Internal-Medicine

Recommendations

Info

6 1: Cardiology (A) (B) (C) (D) (E) mitral stenosis mitral regurgitation aortic stenosis aortic regurgitation coarctation of the aorta 25. A 17-year-old girl develops exertional dyspnea, but has no cough, sputum, or wheezing symptoms. On examination, she has a fixed splitting of her second heart sound and a 3/6 systolic ejection murmur heard best over the left sternal border. An echocardiogram confirms the condition. Which of the following is the best physiologic explanation for her condition? (A) (B) (C) (D) (E) pulmonary blood flow is greater than systemic blood flow pulmonary blood flow is less than systemic blood flow pulmonary blood flow is equal to systemic blood flow the left ventricle is enlarged the systemic blood pressure is elevated 26. A 19-year-old man develops typical angina pectoris. There is no family history of premature CAD. Which of the following is the most likely diagnosis? (A) (B) (C) (D) (E) Figure 1–4. mitral stenosis coronary artery aneurysm coarctation atrial septal defect Werner’s syndrome 27. A 32-year-old asymptomatic woman has a rapidly rising, forceful pulse that collapses quickly. Which of the following is the most likely diagnosis? 28. A 63-year-old woman on digitalis for chronic atrial fibrillation experiences fatigue, nausea, and anorexia. Her pulse is regular at 50 beats/min, and the heart sounds, chest, and abdominal examinations are normal. On the ECG, no P waves are visible and the QRS complexes are narrow and regular. Which of the following is the most appropriate management step? (See Fig. 1–5.) (A) (B) (C) (D) (E) an increase in digitalis dose complete cessation of digitalis withdrawal of digitalis for one dose addition of a beta-blocker addition of a calcium channel blocker 29. A 47-year-old man is found to have edema, ascites, and hepatosplenomegaly. The examination of his neck veins reveals elevated venous pressure with a deep y descent. Heart size on x-ray is normal. Which of the following etiologies is not a possible explanation for this syndrome? (A) (B) (C) (D) (E) rheumatic fever TB unknown cause previous acute pericarditis neoplastic involvement of the pericardium 30. A 65-year-old man develops palpitations and dizziness. His blood pressure is 80/50 mm Hg and his pulse is regular at 150/min. His ECG shows a “saw-toothed” pattern of P waves. Which of the following procedures is most appropriate in converting him back to sinus rhythm? (See Fig. 1–6.) (A) (B) (C) (D) (E) carotid sinus pressure gagging procedures Valsalva maneuver eyeball compression electrical cardioversion
Questions: 25–30 7 Figure 1–5. aVR V 1 aVL aVF V 4 V 2 V 5 V 3 V 6 25.0 mm/s 10.0 mm/mV 4 by 2.5s + 8 rhythm lds MACVU 003C 12SL Lm v250 Figure 1–6. (Reproduced, with permission, from Fuster V, et al., Hurst’s the Heart, 11th ed. New York: McGraw-Hill, 2004:843.)
Page 2 and 3: FOURTH EDITION LANGE Q&A INTERNAL
Page 4 and 5: Professional Want to learn more? We
Page 6 and 7: iv Contents 9. Muscles and Joints .
Page 8 and 9: This page intentionally left blank
Page 10 and 11: This page intentionally left blank
Page 12 and 13: 2 1: Cardiology 5. A 42-year-old ma
Page 14 and 15: 4 1: Cardiology 14. A patient with
