NMS Q&A Family Medicine

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178 NMS Q&A Family MedicineReferencesFamily Medicine Review . Kansas City, Missouri ; May 3–10;2009 .Gill JM , Quisel AM , Rocca PV , et al. Diagnosis of systemic lupuserythematosus . Am Fam Physician. 2003 ; 68 : 2179 – 2186 .Hellmann DB , Stone JH . Arthritis and musculoskeletal disorders. In: Tierney LM , McPhee DJ , Papadakis MA , eds.Current Medical Diagnosis and Treatment. 45th ed . New York :McGraw-Hill/Appleton & Lange ; 2006 : 807 – 864 .McPhee SJ , Papadakis MA . Current Medical Diagnosis and Treatment2010 , 49th ed . New York/Chicago : McGraw-Hill/Lange ;2010 .Wu JJ , Schiff KR . Sarcoidosis . Am Fam Physician. 2004 ; 70 : 312 –322 .
chap ter 29Sports MedicineExamination questions: Unless instructed otherwise, choosethe ONE lettered answer or completion that is BEST in eachcase. Many items found in Tests 23 and 24 pertain to sportsmedicine as well.1 Which of the following maneuvers tests theinfraspinatis muscle?(A) Empty bucket test(B) With the arm held passively horizontal and theelbow flexed 90 degrees to point directly upwardthe shoulder is rotated internally to bring theforearm into the horizontal position (Hawkinstest)(C) The drop arm test (patient lowers the armactively slowly from 160 abduction)(D) Active internal rotation of the shoulder againstresistance(E) Active external rotation of the arm againstresistance2 A 35-year-old runner complains of pain and paresthesiason the medial plantar surface of the rightankle and heel, aggravated by toeing in (ventriflexionand pronation movement) during the donning of histrack shoes. There is no specific area of tendernessto palpation. Which of the following is the likelydiagnosis?(A) Plantar fasciitis(B) Tarsal tunnel syndrome(C) Stress fracture second metatarsal (MT)(D) herniated nucleus pulposus (HNP) L5 root(E) Peripheral neuropathy3 Which of the following is the most effective managementof exercise-induced asthma?(A) Inhaled glucosteroids(B) Inhaled anticholinergic agonists(C) 48 hours of prednisone in advance(D) Inhaled Beta adrenergic drug(E) Administration of oxygen prior to an athleticevent4 A 35-year-old athletic man complains of pain andtenderness at a point just distal to the right lateralcondyle. The man is right-side dominant. He wasactive in “major” sports in his youth but has onlyrecently taken up tennis. His condition may be causedor aggravated by each of the following activities,except for which one?(A) Grasping and turning a doorknob(B) Driving a screw with a manual screwdriver(C) Vigorous hand shaking(D) Using the overhead tennis serve(E) Employing wrist extension in the tennis backhandstroke5 An 18-year-old male senior high school athlete hasbeen training hard early in the spring track season.He complains of pain in the left knee region when heruns over a quarter of a mile (0.4 km), and he wishesto have relief so that he may pursue his goal of repeatinghis performance as district champion in his longdistanceevent. The pain had a gradual onset andthere has been no identifying moment of injury.There is neither morning stiffness nor “gelling” withafternoon inactivity. Each of the following conditionscould be a serious consideration as the cause of thesymptoms, except for which one?(A) Iliotibial band syndrome(B) Rheumatoid arthritis(C) Anserine bursitis(D) Popliteal tendonitis(E) Patellar tendonitis6 A 15-year-old boy is going out for football for thefirst time. His pubescence is accelerating and he hasgrown 3 in. (7.6 cm) in the past year. You are performinga preparticipation sports physical examination.The aortic second sound is louder than thepulmonic second sound, but the P 2 sound is of normalintensity. You hear a systolic “diamond shaped”murmur along the left sternal border. There is neitherprecordial heave nor thrill. You ask the patientto perform a Valsalva maneuver and find that themurmur is enhanced. You then ask the patientto squat and then auscultate again, only to findthat the murmur disappears. He has no complaintof shortness of breath. He manifests no cyanosis or179
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NMS Q&AFamily Medicine3rd EDITION
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Acquisitions Editor: Susan RhynerPr
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Foreword to the First EditionFamily
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AcknowledgmentsFor the contribution
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xivContentsChapter 15 Surgical Issu
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SECTION IUrgent Carechapter 1Urgent
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Urgent Care in Family Practice 3(A)
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Urgent Care in Family Practice 5Exa
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Urgent Care in Family Practice 7rem
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10 NMS Q&A Family Medicine(A) To pl
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12 NMS Q&A Family MedicineExaminati
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chapter 3Otolaryngology inPrimary C
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Otolaryngology in Primary Care 17tr
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Otolaryngology in Primary Care 1924
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Otolaryngology in Primary Care 21of
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Otolaryngology in Primary Care 23co
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26 NMS Q&A Family Medicine(A) Migra
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30 NMS Q&A Family MedicineQuestions
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32 NMS Q&A Family Medicine(A) Distu
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36 NMS Q&A Family Medicine80 mm Hg.
