312 Index Dobutamine, 263, 270 Donovanosis, 220 Doxorubicin, 133, 262, 269 Doxycycline, 224 D-penicillamine, 47 Drug reactions, 229, 235 Dumping, 77 Dyslipidemia, 21, 32–33, 72 Dysphagia, 88, 97 Dyspnea, 2, 24 E Eating disorders, 65, 74, 76 Eaton-Lambert syndrome, 126, 133 Echocardiography, 11, 27 Ehlers-Danlos syndrome, 183, 195 Electrical alternans, 32 Electrocardiography cardiomegaly findings, 9, 26 exercise, 5, 25 P waves, 6, 26 pulmonary embolism evaluations, 1, 23 questions involving, 1, 4, 16, 23–24, 29 ST-segment elevation, 8, 12, 26, 27 Wenckebach’s type atrioventricular block, 1, 23 Emphysema, 255 Enalapril, 30 Encephalitis, 225 Endocarditis infective, 2, 4, 23–24, 219 Libman-Sacks, 194 native valve, 223 prosthetic, 202, 218 Endometrial cancer, 121, 130 Endothelial plaques, 20, 32 Entamoeba histolytica, 205, 219–220 Enterotoxigenic Escherichia coli, 223 Enteroviruses, 218–219 Enzyme immunoassay, 199, 217 Eosinophil count, 102, 114 Epigastric pain, 84, 95 Epinephrine, 262, 269–270 Epstein-Barr virus, 206, 221 Erectile dysfunction, 76 Erosive gastritis, 98 Erythema nodosum, 48, 50 Erythroblastosis fetalis, 106–107, 116 Erythroid hyperplasia, 113 Erythroid precursors, 110, 117 Erythropoietic protoporphyria, 52, 68 Esophageal cancer, 81, 93 Esophageal varices, 95 Essential anisocoria, 155 Essential hypertension, 16, 28–29 Ethylene glycol, 272 Exercise electrocardiography, 5, 25 Exertional angina, 1, 23 Exfoliative dermatitis, 48 Extracellular fluid volume contraction, 172 F Familial hypercholesterolemia, 55, 60, 70–71 Familial periodic paralysis, 142, 152 Fat malabsorption, 81, 93 Felty’s syndrome, 192, 197 Fentanyl, 264, 271 Ferritin, 114 Fetal hemoglobin, 107, 112, 116 Fibric acid derivatives, 21, 32–33 Fish oils, 115 Fluid retention, 8, 26 Fluoroquinolones, 267 Flutamide, 266, 272 Focal myocardial necrosis, 20, 32 Folate deficiency, 268 Follicle-stimulating hormone, 52, 68 Follicular cancer, 133–134 Foodborne botulinum, 219 Foodborne illness, 210–211, 220, 223–224 Friedreich’s ataxia, 150 Furosemide, 261–262, 269 G Gastrectomy, 77 Gastric carcinoma, 120, 129–130 Gastric ulcers, 85, 95 Gastritis, 98 Gastroesophageal reflux, 77, 259, 267 Gastrointestinal carcinoids, 32, 70 Gaucher cells, 55, 175 Gaucher’s disease, 70, 191 Gestational diabetes, 171 Giant cell arteritis, 191, 194 Gilbert’s syndrome, 93 Glomerulonephritis, 166, 173, 230, 236 Glossitis, 47 Glucagon, 60, 73 Glucagonomas, 73 Glucocorticoids, 218, 220 Goiter, 9, 27 Goodpasture’s syndrome, 235 Gottron’s plaques, 45, 155 Gout, 169, 176–177, 192 Gouty nephropathy, 51, 68 Graft-versus-host disease, 112 Granuloma inguinale, 220 Growth hormone, 73 Guillain-Barré syndrome, 153
Index 313 H Hairy cell leukemia, 116 Haloperidol, 266, 272 Hamman’s signs, 255 Hay fever, 229, 235 Headache, 135, 148 Heart failure, 18–19, 30–31 Heart sounds, 4, 24 Heberden’s nodes, 197 Heinz bodies, 118 Helicobacter pylori infection, 85, 95 Hematuria, 162–163, 171 Hemianopia, 149 Hemochromatosis, 69 Hemoglobin A2, 112 Hemoglobin C, 113, 115, 117 Hemoglobin F, 107, 116 Hemoglobin H, 106, 115 Hemoglobin S, 115 Hemolytic anemia, 101, 103, 108, 113–114, 117 Hemolytic disease of the newborn, 106–107, 116 Hemophilia A, 112, 118 Hemophilia B, 118 Hemoptysis, 255 Henoch-Schönlein purpura, 173, 192, 198 Heparin, 261, 268–269 Hepatic cirrhosis, 166, 173 Hepatic encephalopathy, 77 Hepatitis A, 85, 95 Hepatitis B, 85, 95 Hepatitis C, 85, 95–96 Hepatitis D, 85, 95 Hepatitis E, 85, 95 Hepatocellular carcinoma, 121, 129–130 Hepatorenal syndrome, 61, 74 Heroin, 264, 270 Herpes simplex virus, 217, 224 Herpes simplex virus encephalitis, 152–153 Heterophil antibodies, 113, 217 5-HIAA, 94 Hirsutism, 76 Histoplasma capsulatum, 223 Histoplasmosis, 226, 229, 235 HIV, 232, 237 HMG-CoA reductase inhibitors, 21, 32–33 Hodgkin’s disease, 122, 127, 130–131, 134 Holmes-Adie syndrome, 155 Homonymous hemianopia, 136, 148–149 Hormone replacement therapy, 60, 73 Horner syndrome, 155 Hospital-acquired pneumonia, 221 Howell-Jolly bodies, 116 Human leukocyte antigens, 233, 237–238 Human papillomavirus, 133 Human T-cell lymphocytic virus-I, 131 Huntington’s chorea, 148–149 Hutchinson’s teeth, 222 Hydralazine, 30, 193 Hydrocephalus, 151 Hydrochlorothiazide, 259, 267 Hyperbetalipoproteinemia, 58, 71–72 Hypercalcemia, 30, 126, 133, 258 Hyperchylomicronemia, 58, 71 Hyperglycemia, 76, 96 Hyperkalemia, 16, 29 Hyperkinetic pulse, 30 Hyperlipidemia, 55 Hyperlipoproteinemia, 49, 58, 72 Hypernephroma, 169 Hyperparathyroidism, 68 Hyperphosphatemia, 57, 71 Hyperprebetalipoproteinemia, 58, 72 Hypersensitivity pneumonitis, 252 Hypertension in children, 9, 26 essential, 16, 28–29 fundal findings, 9, 27 pharmacologic treatment of, 22, 33–34 during pregnancy, 2, 24 primary pulmonary. See Primary pulmonary hypertension Hypertensive encephalopathy, 152 Hyperthyroidism, 150 Hypertriglyceridemia, 58, 69, 72 Hypertrophic obstructive cardiomyopathy, 19, 31 Hypertrophic osteoarthropathy, 194 Hypnagogic hallucinations, 150 Hypochromic microcytic anemia, 101, 113 Hypoglycemia, 73, 76 Hypokalemia, 29, 165–166, 169, 173 Hyponatremia, 164–165, 172 Hypoparathyroidism, 69 Hypothyroidism, 68 Hypoventilation, 253 Hypovolemic shock, 29 Hypoxemia, 244–246, 255–256 I Immune complex-mediated glomerulonephritis, 230, 236 Immunoglobulin, 96 Immunoglobulin A deficiency, 223 Immunoglobulin G antibodies, 217, 220 Immunoglobulin M antibodies, 217, 220 Immunoproliferative small intestinal disease, 79, 92 Impetigo, 49 Infectious mononucleosis, 206, 221 Infective endocarditis, 219
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FOURTH EDITION LANGE Q&A INTERNAL
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Professional Want to learn more? We
