314 Index Infective endocarditis (Cont.): cardiac lesions with high risk for developing, 4, 24 questions involving, 2, 23 Inflammatory bowel disease, 77, 194 Insulin, 62, 74, 262, 269 Interferon, 95 <strong>Internal</strong> carotid artery insufficiency, 153 Interstitial lung disease, 194 Intestinal polyposis, 93 Intravenous pyelogram, 158, 169 Ipratropium bromide, 273 Iron deficiency anemia, 103, 114, 117 Isoproterenol, 263, 270 J Jaundice alcoholic hepatitis-related, 89, 97 ocular manifestations of, 86, 96 Joint inflammation, 186, 196 K Kaposi sarcoma, 45 Kartagener’s syndrome, 256 Kayser-Fleischer ring, 150 Keratoacanthoma, 36, 45–46 Kidney transplantation, 162, 171 Kimmelstiel-Wilson nodules, 76 Koebner phenomenon, 45 KOH preparation, 49 Koplik’s spots, 218 Krukenberg’s tumors, 76 L Lactase deficiency, 92 Lactic acidosis, 172 Large bowel obstruction, 88, 97 Lateral medullary syndrome, 152–153 Laxative abuse, 96 Learned tolerance, 263, 270 Left atrial tumors, 4–5, 25 Left precordial chest pain, 12, 27 Legionnaires’ disease, 207, 221–222 Leukemia acute lymphoblastic, 116 acute myelogenous, 99, 112 adult T-cell lymphoma-leukemia, 131 chronic lymphocytic, 238 chronic myelogenous, 112 hairy cell, 116 Leukopenia, 194 Leuprolide, 272 Libman-Sacks endocarditis, 194 Liddle syndrome, 174 Light-chain amyloidosis, 59, 73 Lincosamides, 225 Lipomas, 92 Lithium, 54, 69, 171, 261, 268 Liver cancer, 125, 132 Liver flukes, 132 Low-density lipoprotein, 32–33, 58, 72 Lung abscess, 242–243, 248, 254, 257 Lung cancer, 126, 131, 133, 250–251, 252, 254, 258 Lyme disease, 195, 208, 222 Lymphocytic lymphoma, 122–123, 131 Lymphoma adult T-cell lymphoma-leukemia, 131 Hodgkin’s, 122, 131 lymphocytic, 122, 131 non-Hodgkin’s, 132 small bowel, 92, 130 Lysergic acid diethylamide, 260, 268 M Macroadenomas, 151 Macrocytosis, 117 Macrolides, 225 Macule, 43, 49 Magnesium, 56, 70–71 Malabsorption, 81, 90, 93, 98 Malignant melanoma, 42, 48 Marfan syndrome, 71, 194, 196 Mat telangiectasia, 49 Means-Lerman scratch, 32 Measles, 218–219 Megaloblastic anemia, 115 Melanoma, 47, 125, 132 Melphalan, 266, 272 Ménétrier’s disease, 94, 96, 98 Meningitis, 202, 218, 261, 269 Meperidine, 271 Mesothelioma, 126, 133 Metabolic acidosis, 171, 173 Metabolic alkalosis, 158, 167–168, 174 Metabolic syndrome, 33 Methanol, 262, 269 Methimazole, 259, 267 Methotrexate, 120, 130, 133, 196, 266, 272 Methylxanthines, 273 Metoprolol, 18, 30 Metronidazole, 226 “Milwaukee shoulder,” 198 Misoprostol, 264, 271 Mitral stenosis, 4, 24, 29 Mitral valve prolapse, 4, 11, 24, 27 Mongolian spots, 47 Monoarthritis, 179–180, 193 Monoclonal gammopathies of undetermined significance, 125, 132
Index 315 Morphine, 264, 271 Multifocal atrial tachycardia, 265, 272 Multiple endocrine neoplasia, type I, 60, 73 Multiple myeloma, 114, 169, 238 Multiple sclerosis, 148–150 Mumps, 222 Myasthenia gravis, 129, 151, 153 Myasthenic syndrome, 126, 133 Mycoplasma pneumonia, 212, 214, 224–225 Mycoplasmas, 200, 217–218 Mycosis fungoides, 38, 46 Myelin, 151 Myeloma, 113, 223 Myocardial infarction, 2, 4, 23–24, 29 Myocardium, 2, 23–24 Myoclonic seizures, 146, 154 Myxoma, 5, 25 N Narcolepsy, 150 Nasopharynx cancer, 125, 132 Native valve endocarditis, 223 Natural killer cells, 235 Necrobiosis lipoidica, 75 Needle biopsy, 72–73 Negative inotropism, 18, 30 Neisseria gonorrhoeae, 224 Neisseria meningitides, 202, 221 Nephrogenic diabetes insipidus, 69–71, 172 Nephrolithiasis, 174 Nephrotic syndrome, 170, 173 Neurofibromatosis, 47, 149 Neurogenic tumors, 253 Niacin, 77–78 Nicotinic acid, 21, 32–33 Nifedipine, 30, 259, 267 Nikolsky’s sign, 47 Nitroglycerin, 4, 24, 261, 268 Nodular melanoma, 48 Nodular sclerosing Hodgkin’s disease, 134 Noncaseating granulomas, 240 Non-Hodgkin’s lymphoma, 132 Non-insulin-dependent diabetes mellitus, 215, 226 Nonmetastatic hypercalcemia, 126, 133 Non-small cell lung cancer, 258 Nonsteroidal anti-inflammatory drugs, 85, 95, 134, 192 Norepinephrine, 262, 269–270 O Oculomotor nerve compression, 155 Omeprazole, 265, 271 Opioid analgesics, 264, 271 Opioid-induced sedation, 128, 134 Optic neuritis, 150 Orchitis, 222–223 Osmotic diuresis, 172 Osmotic gap, 98 Osteitis fibrosa cystica, 68 Osteoarthritis, 176–177, 187, 192, 196–197 Osteolysis, 113 Osteomalacia, 61, 73–74, 173, 188, 197–198 Osteopenia, 188, 198 Osteophytes, 192 Osteoporosis, 73 Osteosarcoma, 130 P Pacemakers, 1, 23 Paget’s disease, 72, 192 Pancoast’s syndrome, 258 Pancreatic cancer, 121, 130 Pancytopenia, 109, 117 Papillary cancer, 133–134 Papillary necrosis, 169 Papovaviruses, 151 Paraneoplastic syndromes, 254 Parkinson’s disease, 141, 151 Parotitis, 205, 220 Paroxysmal supraventricular tachycardia, 3, 24 Partial seizures, 154 Patch, 43, 49 Peliosis hepatitis, 90, 98 Pellagra, 78 Pemphigus vulgaris, 39, 47 Penicillin, 233, 237, 260, 267 Peptic ulcer disease, 84, 95 Perchlorate, 267 Perfusion lung scan, 253 Pericardial effusion, 10, 27 Pericardial knock, 32 Pericarditis idiopathic, 10, 27 questions involving, 2, 5, 23, 25, 194 Peripheral edema, 20, 31–32 Peripheral nerve lesions, 155 Peritoneal dialysis, 170 Peutz-Jeghers syndrome, 93 Pharmacokinetic tolerance, 263, 270 Phenylketonuria, 61, 74 Phenytoin, 154, 215, 226 Pheochromocytoma, 32 Pink puffers, 257 Pituitary adenomas, 151 Pituitary hyposecretion, 51, 68 Plasma cell myeloma, 125, 132 Platelets, 105, 115 Pleural effusion, 181, 194
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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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182 9: Muscles and Joints 35. A 67-
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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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262 13: Clinical Pharmacology 22. A
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