[...]... Answers, Explanations, and References 263 Women’s Health Questions 267 Answers, Explanations, and References 275 Bibliography 281 Index 283 Introduction Medicine: PreTest® Self-Assessment and Review, Tenth Edition, is intended to... 215 Answers, Explanations, and References 223 General Medicine and Prevention Questions 229 Answers, Explanations, and References 240 Allergy and Immunology Questions 249 Answers, Explanations, and References 254 Geriatrics Questions... mitral valve prolapse and mitral regurgitant murmur develops fever, weight loss, and anorexia after undergoing a dental procedure (CHOOSE 1 ORGANISM) 12 An 80-year-old-male, hospitalized for hip fracture, has a Foley catheter in place when he develops shaking chills, fever, and hypotension (CHOOSE 1 ORGANISM) 13 A young man develops a painless, fluctuant purplish lesion over the mandible Cutaneous fistula... verrucous skin lesions, bone pain, fever, cough, and weight loss Chest x-ray shows nodular infiltrates (SELECT 1 AGENT) 20 A diabetic patient is admitted with elevated blood sugar and acidosis The patient complains of headache and sinus tenderness and has black, necrotic material draining from the nares (SELECT 1 AGENT) 21 A young woman presents with asthma and eosinophilia Fleeting pulmonary infiltrates... is admitted with cough, rusty sputum, and a single shaking chill Physical examination reveals increased tactile fremitus and bronchial breath sounds in the left posterior chest The patient is able to expectorate a purulent sample Which of the following best describes the role of sputum Gram stain and culture? a Sputum Gram stain and culture lack the sensitivity and specificity to be of value in this... gravis (CHOOSE 1 AGENT) 55 Seizures (CHOOSE 1 AGENT) 56 A previously healthy 25-year-old music teacher develops fever and a rash over her face and chest The rash is itchy and on exam involves multiple papules and vesicles in varying stages of development One week later she complains of cough and is found to have an infiltrate on x-ray The most likely etiology of the infection is a b c d Streptococcus pneumoniae... patients should be placed in respiratory isolation and sputum should be obtained for AFB stain, culture, and sensitivity Treatment of high-risk patients, such as this patient, should be supervised, and multidrug resistance should be assumed Regular screening of inmates and staff for TB is important for preventing the spread of TB within the facility and for early diagnosis of new infections 29 The answer... Answers, Explanations, and References 157 ix Copyright © 2004 by The McGraw-Hill Companies, Inc Click here for Terms of Use x Contents Hematology and Oncology Questions 167 Answers, Explanations, and References 179 Neurology Questions 195 Answers, Explanations, and References ... other standard texts in medicine xi Copyright © 2004 by The McGraw-Hill Companies, Inc Click here for Terms of Use This page intentionally left blank Acknowledgments We would like to offer special thanks to: Our wives, Shirley Berk, Janet Davis, and Joan Urban, for moral support and helpful suggestions; Our children, Jeremy Berk, Justin Berk, Abby Davis, Kyle Davis, David Urban, Elizabeth Urban, and. .. prison because of hemoptysis He has a history of tuberculosis diagnosed 3 years ago and took isoniazid and rifampin for about a month A cavitary lesion is seen on chest x-ray The physician should do all the following except a Obtain sputum for acid-fast bacilli (AFB) stain, culture, and sensitivity b Start supervised isoniazid and rifampin administration c Start a supervised multiple drug combination to . x Introduction Medicine: PreTest ® Self-Assessment and Review, Tenth Edition, is intended to provide medical students, as well as house officers and physicians, with a convenient tool for assessing and. infrequently used drugs. 10345 Berk_2p_fm.k.qxd 6/12/03 2:49 PM Page ii Medicine PreTest ® Self-Assessment and Review Tenth Edition Steven L. Berk, M.D. Regional Dean Professor of Medicine Mirick-Myers Endowed. alt="" Medicine PreTest ® Self-Assessment and Review PRE TEST ® 10345 Berk_2p_fm.k.qxd 6/12/03 2:49 PM Page i Notice Medicine is an ever-changing science. As new research and clinical experience broaden