316 Index Pleuritis, 194 Pneumococcal infection, 213, 225 Pneumococcal pneumonia, 214, 225 Pneumonia, 218 Poisonings, 265, 271 Polyarteritis nodosa, 190, 194–198 Polycystic kidney disease, 170, 174 Polycystic ovarian disease, 76 Polycythemia, 113, 169 Polydipsia, 163, 171–172 Polymyalgia rheumatica, 192 Polyuria, 163, 171 Pontine hemorrhage, 151 Posterior mediastinal mass, 241, 253 Postgastrectomy steatorrhea, 96 Postsplenectomy thrombocytosis, 113 Poststreptococcal glomerulonephritis, 157, 168 Posttraumatic seizure, 152 Postural hypotension, 10, 27 PP interval, 4, 24 PR interval, 4, 24 Preeclampsia, 170 Pregnancy beta-thalassemia screening during, 106, 116 gestational diabetes, 171 hypertension during, 2, 24 megaloblastic anemia of, 115 rubella vaccine during, 204, 219 Prerenal acute renal failure, 163, 171, 174 Prerenal azotemia, 171 Priapism, 76 Primary biliary cirrhosis, 89, 96–97 Primary hyperaldosteronism, 173 Primary hyperparathyroidism, 73 Primary hypothyroidism, 68 Primary pulmonary hypertension, 2, 18, 24, 30, 240–241, 243, 254, 257 Primary pulmonary Langerhans cell histiocytosis, 256–257 Primary small bowel lymphoma, 92 Progressive scoliosis, 193 Prolactin, 64, 75 Proliferative retinopathy, 75 Prostaglandins, 134, 264, 271 Prostate cancer, 159, 169 Prosthetic aortic valve, 12, 27 Prosthetic endocarditis, 202, 218 Protamine, 268 Protein-losing enteropathy, 87 Proteinuria, 159, 169 Proximal aortitis, 20, 32 Pseudogout, 176–177, 184, 192, 195, 198 Psoriasis, 35, 45, 195 Puberty, 62, 74–75 Pulmonary capillary wedge pressure, 5, 25 Pulmonary embolism, 1, 23, 240, 253, 256 Pulmonary stenosis, 2, 24 Pulsus paradoxus, 31 Purified protein derivative, 226 Pyoderma gangrenosum, 75 Q Quinidine, 266, 272 R Rabies, 220–221 Radiation exposure, 120, 129 Ranitidine, 259, 262, 264, 267, 269, 271 Raynaud’s phenomenon, 192 Reactive thrombocytosis, 102, 113 Red cell casts, 171 Reed-Sternberg cells, 127, 134 Relapsing polychondritis, 195 Renal cell carcinoma, 170 Renal diseases, 65, 76 Renal failure acid-base disturbances caused by, 166, 173 acute, 158, 162–163, 168, 170–171 Renal transplantation, 162, 170–171 Renal tubular acidosis, 173 Renal ultrasound, 170 Renal vein thrombosis, 160, 169 Respiratory acidosis, 171 Respiratory alkalosis, 172–173 Resting metabolic rate, 75 Restrictive cardiomyopathy, 20, 32 Retrobulbar neuritis, 153 Retrosternal chest pain, 13, 27–28 Rheumatoid arthritis, 170, 184, 187–188, 193–194, 196–197 Rheumatoid factor, 183, 195 Rheumatoid nodules, 197 Rhinophyma, 46 Rickets, 73, 173, 188, 197–198 Rifampin, 173, 225–226 Right atrial myxoma, 19, 31 Right ventricular infarction, 19, 31–32 Right-sided heart failure, 19, 31 Right-to-left shunt, 255 Ringworm, 46 Rocky Mountain spotted fever, 212, 214, 224–225 Rotor’s syndrome, 97 RR interval, 4, 24 Rubella vaccine, 204, 219 S Sacroiliitis, 96 Salicylate toxicity, 166, 172, 173, 265, 271
