[...]... diarrhea, and muscle twitching On physical examination the patient has a blood pressure of 156/92, a heart rate of 92, a respiratory rate of 30, and a temperature of 37.4°C (99.3°F) She has pinpoint pupils with profuse rhinorrhea and salivation She also is coughing profusely, with production of copious amounts of clear secretions A lung examination reveals wheezing on expiration in bilateral lung fields... notable for a creatinine of 2.8 mg/dL, aspartate aminotransferase of 250 U/L, alanine aminotransferase of 328 U/L, total bilirubin of 3.2 mg/dL, direct bilirubin of 0.5 mg/dL, INR of 1.5, activated partial thromboplastin time of 1.6 × control, and platelets at 94,000/µL Ferritin is 1300 µg/mL The patient is started on broad-spectrum antibiotics after I INTRODUCTION TO CLINICAL MEDICINE — QUESTIONS I-28... I-46 Which of the following is the best indicator of prognosis and longevity in a geriatric patient? A B C D E Functional status Life span of first-degree relatives Marital status Number of medical comorbidities Socioeconomic status I-47 Diagnostic criteria for delirium as a cause of a confused state in a hospitalized patient include all of the following except A B C agitation altered level of consciousness... Nephrotic syndrome I-62 All of the following factors are associated with a greater risk of ventricular arrhythmia versus anxiety/panic attack in a patient complaining of palpitations except A B C D E history of congestive heart failure history of coronary artery disease history of diabetes mellitus palpitations lasting >15 min palpitations provoked by ethanol I INTRODUCTION TO CLINICAL MEDICINE — QUESTIONS... the risk of miscarriage as well as the risk of having a child with Down syndrome Which of the following is true regarding chromosome disorders and increasing maternal age? A B C D E About half of trisomy conceptions will survive to term In women under the age of 25, trisomy occurs in . the 17th edition of HARRISON’S PRINCIPLES OF INTERNAL MEDICINE EDITED BY CHARLES WIENER, MD Professor of Medicine and Physiology Vice Chair, Department of. 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