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Harrison principles of internal medicine self accessment and board review

PRINCIPLES OF INTERNAL MEDICINE - PART 1 pdf

PRINCIPLES OF INTERNAL MEDICINE - PART 1 pdf

... Isochromosome X II -1 1 Which of the following is an example of a balanced karyotype? (A) (B) (C) (D) (E) 46, X, i(Xq) 46, X, X, 14 , ϩt (14 ; 21) (p 11; q 11) 46X, Y, Ϫ5, ϩder5 (5 ;11 ) (q 21; q 21) mat 46, X, ... following: Lys -Arg -His -His -Tyr -Leu AAG-AAG-CAC-CAC-UAC-CUC The sequence of the mutated enzyme is Lys -Glu -Ala -Pro -Leu -Pro AAG-GAA-GCA-CCA-CUA-CCU Solid figure ϭ Affected individual Open figure ... prior written permission of the publisher 0-0 7 -1 3867 8-5 The material in this eBook also appears in the print version of this title: 0-0 7 -1 3737 5-6 All trademarks are trademarks of their respective...
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PRINCIPLES OF INTERNAL MEDICINE - PART 2 docx

PRINCIPLES OF INTERNAL MEDICINE - PART 2 docx

... non-small cell lung cancer V-47 A 43-year-old woman presents with a hematocrit of 25 %, an MCV of 101, reticulocyte count of 1 .2% , platelet V-47 (Continued) count of 25 ,000/␮L, and white count of ... evaluation includes a hematocrit of 29 %, platelet count of 15,000/␮L, and WBC of 21 00/ ␮L (differential including 22 % blasts, 30% promyelocytes, 20 % lymphocytes, 10% monocytes, 2% myelocytes, and 3% metamyelocytes) ... cause of this clinical syndrome? (A) Non-small cell cancer of the lung (B) Small cell cancer of the lung V-58 (C) (D) (E) (Continued) Breast cancer Non-Hodgkin’s lymphoma Colon cancer V-59 A 21 -year-old...
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PRINCIPLES OF INTERNAL MEDICINE - PART 3 pdf

PRINCIPLES OF INTERNAL MEDICINE - PART 3 pdf

... 25-year-old American in a low-income group A 60-year-old Pakistani A 25-year-old Zairian A 70-year-old Dane VI-5 A 55-year-old woman from Oregon presents with diplopia 24 h after eating home-canned ... Questions VI-10 to VI-11 A 35 -year-old man with a history of abrasion of the right hand presents with acute pain in the right shoulder His physical examination reveals a temperature of 39 .5ЊC (1 03 F) ... infection? (A) A 5-year-old child with a 3- day history of lowgrade fevers who presents with ruby red cheeks (B) A 35 -year-old woman with painful wrist and knees for weeks (C) A 20-year-old patient...
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PRINCIPLES OF INTERNAL MEDICINE - PART 4 pdf

PRINCIPLES OF INTERNAL MEDICINE - PART 4 pdf

... A 45 -year-old man with LDL cholesterol of mmol/L (200 mg/dL) (E) A 58-year-old male smoker with cholesterol of 5.5 mmol/L (220 mg/dL) and LDL cholesterol of mmol/L (150 mg/dL) VII-18 Which of ... (D) A 28-year-old man with known preexcitation syndrome and wide complex tachycardia (E) A 44 -year-old man with atrial fibrillation without a prior history of heart disease VII-26 A 72-year-old man ... (A) A 5 4- year-old man with syncopal episodes when bending forward (B) A previously healthy 68-year-old man with sudden onset of pulmonary edema and a new holosystolic murmur VII-31 A 1 4- year-old...
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PRINCIPLES OF INTERNAL MEDICINE - PART 5 pot

PRINCIPLES OF INTERNAL MEDICINE - PART 5 pot

... FEV1 of 20% of the predicted value (E) A 2 5- year-old man with an ␣1-antitrypsin deficiency and resting hypoxia VIII-34 A 50 -year-old male chronic alcoholic presents with a 2-week history of fever, ... OF THE RESPIRATORY SYSTEM — QUESTIONS VIII-39 (Continued) (A) A 33-year-old man with a heroin overdose (B) A 68-year-old man with an acute myocardial infarction and h of hypotension (C) A 2 5- year-old ... Tolerance of the ␤ agonist Bronchial hyperresponsiveness VIII -5 3 The patient in Question VIII -5 2 improves after two treatments of ␤-agonist therapy He is then discharged with a ␤-agonist metered-dose...
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PRINCIPLES OF INTERNAL MEDICINE - PART 6 potx

