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dramroo@yahoo.com
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 InternalMedicineBoardReview Course. Images
were ... Clinic Images in Internal Medicine:
Self- Assessment for Board Exam Review will be an aid for prepa-
ration for board examination certification or recertification
and medical clerkship review and also ... book through random case review, the
detailed reference index, and specialty chain referencing, Mayo
Clinic Images in Internal Medicine: Self- Assessment for Board Exam
Review is really three effective...
... them)
CLINICAL ESSENTIALS 13
BOARDREVIEW FROM MEDSCAPE
Case-Based Internal Medicine
Self- Assessment Questions
Case-Based Internal Medicine
Self- Assessment Questions
2 BOARD REVIEW
❏ B. Infiltrative ... by the ACCME to provide continuing medical education for physicians. Board Review
from Medscape is intended for use in self- assessment, not as a way to earn CME credits.
and therefore, chemoprophylaxis ... to clinical decision making.
Board Review from Medscape is derived from the ACP Medicine CME program, which is accredited by the University of Alabama School of
Medicine and Medscape, both of...
... MHC-antigen complex on the surface
of altered self cells (e.g., cells of a foreign tissue graft or self cells infected
with virus). CTLs recognize altered self- cells and form a conjugate with
them; ... Histology, and Cell Biology
Student Reviewers
Jonathan Carnell
University of Kansas, School of Medicine
Class of 2009
Michael Curley
University of Wisconsin
School of Medicine and Public Health
Class ... of Kansas, School of Medicine
Class of 2009
Alicia K. Morgans
University of Pennsylvania, School of Medicine
Class of 2006
Andrew Schlachter
University of Kansas, School of Medicine
Class of 2009
Copyright...
... majority of cases
of follicular NHLs are associated with the translocation t(14 ;18) , the
breakpoint on chromosome 18 being where the bcl-2 gene is located.
Activation of the bcl-2 oncogene in follicular ... 45
8 INTEGRATED BASIC SCIENCES
Case Study V
SICKLE CELL ANEMIA
Integrated Basic Science Content Review
ANATOMY/HISTOLOGY/EMBRYOLOGY
Normal Hemoglobin Types in Adults
BIOCHEMISTRY/PHYSIOLOGY/IMMUNOLOGY
Classification ... Adults
BIOCHEMISTRY/PHYSIOLOGY/IMMUNOLOGY
Classification of Amino Acids
PATHOLOGY/PHARMACOLOGY/MICROBIOLOGY
RBC Inclusions
V. An 18- year-old man with a history of recurrent episodes of severe
abdominal pain is being followed...
... Clinical Vignettes for the
USMLE Step 1
PreTest
TM
Self- Assessment and Review
4-8. In a case involving a patient who experienced hoarseness and dys-
phagia, ... cervical cord
e. Inferior salivatory nuclei
4-9. A multiparous mother brings in her second son, an 18- month-old active
toddler, because she has noticed blood (sometimes red, one time “currant
jelly”) ... An appendix that must be removed
b. A Meckel’s (ileal) diverticulum
c. Active diverticulitis
d. Internal hemorrhoids
e. A duodenal ulcer
4-10. A 71-year-old woman presents with increasing chest...
... InternalMedicine Department
University of Puerto Rico School of Medicine
San Juan, Puerto Rico
Lawrence I. Kaplan, MD, FACP
Professor of Medicine
Section Chief, General InternalMedicine
Internal ... Ryan, MD
Associate Professor of Medicine
Clerkship Director
Division of General InternalMedicine
Department of InternalMedicine
Drexel University College of Medicine
Philadelphia, Pennsylvania
Brijen ... MD, FACP
Associate Professor of Medicine
Clerkship Director, Ambulatory Medicine
Section Chief, Division of General InternalMedicine
Medical Director, InternalMedicine Clinics
Truman Medical...
... Vital signs are: temperature 98.7 F, pulse 126/min, blood pressure 124/68 mm
Hg, and respirations 18/ min. The jugulovenous pressure is elevated, and there is a soft diastolic
rumble at the apex ...
therapies described may be useful in the management of mitral stenosis. As is often the case on
board tests, all the answers are partially correct. The initial step is to relieve this patient's ... temperature is 100.5 F, pulse is
100/minute, blood pressure is 130/85 mm Hg, and respirations are 18/ min. Her conjunctivae are
yellowish, and scattered petechiae are noted on the lower extremities....
...
