis (B) Normalization of the serum...
... 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 of undertreatment of diabetes ... Which of the following would help exclude the diagnosis of seizure in a patient with sudden loss of consciousness? (A) A brief period of tonic-clonic movements at the time of falling (B) An aura of ... manifestation of an internal carotid artery occlusion Embolic TIAs tend to be of longer duration than the low-flow TIAs described above Lacunar TIAs occur because of blockage of one of the intracerebral...
... the medial portion of the foreleg A lesion of the L5 root would result in weakness of knee flexion, dorsiflexion of the ankle and great toe, and weakness of inversion and eversion of the foot Sensory ... transient loss of consciousness consequent to blunt impact to the skull, is believed to occur because of electrophysiologic dysfunction of the upper midbrain as a result of sudden movement of the brain ... 60% of adults and 70% of children will remain seizure -free after discontinuation of their medication XIII-114 The answer is C (Chaps 341, 365, 385) Lithium has revolutionized the treatment of...
... out -of- balance masses Transmissibility Resonance Estimation of damping from width of peak Section B Two-degree -of- freedom systems Free vibration Coupling of co-ordinates Normal modes Principle of ... Vibration, 126 Section A One-degree -of- freedom systems Introduction Free vibration of undamped systems Vibration energy Pendulums Levels of vibration Damping Free vibration of a damped system Phase-plane ... Problems Kinetics of a particle in plane motion, 21 Introduction Newton’s laws of motion Units Types of force Gravitation Frames of reference Systems of particles Centre of mass Free- body diagrams...
... diagnosis of Ebola (and, to a lesser extent, Marburg) virus infections because of the presence of large amounts of viral antigen, the relative safety of obtaining the sample, and the freedom from ... total of 10 to 12 weeks Voriconazole and itraconazole are of no value Results of hyperbaric oxygen therapy have been unimpressive Appropriate management results in cure of about half of craniofacial ... excision of skin snips for the diagnosis of onchocerciasis, the collection of rectal snips for the diagnosis of schistosomiasis, and punch biopsy of skin lesions for the identification and culture of...
... out -of- balance masses Transmissibility Resonance Estimation of damping from width of peak Section B Two-degree -of- freedom systems Free vibration Coupling of co-ordinates Normal modes Principle of ... Vibration, 126 Section A One-degree -of- freedom systems Introduction Free vibration of undamped systems Vibration energy Pendulums Levels of vibration Damping Free vibration of a damped system Phase-plane ... Problems Kinetics of a particle in plane motion, 21 Introduction Newton’s laws of motion Units Types of force Gravitation Frames of reference Systems of particles Centre of mass Free- body diagrams...
... out -of- balance masses Transmissibility Resonance Estimation of damping from width of peak Section B Two-degree -of- freedom systems Free vibration Coupling of co-ordinates Normal modes Principle of ... Vibration, 126 Section A One-degree -of- freedom systems Introduction Free vibration of undamped systems Vibration energy Pendulums Levels of vibration Damping Free vibration of a damped system Phase-plane ... Problems Kinetics of a particle in plane motion, 21 Introduction Newton’s laws of motion Units Types of force Gravitation Frames of reference Systems of particles Centre of mass Free- body diagrams...
... proportion of isolates of H haemolyticus have recently been recognized as nonhemolytic Analysis of 16S ribosomal sequences is one reliable method to distinguish these two species Six major serotypes of ... cause disease H influenzae was the first free- living organism to have its entire genome sequenced Table 139-1 Characteristics of Type b and Nontypable Strains of Haemophilus influenzae Feature Type ... capsule is a linear polymer composed of ribosyl-ribitol phosphate Strains of H influenzae type b (Hib) cause disease primarily in infants and children
... market offer a return of 7%, then Cost of capital = r = 7% 16 Valuing an Office Building Step 3: Discount future cash flows PV = C1 (1+r) = 400 (1+.07) = 374 Step 4: Go ahead if PV of payoff exceeds ... higher rate of return w Higher required rates of return cause lower PVs PV of C1 = $400 at 7% 400 PV = = 374 + 07 19 Risk and Present Value PV of C1 = $400 at 12% 400 PV = = 357 + 12 PV of C1 = $400 ... of C1 = $400 at 7% 400 PV = = 374 + 07 20 Rate of Return Rule w Accept investments that offer rates of return in excess of their opportunity cost of capital Example In the project listed below,...