PRINCIPLES OF INTERNAL MEDICINE - PART 4 pdf

... D ISORDERS OF THE C ARDIOVASCULAR S YSTEM — Q UESTIONS 143 VII- 84. (Continued) (B) A 56-year-old man with a prolonged PR interval (C) An active 46 -year-old man with a sinus rhythm at arateof48 (D) ... A 28-year-old man with known preexcitation syn- drome and wide complex tachycardia (E) A 44 -year-old man with atrial fibrillation without a prior history of heart disease VII-26. A 72-...

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... pregnancy I-10. A 30-year-old Hispanic woman in the second tri- mester of pregnancy receives a 100-g oral glucose chal- lenge. She has elevated values of serum glucose at each of the 1-, 2-, and 3-h time ... funda- mental to internal medicine; (4) assess clinical judgment and problem-solving skills; and (5) introduce recent develop- ments in general internal medicine. This bo...

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... American (B) A 25-year-old American in a low-income group (C) A 60-year-old Pakistani (D) A 25-year-old Zairian (E) A 70-year-old Dane VI-5. A 55-year-old woman from Oregon presents with diplopia 24 h after ... treatment of candidal hepatitis frequently re- quires 2 weeks of daily intravenous administration of amphotericin B. VI-70. A 35-year-old HIV-infected homosexual man pres- ents...

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... radi- V. O NCOLOGY A ND H EMATOLOGY — Q UESTIONS 45 V-61. (Continued) V- 64. (Continued) (E) placement of a CT-guided catheter for percutane- ous drainage of the abdominal abscess V-62. A 70-year-old ... doxorubicin-containing regi- men (D) radiation therapy plus chemotherapy with a doxo- rubicin-containing regimen (E) complete excision of the mass V -4 0 . A 50-year-old man with a hi...

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... D ISORDERS OF THE R ESPIRATORY S YSTEM — Q UESTIONS 178 Questions VIII -4 6 – VIII -4 7 . (Continued) VIII -4 9 . (Continued) rhinorrhea. He also complains of an abdominal pain, nau- sea, and vomiting. VIII -4 6 . ... Measurement of arterial P CO 2 (C) Measurement of pulmonary artery wedge pressure (D) Measure of lung compliance (E) Calculation of the alveolar-arterial P differenc...

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... 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 pancreatitis ... mesangial deposition of IgA on immuno- fluorescence (E) deposition of C3 in capillary walls on immunofluo- rescence IX-10. The condition of a 50-year-old obese woman w...

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... Cardiac fibrosis XI -4 5 . A 3 4- year-old man with AIDS complains of gen- eral malaise, low-grade fevers, and diffuse myalgias of 1 month’s duration. His medications include only zidovu- dine and zalcitabine, ... activation and se- cretion of antibodies (B) IL-3-mediated B cell activation and induction of help for T cell activation (C) Monocyte-derived IL-6 activation of T cells (D)...

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... prolactin XII -4 9 . A 63-year-old woman presents to your clinic com- plaining of a 4- to 5-month history of anorexia, fatigue, and visual disturbances. She has a long history of hyper- lipidemia ... — Q UESTIONS 293 XII -4 5 . (Continued)XII -4 3 . In a 36-year-old woman who has had insulin-de- pendent diabetes mellitus since age 14, hyperkalemia is being evaluated. On physical exami...

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... Administration of benztropine (B) Administration of oxazepam (C) Administration of propranolol (D) Administration of levodopa-carbidopa (Sinemet) (E) Reduction of the dose of chlorpromazine XIII -4 6 . A 42 -year-old ... autonomic form of the Landry-Guillain-Barre´ syndrome (B) Shy-Drager syndrome (C) guanethidine intoxication (D) micturition syncope (E) Parkinson’s disease XII...

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... 13– 100 ␮ /L Count 4. 3– 10.8 ϫ 10 9 /L 4. 3– 10.8 ϫ 10 3 / mm 3 Differential Neutrophils 0 .45 – 0. 74 45– 74% Bands 0– 0. 04 0– 4% Lymphocytes 0.16–0 .45 16– 45 % Monocytes 0. 04 0.10 4 10% Eosinophils ... entity comes of age. Blood 87 :44 83 – 44 94, 1996. Welch KMA: Drug therapy of migraine. N Engl J Med 329: 147 6 – 148 3, 1993. Wellens HJ, Bar FW, Lie KI: The valve of t...

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