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iv Contents 9. Muscles and Joints .
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2 1: Cardiology 5. A 42-year-old ma
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4 1: Cardiology 14. A patient with
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6 1: Cardiology (A) (B) (C) (D) (E)
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8 1: Cardiology 31. A 63-year-old w
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10 1: Cardiology I aVR V1 V4 II aVL
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12 1: Cardiology 47. A 25-year-old
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14 1: Cardiology 53. Figure 1-13 is
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16 1: Cardiology 59. A 78-year-old
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18 1: Cardiology 74. A 64-year-old
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20 1: Cardiology 99. A 65-year-old
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22 1: Cardiology 115. A 56-year-old
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24 1: Cardiology Calcium plays a ro
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26 1: Cardiology and other bradyarr
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28 1: Cardiology most useful initia
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30 1: Cardiology 73. (D) In Wolff-P
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32 1: Cardiology 102. (D) RVMI is c
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34 1: Cardiology function should be
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36 2: Skin DIRECTIONS (Questions 6
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38 2: Skin Figure 2-4. (Reproduced,
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40 2: Skin Figure 2-7. (Reproduced,
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42 2: Skin 32. A 32-year-old woman
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44 2: Skin DIRECTIONS (Questions 43
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46 2: Skin be difficult to differen
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48 2: Skin specific antibodies in t
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50 2: Skin 50. (C) Chloroquine is u
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52 3: Endocrinology 5. A 17-year-ol
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54 3: Endocrinology 12. A 56-year-o
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56 3: Endocrinology 23. A 19-year-o
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58 3: Endocrinology 34. A 33-year-o
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60 3: Endocrinology 50. A 25-year-o
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62 3: Endocrinology 62. A 21-year-o
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64 3: Endocrinology 73. A 55-year-o
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66 3: Endocrinology 91. Which of th
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Answers and Explanations 1. (C) Pri
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70 3: Endocrinology It is most comm
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72 3: Endocrinology polygenic in it
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74 3: Endocrinology 57. (B) Risk of
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76 3: Endocrinology also be caused
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78 3: Endocrinology occur only in a
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80 4: Gastroenterology 5. A 57-year
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82 4: Gastroenterology 23. A 64-yea
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84 4: Gastroenterology 29. A 45-yea
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86 4: Gastroenterology 39. A couple
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88 4: Gastroenterology 54. A 22-yea
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90 4: Gastroenterology 66. Which of
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Answers and Explanations 1. (F) Car
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94 4: Gastroenterology 18. (B) Desp
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96 4: Gastroenterology 43. (B) In n
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98 4: Gastroenterology 67. (A) Anab
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100 5: Hematology 4. A 62-year-old
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102 5: Hematology 17. A 23-year-old
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104 5: Hematology 28. A 63-year-old
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106 5: Hematology 36. A 4-month-old
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108 5: Hematology 49. A 19-year-old
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110 5: Hematology 59. A 28-year-old
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Answers and Explanations 1. (D) The
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114 5: Hematology 19. (E) Steroids
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116 5: Hematology 42. (C) Chorionic
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118 5: Hematology a chronic disease
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120 6: Oncology 3. A 42-year-old ma
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122 6: Oncology 14. You are seeing
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124 6: Oncology 25. A 63-year-old m
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126 6: Oncology Questions 38 throug