89
Pancreas
90
Biliary Tract
92
Liver
94
DEJA REVIEW
Internal Medicine
NOTICE
Medicine is an ever-changing science. As new research and clinical experience ... connection with new or
infrequently used drugs.
DEJA REVIEW
Internal Medicine
Ferritin, female
10–1107 ng/mL
Folate
3 18. 2 ng/mL
Glucose
70–115
Hemoglobin, male
13.5–16.9 ...
Department of Internal Medicine,
Division of Dermatology
Harbor-UCLA Medical Center
Los Angeles, California
Henry J. Feldman, MD
Medical Informatics,
Division of General Internal Medicine, ...
... interactions with patients.
2 Mayo Clinic InternalMedicine Review
Table 1-1 Contents of the Certification Examination of the
American Board of Internal Medicine
Area % of Test
Primary content
Cardiovascular ... helping to prepare them for the internalmedicine cer-
tification and maintenance of certification examinations administered by the American Board
of InternalMedicine (ABIM).
The success of ...
I trust that the eighth edition of Mayo Clinic InternalMedicineReview will continue to update
and advance the reader’s knowledge of internal medicine.
Amit K. Ghosh, MD
Editor-in-Chief
ix
M
communication...
... with the
question format.
2 Mayo Clinic InternalMedicine Review
Table 1-1 Contents of the Certification Examination of the
American Board of Internal Medicine
Area % of test
Primary content
Cardiovascular ... medicine 2
Occupational/environmental medicine 2
Substance abuse 2
From ABIM News Update: 1999 InternalMedicine Certification
Examination. American Board of Internal Medicine, Philadelphia,
Spring ... Clinic
Internal Medicine Review
2006-2007
SEVENTH EDITION
MAYO CLINIC SCIENTIFIC PRESS
TAYLOR & FRANCIS GROUP
Front Matter.qxd 6/12/06 1:06 PM Page iii
Mayo Clinic
Internal Medicine Review...
... and
CMV.
Influenza vaccination and prophylaxis
is
covered under Preven-
tive Medicine
in
the General InternalMedicine section.
Diagnose influenza A and B with rapid antigen detection as-
say-especially ... option 7
PULMONARY
MEDICINE
The following material
is
to
assist you
in
integrating the
in-
formation you have just reviewed
in
this section. These are
purposely N T Board- style questions ...
10.17
11,483 493.3611
19.42344
9.54
13,123 462.3321
18
.2 0184
8.94
14,764
433.3717 17.06168 8.
38
16,404 405.4456
15.96224
I
7.84
18, 045 379.071
14.92388 7.33
19,685 354.2478
13
.9466...
... following
FIRST EXPOSURE TO
INTERNAL MEDICINE:
HOSPITAL MEDICINE
Charles H. Griffith III, MD, MSPH
Inpatient InternalMedicine Clerkship Director
Division of General Internal Medicine
University of ... 26
Mark M. Udden, MD
Professor of Medicine
Baylor College of Medicine
Houston, Texas
Chapters 52, 54
Raymond Y. Wong, MD
Program Director
Student Education in Internal
Medicine
Loma Linda University
Loma ... Todd Tzanetos, MD
Chief Resident, Internal Medicine
University of Kentucky
Lexington, Kentucky
Chapter 3
Douglas Bazil Tzanetos, MD
Chief Resident, Internal Medicine
University of Kentucky
Lexington,...
... above
I-127. (Continued)
SELF- ASSESSMENT
AND BOARD REVIEW
For use with the 17th edition of HARRISON’S PRINCIPLES OF INTERNAL MEDICINE
EDITED BY
CHARLES WIENER, MD
Professor of Medicine and Physiology
Vice ... looking for an active method of life-
long learning and as a resource for preparing for the Internal
Medicineboard examination.
We appreciate the confidence of the editors of Harri-
son’s,17th edition, ... companion to the remarkable
17th edition of Harrison’s Principles of Internal Medicine. It is
designed for the student of medicine to reinforce the knowl-
edge contained in the parent book in...
... the
4
CASE FILES:
Internal Medicine
diagnostic or therapeutic options. Marital status and habits such as alcohol,
tobacco, or illicit drug use may be relevant as risk factors for disease.
9. Review of ... . . . . . . . .552
Index / 555
CONTENTS
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12
CASE FILES:
Internal Medicine
TREATING BASED ON STAGE
Many illnesses are stratified according to severity because ... test?
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Mastering the cognitive knowledge within a field such as internalmedicine is
a formidable task. It is even more difficult to draw on that knowledge, procure
and...