Index 317 Salmonellosis, 227 Salt sensitivity, 77 Sarcoidosis, 257 Sarcoma, 122, 130 Schistocytes, 118 Sclera, 96 Scleroderma, 49, 94, 191 Scurvy, 77 Second heart sound, 4, 24 Secondary hyperlipidemia, 55 Secondary polycythemia, 113 Secretory diarrhea, 88, 96–98 Seizures absence, 154 myoclonic, 146, 154 partial, 146, 154 posttraumatic, 152 tonic-clonic, 146, 154 Sensitization, 263, 270 Sepsis, 162, 166, 171, 173 Septic shock, 29 Serum amyloid A protein, 73 Serum sickness, 236 Sézary syndrome, 48 Shigella, 224 Shortness of breath, 20, 31–32 Sicca syndrome, 191 Sickle cell anemia, 114, 158, 169 Sickle cell disease, 106, 115, 118 Sideroblastic anemia, 117 Silhouette sign, 218 Sinus tachycardia, 3, 24, 72 Sjögren’s syndrome, 191, 197 Skin lesions, 35 Sleep disturbances, 138, 149, 246, 256 Slow channels, 2, 23 Small bowel lymphoma of, 92, 130 malignancy of, 79, 92 Small cell lung cancer, 252, 254 Smallpox, 227 Spherocytes, 118 Spherocytosis, 106, 115, 116, 118 Splenectomy, 108, 116 Spontaneous bacterial peritonitis, 222 Squamous cell carcinoma, 47 Staphylococcal enterotoxin food poisoning, 220 Staphylococcus aureus, 217, 223 Staphylococcus epidermidis, 218 Statins, 21, 32–33 Status epilepticus, 146, 155 Steatorrhea, 96 Stein-Leventhal syndrome, 76 Still’s disease, 191 Stomach cancer, 120, 125, 129–130, 133 Stomatocytes, 118 Streptococcus pneumoniae, 212–213, 220, 222 String sign, 88, 96 Stroke, 143, 152–153 ST-segment elevation, 8, 26 Subacute sclerosing panencephalitis, 219 Subcutaneous xanthomas, 71 Subdural hematoma, 150 Sucralfate, 264, 271 Sulfamethoxazole and trimethoprim, 44, 50 Sulfites, 237 Sulfonamides, 50, 225–226 Sydenham’s chorea, 149 Syncope, 1, 23 Syndrome of inappropriate antidiuretic hormone, 169, 172 Synovial fluid analysis, 179–180, 193 Syphilis, 46, 155 Syringomyelia, 142, 152 Systemic lupus erythematosus, 173, 191, 193–194 Systolic ejection murmur, 6, 19, 25, 31 Systolic scratchy sound, 20, 32 T Tachycardia multifocal atrial, 265, 272 paroxysmal supraventricular, 3, 24 sinus, 3, 24, 72 Takayasu’s syndrome, 192 Tamoxifen, 62, 75 Tay-Sachs disease, 69 Telangiectasia, 44, 45, 49 Temporal arteritis, 194–195 Tetanus, 199, 217, 227 Tetracyclines, 44, 48, 50, 225, 260, 268 Thalassemia minor, 113, 117 Thiamine deficiency, 77–78 Thiazides, 33 Thiocyanate, 267 Thioridazine, 172 Third nerve palsy, 149 Thrombocytopenia, 260–261, 268 Thrombotic thrombocytopenic purpura, 118 Thymic tumors, 230, 235 Thyroid cancer, 134 Thyroid goiter, 9, 27 Thyroid-stimulating hormone, 51, 68 Tinea capitis, 220 Tobacco, 270 Tonic pupil, 155 Tonic-clonic seizures, 146, 154 Torsade de pointes, 265, 272 Toxic shock syndrome, 221
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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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264 13: Clinical Pharmacology 40. W
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