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SECTION IIICardiovascular Diseasesi
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Cardiology 41(A) Systolic crescendo
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Cardiology 43Examination Answers1.
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Cardiology 4516. The answer is C. T
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chapter 7Peripheral Vascular Diseas
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Peripheral Vascular Disease 49would
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Peripheral Vascular Disease 51Exami
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Peripheral Vascular Disease 53right
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chap ter 8Cerebrovascular DiseaseEx
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Cerebrovascular Disease 57(A) A non
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Cerebrovascular Disease 59ventricul
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chap ter 9Pediatric CardiologyExami
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Pediatric Cardiology 6315 You hear
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Pediatric Cardiology 65by placing o
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chap ter 10HypertensionExamination
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Hypertension 6915 In hypertensive p
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Hypertension 71systolic hypertensio
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74 NMS Q&A Family Medicine(A) Right
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Neurology 778. The answer is A. The
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SECTION VRespiratory Diseasesin Pri
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Pneumonia and Bronchitides 81(C) Co
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Pneumonia and Bronchitides 836. The
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chapter 13Respiratory Diseasesin Ch
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Respiratory Diseases in Children 87
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SECTION VIThe Gastrointestinal Trac
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Medical Problems of the Gastrointes
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Medical Problems of the Gastrointes
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chap ter 15Surgical Issues of theGa
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Surgical Issues of the Gastrointest
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Surgical Issues of the Gastrointest
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chap ter 16Problems of the LiverExa
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Problems of the Liver 103level, whe
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Problems of the Liver 105been inves
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SECTION VIIUrology and Nephrologyin
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Problems of the Urinary Tract 10913
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Problems of the Urinary Tract 11110
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114 NMS Q&A Family Medicine7 Which
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116 NMS Q&A Family MedicineExaminat
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118 NMS Q&A Family Medicineof malig
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120 NMS Q&A Family Medicine(D) Sulf
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124 NMS Q&A Family MedicineReferenc
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126 NMS Q&A Family Medicinecycle. H
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Page 149 and 150: chapter 21Gynecology in Mature Adul
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Page 155 and 156: chapter 22Diseases of the Female Br
Page 157 and 158: Diseases of the Female Breast 139Ex
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Page 162 and 163: 144 NMS Q&A Family Medicine(B) Long
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Page 177 and 178: Musculoskeletal Problems of the Low
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Page 181 and 182: chapter 26Rheumatology in Primary C
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Page 207 and 208: chap ter 31Other Infectious Disease
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Page 213 and 214: SECTION XIEndocrinology inPrimary C
Page 215 and 216: Diabetes Mellitus 197normal saline
Page 217 and 218: Diabetes Mellitus 199Examination An
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Page 239 and 240: SECTION XIIAllergieschapter 36Atopi
Page 241 and 242: Atopic, Food, and Contact Allergies
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Preoperative Clearance 229180 to 22
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Preoperative Clearance 23121 Prophy
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Preoperative Clearance 233example,
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chap ter 38Obesity and Dyslipidemia
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Obesity and Dyslipidemia 23713 A 45
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Obesity and Dyslipidemia 239attriti
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chapter 39Smoking CessationExaminat
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Smoking Cessation 243Examination An
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chapter 40Exercise and HealthExamin
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Exercise and Health 247Examination
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chapter 41Concepts in Epidemiologya
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Concepts in Epidemiology and Resear
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Concepts in Epidemiology and Resear
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256 NMS Q&A Family Medicine7 What i
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258 NMS Q&A Family Medicineantigen
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260 NMS Q&A Family Medicine(B) Arra
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262 NMS Q&A Family Medicineinfectio
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264 NMS Q&A Family Medicine(D) Pulm
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266 NMS Q&A Family Medicinemay occu
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268 NMS Q&A Family Medicinebeing se
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270 NMS Q&A Family Medicineis exace
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272 NMS Q&A Family Medicine8 What a
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274 NMS Q&A Family Medicine12. Hepa
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276 NMS Q&A Family Medicine(D) Ever
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278 NMS Q&A Family MedicineAlthough
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280 NMS Q&A Family Medicine5 Of the
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282 NMS Q&A Family Medicineclinicia
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284 NMS Q&A Family Medicine9 Regard
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288 NMS Q&A Family Medicinedenied a
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290 NMS Q&A Family Medicinewithout
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chapter 51Anxiety and PhobiasExamin
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Anxiety and Phobias 297Examination
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chapter 52Somatic Symptoms withoutO
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Somatic Symptoms without Organic Ba
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Somatic Symptoms without Organic Ba
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306 NMS Q&A Family Medicine5 A 25-y
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308 NMS Q&A Family Medicineperiorbi
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310 NMS Q&A Family Medicineand loti
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chapter 54GeriatricsExamination que
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Geriatrics 315Examination Answers1.
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chapter 55HematologyExamination que
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Hematology 31915 A 45-year-old busy
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Hematology 321Mean cell hemoglobin
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Hematology 323whereas in multiple m
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326 NMS Q&A Family Medicine7 A 45-y
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