essentials of internal medicine churchill livingstone (2014)

... ~:I = : Elevated blood pressure Signs of the cause (2ry H), see later Manifestations of the cause of hypertension: e.g.: *Radiofemoral delay (Coarctation of aorta) *Enlarged kidneys (polycystic ... endocarditis (vegetations) Detection of calcification of the valves Detection of pulmonary and aortic pressure Diagnosis of pericardial effusion Diagnosis of cardiomyopathy, septa...

Ngày tải lên: 06/03/2014, 11:21

... 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 Affe...

Ngày tải lên: 19/06/2014, 15:20

... 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%...

Ngày tải lên: 19/06/2014, 15:20

... 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...

Ngày tải lên: 19/06/2014, 15:20

... 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-y...

Ngày tải lên: 19/06/2014, 15:20

... 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...

Ngày tải lên: 19/06/2014, 15:20

... (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...

Ngày tải lên: 19/06/2014, 15:20

... 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...

Ngày tải lên: 19/06/2014, 15:20

... 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 mid...

Ngày tải lên: 19/06/2014, 15:20

... 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...

Ngày tải lên: 19/06/2014, 15:20

... 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-ana...

Ngày tải lên: 19/06/2014, 15:20

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