Internal-Medicine

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iv Contents 9. Muscles and Joints ................................................................................................................................... 175 Questions .................................................................................................................................................... 175 Answers and Explanations ...................................................................................................................... 191 10. Infection ..................................................................................................................................................... 199 Questions .................................................................................................................................................... 199 Answers and Explanations ...................................................................................................................... 217 11. Immunology and Allergy ........................................................................................................................ 229 Questions .................................................................................................................................................... 229 Answers and Explanations ...................................................................................................................... 235 12. Diseases of the Respiratory System ...................................................................................................... 239 Questions .................................................................................................................................................... 239 Answers and Explanations ...................................................................................................................... 252 13. Clinical Pharmacology ............................................................................................................................. 259 Questions .................................................................................................................................................... 259 Answers and Explanations ...................................................................................................................... 267 14. Comprehensive Review ........................................................................................................................... 275 Questions .................................................................................................................................................... 275 Answers and Explanations ...................................................................................................................... 294 References ......................................................................................................................................................... 307 Index ................................................................................................................................................................... 309
Preface The practice of internal medicine requires both breadth and depth of knowledge. To acquire mastery of the subject requires extensive reading and clinical experience. The knowledge base is also constantly expanding and changing as medicine enters the era of molecular biology and large randomized clinical trials. This textbook provides a review of the major issues in internal medicine by presenting a wide variety of typical examination questions and referenced answers. The text is organized by topic to facilitate indepth review but contains a large comprehensive test that mimics the typical examination format. The content has been organized to reflect the areas tested on Step 2 of the United States Medical Licensing Examination (USMLE Step 2). The format of the questions is modeled after the format used on the USMLE, making it an ideal study guide for individuals preparing for licensing examinations. The questions and answers reflect the increasing growth of knowledge in the field of internal medicine. As a result, reviewing the answers gives the reader a “mini review” of basic concepts and pathophysiology in internal medicine, allowing the reader to approach clinical problems in an appropriate manner. Finally, since the last edition was published, the list of references has been expanded and updated to reflect current knowledge in the field of internal medicine. Yashesh Patel, MD, MSc, FRCPC Barry J. Goldlist, MD, FRCPC, FACP v Copyright © 2007 by The McGraw-Hill Companies, Inc. Click here for terms of use.
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80 4: Gastroenterology 5. A 57-year
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90 4: Gastroenterology 66. Which of
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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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158 8: Kidneys 5. A 74-year-old man
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170 8: Kidneys 21. (E) Intrathoraci
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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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196 9: Muscles and Joints 50. (D) T
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224 10: Infection 66. (F) Shigella
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288 14: Comprehensive Review Figure
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292 14: Comprehensive Review For ea
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310 Index Antineutrophil cytoplasmi
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312 Index Dobutamine, 263, 270 Dono
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314 Index Infective endocarditis (C
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316 Index Pleuritis, 194 Pneumococc
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318 Index Toxoplasmosis, 148, 226 T
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