NMS Q&A Family Medicine

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Acquisitions Editor: Susan RhynerProduct Manager: Stacey SebringMarketing Manager: Joy Fischer-WilliamsVendor Manager: Alicia JacksonDesigner: Holly McLaughlinCompositor: Aptara, Inc.Copyright © 2012 Lippincott Williams & Wilkins351 West Camden StreetBaltimore, MD 21201Two Commerce Square, 2001 Market StreetPhiladelphia, PA 19103All rights reserved. This book is protected by copyright. No part of this book may be reproduced in any form or byany means, including photocopying, or utilized by any information storage and retrieval system without writtenpermission from the copyright owner.The publisher is not responsible (as a matter of product liability, negligence, or otherwise) for any injury resultingfrom any material contained herein. This publication contains information relating to general principles of medicalcare that should not be construed as specific instructions for individual patients. Manufacturers’ product informationand package inserts should be reviewed for current information, including contraindications, dosages, andprecautions.Printed in China C&C Offset PrintingLibrary of Congress Cataloging-in-Publication DataRudy, David R.Family medicine / David R. Rudy.—3rd ed.p. ; cm.—(NMS Q&A)NMS Q&A family medicineIncludes bibliographical references and index.ISBN 978-1-60831-577-2 (alk. paper)1. Family medicine—Examinations, questions, etc. I. Title.II. Title: NMS Q&A family medicine. III. Series: NMS Q&A.[DNLM: 1. Family Practice—Examination Questions. WB 18.2]RC58.R83 2011616—dc222011016385The publishers have made every effort to trace the copyright holders for borrowed material. If they have inadvertentlyoverlooked any, they will be pleased to make the necessary arrangements at the first opportunity.To purchase additional copies of this book, call our customer service department at (800) 638–3030 or fax ordersto (301) 223–2320. International customers should call (301) 223–2300.Visit Lippincott Williams & Wilkins on the Internet: http://www.LWW.com. Lippincott Williams & Wilkinscustomer service representatives are available from 8:30 am to 6:00 pm, EST.06 07 08 09 101 2 3 4 5 6 7 8 9 10
This work is dedicated to my wife, Rose Mary S. Rudy, PhD; our children Douglas David Rudy(IT executive), Steven William Rudy (aerospace engineer), Katharine Rudy Hoffer, RN, MA andHunter Ashley Elam, PhD and to our seven grandchildren. Finally, I dedicate this work tothe memories of my parents, Robert Sale Rudy, CPA, late retired CFO of the White CastleCorporation and Lois May Arthur Rudy; and to my late older, mentoring twin brothers,John Franklin (MWE) and James Arthur Rudy (MME), Master level engineers.
Page 3: NMS Q&AFamily Medicine3rd EDITION
Page 9: Foreword to the First EditionFamily
Page 13: AcknowledgmentsFor the contribution
Page 16 and 17: xivContentsChapter 15 Surgical Issu
Page 19 and 20: SECTION IUrgent Carechapter 1Urgent
Page 21 and 22: Urgent Care in Family Practice 3(A)
Page 23 and 24: Urgent Care in Family Practice 5Exa
Page 25: Urgent Care in Family Practice 7rem
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Page 33 and 34: chapter 3Otolaryngology inPrimary C
Page 35 and 36: Otolaryngology in Primary Care 17tr
Page 37 and 38: Otolaryngology in Primary Care 1924
Page 39 and 40: Otolaryngology in Primary Care 21of
Page 41: Otolaryngology in Primary Care 23co
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Page 48 and 49: 30 NMS Q&A Family MedicineQuestions
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Page 54 and 55: 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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chapter 21Gynecology in Mature Adul
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Gynecology in Mature Adults 133amen
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Gynecology in Mature Adults 1357. T
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chapter 22Diseases of the Female Br
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Diseases of the Female Breast 139Ex
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Diseases of the Female Breast 141Re
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144 NMS Q&A Family Medicine(B) Long
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146 NMS Q&A Family Medicine(D) PIP
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148 NMS Q&A Family Medicine6. The a
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chapter 24Musculoskeletal Problemso
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Musculoskeletal Problems of the Nec
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Musculoskeletal Problems of the Nec
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chapter 25Musculoskeletal Problemso
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Musculoskeletal Problems of the Low
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Musculoskeletal Problems of the Low
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chapter 26Rheumatology in Primary C
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Rheumatology in Primary Care 165(D)
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Rheumatology in Primary Care 16710.
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170 NMS Q&A Family Medicineof 5 ft,
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172 NMS Q&A Family Medicinepresent.
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174 NMS Q&A Family Medicinenodules.
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178 NMS Q&A Family MedicineReferenc
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180 NMS Q&A Family Medicineperipher
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182 NMS Q&A Family Medicineconditio
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184 NMS Q&A Family Medicine(D) Pneu
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chap ter 31Other Infectious Disease
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Other Infectious Diseases in Primar
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Other Infectious Diseases in Primar
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SECTION XIEndocrinology inPrimary C
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Diabetes Mellitus 197normal saline
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Diabetes Mellitus 199Examination An
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Diabetes Mellitus 20116. The answer
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204 NMS Q&A Family Medicine(A) Seru
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208 NMS Q&A Family Medicine16. The
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210 NMS Q&A Family Medicine(E) Hypo
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214 NMS Q&A Family Medicinelikeliho
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216 NMS Q&A Family Medicine(A) Prad
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SECTION XIIAllergieschapter 36Atopi
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Atopic, Food, and Contact Allergies
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Atopic, Food, and Contact Allergies
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SECTION XIIIPreventive HealthCarech
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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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