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

By Charles Wiener

Add the unequalled authority of Harrison’s on your board overview or try out preparation

1,100 evaluate questions!

Based at the content material of Harrison’s ideas of inner drugs, 18e, this robust research software is vital for inner drugs 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 evaluation of inner drugs positive aspects greater than 1,100 evaluation questions, lots of which make the most of real looking sufferer situations, together with radiographic or pathologic pictures. every one query is observed by way of a whole solution and rationalization derived from – and cross-referenced to – Harrison’s rules of inner drugs, 18e. those questions are designed to strengthen your knowing of pathophysiology, epidemiology, differential analysis, scientific selection making, and therapeutics.

Features

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

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

Upload the unequalled authority of Harrison’s on your board overview or try training 1,100 overview questions! in response to the content material of Harrison’s ideas of inner medication, 18e, this robust learn instrument is vital for inner medication Board certification or recertification/maintenance of certification, or as a refresher for any inner drugs exam.

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Extra resources for Harrisons Principles of Internal Medicine Self-Assessment and Board Review 18th Edition

Example text

The patient has a dense left hemiparesis. When presented with painful stimuli, the patient responds with flexure posturing on the right side. Computed tomography (CT) reveals a large area of intracranial bleeding in the right frontoparietal area. Over the next several hours, the patient deteriorates. The most recent examination reveals a blood pressure of 189/100 mmHg. The patient now has a dilated pupil on the right side. The patient continues to have corneal reflexes. You suspect rising intracranial pressure related to the intracranial bleed.

The answer is A. (Chap. 5) Digitalis is a cardiac glycoside that exerts its effect via reversible inhibition of the sodium–potassium–ATPase pump. The cellular effect of this inhibition is to increase intracellular sodium and decrease extracellular potassium. The increase in intracellular sodium leads to a change in the membrane potential of the cell and an influx of calcium. This influx of calcium improves inotropy of the heart and leads to increased vagal tone with resultant decrease in heart rate through action at the sinoatrial and atrioventricular nodes.

36 ANSWERS I-42. SECTION I having ischemic heart disease if he or she had a history of angina, myocardial infarction, or prior angioplasty or bypass surgery. In addition, ischemic heart disease would be considered present if a patient was requiring sublingual nitroglycerin, had a positive exercise test result, or had pathologic Q waves on the electrocardiogram (ECG). Therefore, the patient has a RCRI score of 3 (high-risk surgery, ischemic heart disease by ECG, and diabetes mellitus requiring insulin).

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