Page 18 and 19: 8 1: Cardiology 31. A 63-year-old w
Page 20 and 21: 10 1: Cardiology I aVR V1 V4 II aVL
Page 22 and 23: 12 1: Cardiology 47. A 25-year-old
Page 24 and 25: 14 1: Cardiology 53. Figure 1-13 is
Page 34 and 35: 24 1: Cardiology Calcium plays a ro
Page 36 and 37: 26 1: Cardiology and other bradyarr
Page 38 and 39: 28 1: Cardiology most useful initia
Page 40 and 41: 30 1: Cardiology 73. (D) In Wolff-P
Page 42 and 43: 32 1: Cardiology 102. (D) RVMI is c
Page 44 and 45: 34 1: Cardiology function should be
Page 46 and 47: 36 2: Skin DIRECTIONS (Questions 6
Page 48 and 49: 38 2: Skin Figure 2-4. (Reproduced,
Page 50 and 51: 40 2: Skin Figure 2-7. (Reproduced,
Page 52 and 53: 42 2: Skin 32. A 32-year-old woman
Page 54 and 55: 44 2: Skin DIRECTIONS (Questions 43
Page 56 and 57: 46 2: Skin be difficult to differen
Page 58 and 59: 48 2: Skin specific antibodies in t
Page 60 and 61: 50 2: Skin 50. (C) Chloroquine is u
Page 62 and 63: 52 3: Endocrinology 5. A 17-year-ol
Page 64 and 65: 54 3: Endocrinology 12. A 56-year-o
Page 66 and 67:
56 3: Endocrinology 23. A 19-year-o
Page 68 and 69:
Page 70 and 71:
Page 72 and 73:
Page 74 and 75:
Page 76 and 77:
66 3: Endocrinology 91. Which of th
Page 78 and 79:
Answers and Explanations 1. (C) Pri
Page 80 and 81:
70 3: Endocrinology It is most comm
Page 82 and 83:
72 3: Endocrinology polygenic in it
Page 84 and 85:
74 3: Endocrinology 57. (B) Risk of
Page 86 and 87:
76 3: Endocrinology also be caused
Page 88 and 89:
78 3: Endocrinology occur only in a
Page 90 and 91:
80 4: Gastroenterology 5. A 57-year
Page 92 and 93:
82 4: Gastroenterology 23. A 64-yea
Page 94 and 95:
Page 96 and 97:
86 4: Gastroenterology 39. A couple
Page 98 and 99:
Page 100 and 101:
90 4: Gastroenterology 66. Which of
Page 102 and 103:
Answers and Explanations 1. (F) Car
Page 104 and 105:
94 4: Gastroenterology 18. (B) Desp
Page 106 and 107:
96 4: Gastroenterology 43. (B) In n
Page 108 and 109:
98 4: Gastroenterology 67. (A) Anab
Page 110 and 111:
100 5: Hematology 4. A 62-year-old
Page 112 and 113:
Page 114 and 115:
Page 116 and 117:
106 5: Hematology 36. A 4-month-old
Page 118 and 119:
Page 120 and 121:
Page 122 and 123:
Answers and Explanations 1. (D) The
Page 124 and 125:
114 5: Hematology 19. (E) Steroids
Page 126 and 127:
116 5: Hematology 42. (C) Chorionic
Page 128 and 129:
118 5: Hematology a chronic disease
Page 130 and 131:
120 6: Oncology 3. A 42-year-old ma
Page 132 and 133:
122 6: Oncology 14. You are seeing
Page 134 and 135:
124 6: Oncology 25. A 63-year-old m
Page 136 and 137:
126 6: Oncology Questions 38 throug
Page 138 and 139:
128 6: Oncology Questions 60 throug
Page 140 and 141:
130 6: Oncology H. pylori is anothe
Page 142 and 143:
132 6: Oncology 25. (B) Barrett’s
Page 144 and 145:
134 6: Oncology with other thyroid
Page 146 and 147:
136 7: Diseases of the Nervous Syst
Page 148 and 149:
Page 150 and 151:
Page 152 and 153:
Page 154 and 155:
Page 156 and 157:
Page 158 and 159:
Answers and Explanations 1. (B) Alz
Page 160 and 161:
Page 162 and 163:
Page 164 and 165:
Page 166 and 167:
This page intentionally left blank
Page 168 and 169:
158 8: Kidneys 5. A 74-year-old man
Page 170 and 171:
160 8: Kidneys 18. A 56-year-old ma