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128 6: Oncology Questions 60 throug
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130 6: Oncology H. pylori is anothe
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132 6: Oncology 25. (B) Barrett’s
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134 6: Oncology with other thyroid
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136 7: Diseases of the Nervous Syst
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138 7: Diseases of the Nervous Syst
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140 7: Diseases of the Nervous Syst
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142 7: Diseases of the Nervous Syst
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144 7: Diseases of the Nervous Syst
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146 7: Diseases of the Nervous Syst
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Answers and Explanations 1. (B) Alz
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150 7: Diseases of the Nervous Syst
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152 7: Diseases of the Nervous Syst
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154 7: Diseases of the Nervous Syst
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158 8: Kidneys 5. A 74-year-old man
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160 8: Kidneys 18. A 56-year-old ma
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162 8: Kidneys 28. A 74-year-old wo
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164 8: Kidneys 44. A 74-year-old wo
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166 8: Kidneys 63. A 60-year-old wo
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Answers and Explanations 1. (D) Ure
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170 8: Kidneys 21. (E) Intrathoraci
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172 8: Kidneys 44. (B) Diuretics ar
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174 8: Kidneys 75. (A) The autosoma
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176 9: Muscles and Joints 5. A youn
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178 9: Muscles and Joints 16. A 27-
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180 9: Muscles and Joints 26. A 77-
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184 9: Muscles and Joints 46. A 72-
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186 9: Muscles and Joints 56. A ver
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188 9: Muscles and Joints 71. Most
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190 9: Muscles and Joints 85. A 39-
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192 9: Muscles and Joints 8. (B) It
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194 9: Muscles and Joints 29. (B) A
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196 9: Muscles and Joints 50. (D) T
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198 9: Muscles and Joints 76. (D) D
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200 10: Infection 5. A 17-year-old
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202 10: Infection 14. A 56-year-old
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204 10: Infection 25. A 4-year-old
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206 10: Infection 36. A 9-year-old
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208 10: Infection 48. The dental co
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210 10: Infection 58. A previously
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212 10: Infection 72. A 21-year-old
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214 10: Infection 82. Three individ
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216 10: Infection 100. A 42-year-ol
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218 10: Infection relatively benign
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220 10: Infection 28. (B) Adequate
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222 10: Infection organisms include
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224 10: Infection 66. (F) Shigella
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226 10: Infection 92. (D) Sulfonami
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230 11: Immunology and Allergy 6. A
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232 11: Immunology and Allergy 15.
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234 11: Immunology and Allergy 32.
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236 11: Immunology and Allergy such
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238 11: Immunology and Allergy 30.
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240 12: Diseases of the Respiratory
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242 12: Diseases of the Respiratory
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244 12: Diseases of the Respiratory
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246 12: Diseases of the Respiratory
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248 12: Diseases of the Respiratory
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250 12: Diseases of the Respiratory
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Answers and Explanations 1. (C) Hyp
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254 12: Diseases of the Respiratory
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256 12: Diseases of the Respiratory
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258 12: Diseases of the Respiratory
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260 13: Clinical Pharmacology 6. A
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