Download Harrisons Principles of Internal Medicine Self-Assessment by Charles Wiener PDF

By Charles Wiener

Add the unequalled authority of Harrison’s in your board evaluation or attempt preparation

1,100 evaluate questions!

Based at the content material of Harrison’s ideas of inner medication, 18e, this robust examine software is key for inner medication Board certification or recertification/maintenance of certification, or as a refresher for any inner medication examination.

Reflecting the accuracy and timeliness of Harrison’s, this entire overview of inner drugs good points greater than 1,100 overview questions, lots of which make the most of reasonable sufferer eventualities, together with radiographic or pathologic photos. each one query is observed by means of an entire solution and rationalization derived from – and cross-referenced to – Harrison’s rules of inner medication, 18e. those questions are designed to reinforce your realizing of pathophysiology, epidemiology, differential prognosis, scientific choice making, and therapeutics.

Features

  • content material that heavily follows the association and assurance of the 18th version of Harrison’s ideas of inner Medicine
  • greater than 1,100 Q&As that simulate these at the basic certification exam in inner drugs
  • certain solutions motives for every query
  • assurance that spans the total spectrum of inner drugs
  • Full-color atlas
  • every one subject is roofed in percentage to its point of significance at the inner medication exam Blueprint

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Additional info for Harrisons Principles of Internal Medicine Self-Assessment and Board Review 18th Edition

Sample text

I-164. A 64-year-old man presents to the emergency department complaining of shortness of breath and facial swelling. He smokes 1 pack of cigarettes daily and has done so since the age of 16 years. On physical examination, he has dyspnea at an angle of 45 degrees or less. 6°F), and oxygen saturation of 89% on room air. Pulsus paradoxus is not present. His neck veins are dilated and do not collapse with inspiration. Collateral venous dilation is noted on the upper chest wall. There is facial edema and 1+ edema of the upper extremities bilaterally.

5) Bioavailability is the amount of the drug that is available to the systemic circulation when administered by routes other than the intravenous route. In this setting, bioavailability may be much less than 100%. The primary factors affecting bioavailability are the amount of drug that is absorbed and metabolism of the drug before entering the systemic circulation (the first-pass effect). Oral itraconazole is the recommended treatment for mild blastomycosis, but a problem with use of this drug is its bioavailability, which is estimated at about 55%.

Although the disease most often presents with a symmetric inflammatory arthritis of the larger joints, the acute presentation of this patient makes this diagnosis less likely. I-26. The answer is A. (Chap. 5) In population surveys of noninstitutionalized elderly adults, up to 10% had at least one adverse drug reaction in the prior year. Adverse drug reactions are common in elderly adults and are related to altered drug sensitivity, impaired renal or hepatic clearance, impaired homeostatic mechanisms, and drug interactions.

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