ENGLISH

Swanson's Family Medicine Review

Book information

Publisher
Elsevier
Year
2021
ISBN
0323698115, 9780323698115
Language
english
Format
PDF
Filesize
21 MB (22311077 bytes)
Edition
9
Pages
848\873
Time added
2022-05-20 14:32:55

Description

Ideal for practicing physicians and residents who are preparing to take the American Board of Family Medicine (ABFM) initial or continuing exam, Swanson’s Family Medicine Review: A Problem-Oriented Approach, 9th Edition, provides more than 2,500 questions in a practical case study format. This bestselling review tool reflects the clinical disciplines as tested by the ABFM, and also serves as an excellent resource for residents’ case-based RISE exams. Fully updated and easy to use, it covers recent developments and current information in family medicine, providing the assistance you need to ensure success on the ABFM exam. Uses realistic case problems as a basis for questions on diagnosis and management, with detailed answers that explain both correct and incorrect responses.   Prepares you for the ABFM’s Certificates of Added Qualifications (CAQs) in adolescent medicine, geriatric medicine, hospice and palliative medicine, pain medicine, sleep medicine, and sports medicine, as well as the upcoming CAQ in hospital medicine.   Reflects meticulous updating for accuracy and complete coverage, including more questions in key areas for newer CAQs.  Includes tips and tricks for passing the board exam, clinical algorithms throughout, summaries at the end of each case, and case management problems that suggest the ideal diagnostic work-up.  Allows you to earn up to 75 CME Credits online through Rutgers Robert Wood Johnson Medical School.   Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices, as well as answer questions interactively and check your answers on any electronic platform. Cover IFC Title Copyright Dedication Contributors Preface Acknowledgments Contents Tips on passing the board examinations Continuing Medical Education SECTION ONE - Family, Community, and Population Health CHAPTER 1 Family Influences on Health and Disease CLINICAL CASE PROBLEM 1 A Calculated Risk SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 All in the Family CLINICAL CASE PROBLEM 3 Risks of Omission and Commission CLINICAL CASE PROBLEM 4 Unwanted Advice ANSWERS SUMMARY CHAPTER 2 Clinical Decision Making CLINICAL CASE PROBLEM 1 A Third-Year Medical Student Who Wants to Know How to Think SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 25-Year-Old Medical Student Who Is Having Anxiety Regarding His Upcoming Epidemiology Examination ANSWERS SUMMARY CHAPTER 3 Consultation and Team Care CLINICAL CASE PROBLEM 1 Who Are You Going to Call? SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 Who’s on First, What’s on Second? ANSWERS SUMMARY CHAPTER 4 Managing Multiple Morbidities CLINICAL CASE PROBLEM 1 A Case of Discontinuous Maximus SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY CHAPTER 5 Quality Improvement CLINICAL CASE PROBLEM 1 Quality Matters SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 Improving Practice Quality CLINICAL CASE PROBLEM 3 Measuring Quality ANSWERS SUMMARY CHAPTER 6 Clinical Prevention CLINICAL CASE PROBLEM 1 A 51-Year-Old Man Who Presents for an “Executive” Examination SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 52-Year-Old Male Technophile CLINICAL CASE PROBLEM 3 A 35-Year-Old Woman Who Presents for a Health Maintenance Examination ANSWERS SUMMARY CHAPTER 7 Tobacco Dependency CLINICAL CASE PROBLEM 1 A 40-Year-Old Who Smokes Three Packs of Cigarettes a Day SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY CHAPTER 8 Alcohol CLINICAL CASE PROBLEM 1 A 45-Year-Old Man with an Enlarged Liver SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A Patient with Short-Term Memory Deficits ANSWERS SUMMARY CHAPTER 9 Diet, Exercise, and Obesity CLINICAL CASE PROBLEM 1 A 45-Year-Old Man Who Weighs 320 Pounds Is Complaining of Fatigue SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY CHAPTER 10 Trends in Cancer Epidemiology CLINICAL CASE PROBLEM 1 A 74-Year-Old Farmer with Abdominal Pain SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 50-Year-Old Stockbroker Who Watches Television ANSWERS SUMMARY CHAPTER 11 Cardiovascular Epidemiology CLINICAL CASE PROBLEM 1 A 52-Year-Old Man with Coronary Heart Disease Who Has Had Both a Coronary Artery Bypass Grafting Procedure and Percutaneou ... SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY CHAPTER 12 Bioterrorism CLINICAL CASE PROBLEM 1 A Disturbing News Report SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 Show and Tell (and Hope It Never Happens) ANSWERS SUMMARY CHAPTER 13 Influenza and Other Emerging Diseases CLINICAL CASE PROBLEM 1 A 73-Year-Old Man with Fever, Headache, and Myalgia SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 Pandemic Pandemonium CLINICAL CASE PROBLEM 3 ANSWERS SUMMARY Epidemiology Signs and Symptoms Prevention Antiviral Medications Section Two - Communication CHAPTER 14 Intimate Partner Violence CLINICAL CASE PROBLEM 1 A 25-Year-Old Woman with Pelvic Pain, Low Back Pain, Insomnia, and Fatigue SELECT THE