... in
one-third of affected patients as a result of both high volumes of secreted hydrochloric
acid and the maldigestion of fat caused by inactivation of pancreatic lipase. Other examples
of secretory ... injection of the affected joint(s)
(D) A short course of systemic glucocorticoid
(E) A trial of celecoxib
XI-27. Which of the following systemic manifestations is
LEAST ch...
... the excretion of 0.03 to 0.3 g/d of albumin, is also statistically predictive
of the progression of renal disease. In contrast, nocturia is usually a manifestation of
undertreatment of diabetes ... She also complains of
nausea and photophobia. She has had similar attacks in
the past, often brought on by menstruation. About 45 min
ago she took 400 mg of ibuprofen. Which of t...
... medial
portion of the foreleg. A lesion of the L5 root would result in weakness of knee flexion,
dorsiflexion of the ankle and great toe, and weakness of inversion and eversion of the foot.
Sensory ... are not useful in an evaluation of
myasthenia gravis, because myasthenia is not a disease of muscle or nerve. (Electron
microscopy of muscle can show unfolding of the postsy...
... three chapters of The Perfect Storm by Sebastian
Junger (HarperCollins, 1997) are a perfect example of a
seedpod structure. Junger has little plot to work with: the
crew of the Andrea Gail, none of ... the
mountains of Tierra del Fuego are dark, forested, forbid-
ding, showing no light or other sign of habitation. Already,
a soft swell tries the bow, and a gray-headed albatross ap...
... of competence in internal medicine.
Study of this self-assessment and review book should help
to (1) identify areas of relative weakness; (2) confirm areas
of expertise; (3) assess knowledge of ... representative of the major areas covered in Harrison’s
Principles of Internal Medicine, 15th ed., and (2) parallel
the format and degree of difficulty of the questions on the
e...
... majority
of patients with APML. The mechanism of action of this drug appears to be induction of
differentiation of the malignant clone. As such, patients enter remission slowly over a
period of 30 ... gait. MRI reveals
atrophy of both lobes of the cerebellum. Serologic eval-
uation reveals the presence of anti-Yo antibody. Which of
the following is the most likely cause o...
... its conversion to a disease-
causing isoform called PrP . The disease- causing isoform contains a high

- pleated sheet
Sc
content. The sporadic form of Creutzfeldt-Jakob disease is most common; ... the skin alone, whereas yaws affects the skin and
bones; endemic syphilis involves the skin, bones, and mucus membranes. Yaws is char-
acterized by the development of one or more in...