PRINCIPLES OF INTERNAL MEDICINE - PART 6 potx

... (E) PO2 PCO2 pH 141 (1 .6) 141 (1 .6) 141 (1 .6) 141 (1 .6) 141 (1 .6) 100 100 100 80 80 40 20 34 46 46 7.40 7.40 7.38 7.50 7.50 26 16 20 36 22 IX- 26 A 37-year-old man is admitted with confusion Physical ... A 27-year-old Asian woman with thalassemia (B) A 49-year-old woman with two 2-cm stones (C) A 60 -year-old man with gallstones visible on chest x-ray (D) A 45-year-old woman with a history of gallstone ... propria on small-bowel biopsy (C) Hypergammaglobulinemia (D) Response to a high-fat diet (E) g D-xylose in 5-h urine collection after 25 g oral D-xylose X -6 2 A 28-year-old woman complains of chronic...
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PRINCIPLES OF INTERNAL MEDICINE - PART 7 pptx

PRINCIPLES OF INTERNAL MEDICINE - PART 7 pptx

... killer cells (E) The HLA-B 27 gene product participates in the pathophysiology of ankylosing spondylitis XI- 47 A 70 -year-old man with renal insufficiency and recurrent attacks of proven gouty arthritis ... probably HLA-B 2 7- positive (D) x-ray of the pelvis would probably demonstrate blurring of the sacroiliac joint (E) his symptoms are mediated by immune-complex deposition XI-65 A 40-year-old woman ... of TB purifiedprotein derivative (PPD) Which of the following cellular events accounts for these findings? (A) Interleukin (IL ) -7 -induced B cell activation and secretion of antibodies (B) IL-3-mediated...
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PRINCIPLES OF INTERNAL MEDICINE - PART 8 doc

PRINCIPLES OF INTERNAL MEDICINE - PART 8 doc

... lumbar spine z-score of Ϫ0 .86 , a femoral neck zscore of Ϫ1.34, and a radius z-score of Ϫ1.42 A parathyroidectomy is likely to result in which of the following? (A) Normalization of the serum calcium ... products XII-42 A 3 8- year-old woman with obesity, dermal striae, and hypertension is referred for endocrinologic evaluation of possible cortisol excess The woman receives a midnight dose of mg of dexamethasone; ... administration of fludrocortisone administration of furosemide administration of hydrocortisone and furosemide hemodialysis administration of potassium-binding anionexchange resins XII-44 A 22-year-old...
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PRINCIPLES OF INTERNAL MEDICINE - PART 9 pptx

PRINCIPLES OF INTERNAL MEDICINE - PART 9 pptx

... initial symptom of optic neuropathy due to glaucoma is loss of central vision XIII-31 A 65-year-old man with a long-standing history of hypertension complains of recurrent 30-min episodes of right arm ... calcium and high phosphate levels XII -9 5 The answer is B (Chap 77 Rosenbaum et al, N Engl J Med 337: 396 – 407, 199 7; Calle et al, N Engl J Med 341:1 097 – 1105, 199 9.) Obesity is the most common and ... generation of ␤-amyloid are of potential therapeutic interest XIII- 39 The answer is A (Chap 363 Standaert, Med Clin North Am 77:1 69 – 183, 199 3.) Parkinson’s disease is a chronic degenerative disease of...
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PRINCIPLES OF INTERNAL MEDICINE - PART 10 pptx

PRINCIPLES OF INTERNAL MEDICINE - PART 10 pptx

... 10% 0– 7% 0– 2% Conventional Units 70– 130% 80– 120% Ͻ7 Ͼ2 h 60– 100 % 60– 100 % 60– 100 % 60– 100 % 60– 100 % 60– 100 % 60– 100 % 60– 100 % 200– 400 mg/dL 2.4– 4.4 CTA U/ mL 58– 148% 58– 148% 32– 36 ... Engl J Med 339 :105 4 – 106 2, 1998 International Perinatal HIV Group The mode of delivery and the risk of vertical transmission of human immunodeficiency virus type I-meta-analysis of 15 prospective ... 1.5– 3.5% Ͻ2% 0.2– 1.6 ␮kat/L 13– 100 ␮/L 4.3– 10. 8 ϫ 109 /L 4.3– 10. 8 ϫ 103 / mm3 0.45– 0.74 0– 0.04 0.16– 0.45 0.04– 0 .10 0– 0.07 0– 0.02 45– 74% 0– 4% 16– 45% 4– 10% 0– 7% 0– 2% Conventional Units...
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Tài liệu Mayo Clinic Images in Internal Medicine: Self-Assessment for Board Exam Review docx

Tài liệu Mayo Clinic Images in Internal Medicine: Self-Assessment for Board Exam Review docx

... matter_FINAL.qxd 5/25/04 8:09 AM Page vii PREFACE Mayo Clinic Images in Internal Medicine: Self-Assessment for Board Exam Review was begun in 1998 as an adjunct to a presentation for the Mayo Internal ... that Mayo Clinic Images in Internal Medicine: Self-Assessment for Board Exam Review will be an aid for preparation for board examination certification or recertification and medical clerkship review ... detailed reference index, and specialty chain referencing, Mayo Clinic Images in Internal Medicine: Self-Assessment for Board Exam Review is really three effective learning texts bound in one cover...
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