By Charles Wiener
The final examine associate, in accordance with the vintage content material of Harrison's rules of inner medication, 17e
5 celebrity DOODY'S REVIEW!
"As Harrison's is among the all-time accomplished texts of inner drugs, this booklet is going some distance in delineating what crucial evidence has to be mastered. The editors have assembled the specialists in drugs, which makes this publication fairly useful....The questions are posed, besides beneficial pictures, in a fashion you can actually count on them at the exam. the reasons are direct from the dad or mum textual content and comprehensive.... this can be one of many higher board stories to be had. it truly is complete and to the purpose. it's a useful instrument for a person getting ready for the interior medication certification examination." -- Doody's overview Service
When it involves getting ready for IM Board certification or recertification/maintenance of certification, there is not any greater learn software than the one who bears the Harrison's identify: Harrison's ideas of inner drugs, Self-Assessment and Board Review.
Reflecting all of the authority and accuracy of Harrison's seventeenth edition content material, this guidebook positive factors greater than 1000 evaluation questions, besides whole solutions and reasons derived from--and cross-referenced to--the mother or father textual content. additionally integrated are references to contemporary magazine articles that solidify your figuring out of key information.
Features:
- content material that heavily follows the association and assurance of the seventeenth variation of Harrison's rules of inner Medicine
- greater than one thousand revised and up-to-date questions simulate these at the fundamental certification exam in inner medication
- High-yield content material displays the weighting of material integrated at the inner medication exam Blueprint
- assurance spans the full spectrum of inner medication
- NEW! multiplied colour Atlas insert
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Extra resources for Harrison's Principles of Internal Medicine, Self-Assessment and Board Review
Sample text
Chap. 5) Steady-state serum levels are achieved after five elimination half-lives, when the dosing interval is 50% of the half-life. Therefore, from a pharmacokinetic standpoint, the patient may not achieve full efficacy of the antihypertensive agent until 10 days into therapy. Therefore checking for effect at 3 days is premature. Doubling the dose or increasing the frequency may predispose to toxicity. There is no reason to add a second agent or switch to another agent until completing a trial of adequate duration on the current agent.
It is unclear whether anorexia nervosa is hereditary in nature. I-43. The answer is C. (Chap. 71) Certain medications, including isoniazid used for tuberculosis, L-dopa used for Parkinson’s disease, and penicillamine used for scleroderma, promote vitamin B6 (pyridoxine) deficiency by reacting with a carbonyl group on 5pyridoxal phosphate, which is a cofactor for a host of enzymes involved in amino acid metabolism. Foods that contain vitamin B6 include legumes, nuts, wheat bran, and meat. Vitamin B6 deficiency produces seborrheic dermatitis, glossitis, stomatitis, and cheliosis (also seen in other vitamin B deficiencies).
37) Palpitations are a common complaint among patients who report fluttering, pounding, or thumping sensation in the chest. Palpitations may arise from cardiac, psychiatric, miscellaneous (thyrotoxicosis, drugs, ethanol, caffeine, cocaine), or unknown causes. While most arrhythmias do not cause palpitations, patients with palpitations and known heart disease or risk factors are at risk of atrial or ventricular arrhythmias. Overall, patients complaining of palpitations >15 min are more likely to have psychiatric causes.