Page 172 and 173:
162 8: Kidneys 28. A 74-year-old wo
Page 174 and 175:
Page 176 and 177:
Page 178 and 179:
Answers and Explanations 1. (D) Ure
Page 180 and 181:
170 8: Kidneys 21. (E) Intrathoraci
Page 182 and 183:
172 8: Kidneys 44. (B) Diuretics ar
Page 184 and 185:
174 8: Kidneys 75. (A) The autosoma
Page 186 and 187:
176 9: Muscles and Joints 5. A youn
Page 188 and 189:
178 9: Muscles and Joints 16. A 27-
Page 190 and 191:
Page 192 and 193:
Page 194 and 195:
Page 196 and 197:
186 9: Muscles and Joints 56. A ver
Page 198 and 199:
188 9: Muscles and Joints 71. Most
Page 200 and 201:
Page 202 and 203:
192 9: Muscles and Joints 8. (B) It
Page 204 and 205:
194 9: Muscles and Joints 29. (B) A
Page 206 and 207:
196 9: Muscles and Joints 50. (D) T
Page 208 and 209:
198 9: Muscles and Joints 76. (D) D
Page 210 and 211:
200 10: Infection 5. A 17-year-old
Page 212 and 213:
Page 214 and 215:
Page 216 and 217:
Page 218 and 219:
208 10: Infection 48. The dental co
Page 220 and 221:
210 10: Infection 58. A previously
Page 222 and 223:
Page 224 and 225:
214 10: Infection 82. Three individ
Page 226 and 227:
216 10: Infection 100. A 42-year-ol
Page 228 and 229:
218 10: Infection relatively benign
Page 230 and 231:
220 10: Infection 28. (B) Adequate
Page 232 and 233:
222 10: Infection organisms include
Page 234 and 235:
224 10: Infection 66. (F) Shigella
Page 236 and 237:
226 10: Infection 92. (D) Sulfonami
Page 238 and 239:
Page 240 and 241:
230 11: Immunology and Allergy 6. A
Page 242 and 243:
232 11: Immunology and Allergy 15.
Page 244 and 245:
Page 246 and 247:
236 11: Immunology and Allergy such
Page 248 and 249:
Page 250 and 251:
240 12: Diseases of the Respiratory
Page 252 and 253:
Page 254 and 255:
Page 256 and 257:
Page 258 and 259:
Page 260 and 261:
Page 262 and 263:
Answers and Explanations 1. (C) Hyp
Page 264 and 265:
Page 266 and 267:
Page 268 and 269:
Page 270 and 271:
260 13: Clinical Pharmacology 6. A
Page 272 and 273:
Page 274 and 275:
264 13: Clinical Pharmacology 40. W
Page 276 and 277:
Page 278 and 279:
268 13: Clinical Pharmacology 10. (
Page 280 and 281:
Page 282 and 283:
Page 284 and 285:
Page 286 and 287:
276 14: Comprehensive Review 6. A 3
Page 288 and 289:
278 14: Comprehensive Review 21. Wh
Page 290 and 291:
280 14: Comprehensive Review 38. A
Page 292 and 293:
Page 294 and 295:
Page 296 and 297:
286 14: Comprehensive Review 85. Wh
Page 298 and 299:
288 14: Comprehensive Review Figure
Page 300 and 301:
Page 302 and 303:
292 14: Comprehensive Review For ea
Page 304 and 305:
Answers and Explanations 1. (A) Thi
Page 306 and 307:
296 14: Comprehensive Review enceph
Page 308 and 309:
298 14: Comprehensive Review antige
Page 310 and 311:
300 14: Comprehensive Review peak i
Page 312 and 313:
302 14: Comprehensive Review 76. (D
Page 314 and 315:
304 14: Comprehensive Review At tim
Page 316 and 317:
Page 318 and 319:
Page 320 and 321:
310 Index Antineutrophil cytoplasmi
Page 322 and 323:
312 Index Dobutamine, 263, 270 Dono
Page 324 and 325:
314 Index Infective endocarditis (C
Page 326 and 327:
316 Index Pleuritis, 194 Pneumococc
Page 328:
318 Index Toxoplasmosis, 148, 226 T
show all

Internal-Medicine

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?