BEST ANSWERS TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 Clues to Intimate Partner Violence CLINICAL CASE PROBLEM 3 Intimate Partner Violence in Pregnancy ANSWERS SUMMARY CHAPTER 15 How to Break Bad News CLINICAL CASE PROBLEM 1 A 56-Year-Old Man with Metastatic Colon Cancer SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 ANSWERS SUMMARY How to Break Bad News CHAPTER 16 The Physician-Patient Relationship CLINICAL CASE PROBLEM 1 “I Trust the Doctor, but . . .” SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 You Can Be a Tool of Change CLINICAL CASE PROBLEM 3 “Do You E-mail?” CLINICAL CASE PROBLEM 4 Communicating for Continuity CLINICAL CASE PROBLEM 5 The Challenges of the Online World ANSWERS SUMMARY Primary Physician Relationships Ways Consultations Enhance the Health Care Experience Electronic Communications CHAPTER 17 Palliative and Hospice Care CLINICAL CASE PROBLEM 1 Depression Complicating Dementia SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 51-Year-Old Woman with Severe Nausea, Vomiting, and Anorexia in Severe, Advanced Ovarian Cancer ANSWERS SUMMARY Management of Late Stages of Life-Threatening Diseases Management of Physical Symptoms CHAPTER 18 Ethical Decision-Making Issues CLINICAL CASE PROBLEM 1 Withholding Information from an Aging Patient SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 Decision Making and the Confused Patient CLINICAL CASE PROBLEM 3 When Siblings Disagree CLINICAL CASE PROBLEM 4 When Technology and Religion Conflict CLINICAL CASE PROBLEM 5 Pregnant, 18-Year-Old Woman CLINICAL ETHICS AND CASE ANALYSIS ANSWERS SUMMARY CHAPTER 19 Integrative Medicine CLINICAL CASE PROBLEM 1 “Are Those All the Medications You Take?” SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 When Traditional Medicine Fails ANSWERS SUMMARY CHAPTER 20 Cultural Competency CLINICAL CASE PROBLEM 1 Battering Is Battering—Or Is It? SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 “So You Think You Understand Me?” ANSWERS SUMMARY SECTION three - Adult Medicine CHAPTER 21 Acute ST-Segment Elevation Myocardial Infarction CLINICAL CASE PROBLEM 1 A 60-Year-Old Man with Acute Chest Pain SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY Acute STEMI CHAPTER 22 Acute Coronary Symptoms and Stable Angina Pectoris CLINICAL CASE PROBLEM 1 A 55-Year-Old Man with Chest Pain SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 67-Year-Old Man with a History of Angina Pectoris CLINICAL CASE PROBLEM 3 A 50-Year-Old Woman with a Sharp Retrosternal Chest Pain CLINICAL CASE PROBLEM 4 A 65-Year-Old Man with Angina and Hypertension ANSWERS SUMMARY Definition Symptoms Signs Risk Stratification Initial Laboratory Evaluation Treatment CHAPTER 23 Hyperlipidemia CLINICAL CASE PROBLEM 1 A 51-Year-Old Man with High Cholesterol SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY Selected Strong Recommendations Measuring Blood Cholesterol Secondary Prevention Severe Hypercholesterolemia Diabetes Mellitus Primary Prevention Monitoring Response to Therapy Selected Moderate-Strength Recommendations CHAPTER 24 Heart Failure CLINICAL CASE PROBLEM 1 A 78-Year-Old Woman with Shortness of Breath SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 62-Year-Old Man with Exertional Dyspnea, Orthopnea, and Wheezing ANSWERS SUMMARY CHAPTER 25 Hypertension CLINICAL CASE PROBLEM 1 An Obese 47-Year-Old Man with Hypertension SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 50-Year-Old Man with Resistant Hypertension CLINICAL CASE PROBLEM 3 A 49-Year-Old Obese Postmenopausal Woman with Type 2 Diabetes Mellitus ANSWERS SUMMARY CHAPTER 26 Dysrhythmia CLINICAL CASE PROBLEM 1 A 37-Year-Old Man with “Skipping Heart Beats” SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 51-Year-Old Man with Acute Chest Pain CLINICAL CASE PROBLEM 3 A 44-Year-Old White Man with Palpitations ANSWERS SUMMARY CHAPTER 27 Deep Venous Thrombosis and Pulmonary Thromboembolism CLINICAL CASE PROBLEM 1 A 65-Year-Old Woman with Cyanosis, Shortness of Breath, and Substernal Chest Pain SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 35-Year-Old Woman Who Has Recently Returned from a Trip Overseas ANSWERS SUMMARY CHAPTER 28 Chronic Obstructive Pulmonary Disease CLINICAL CASE PROBLEM 1 A 55-Year-Old Man with a Chronic Cough SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A Patient Whose Symptoms Are Exacerbated by Secondhand Smoke CLINICAL CASE PROBLEM 3 An 82-Year-Old Woman with Shortness of Breath Recently Admitted to a Nursing Home ANSWERS SUMMARY CHAPTER 29 Asthma CLINICAL CASE PROBLEM 1 A 22-Year-Old Man with a Chronic Cough SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 24-Year-Old Runner with Wheezing and Shortness of Breath CLINICAL CASE PROBLEM 3 A 30-Year-Old New Patient with Chronic Asthma ANSWERS SUMMARY CHAPTER 30 Diagnosis and Management of Community-Acquired Pneumonia in the Adult CLINICAL CASE PROBLEM 1 A 24-Year-Old University Student with a Dry, Hacking Cough SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A Very Sick 55-Year-Old Woman CLINICAL CASE PROBLEM 3 A 35-Year-Old Renal Transplant Patient with Fever, Dyspnea, and 2 Days of Diarrhea CLINICAL CASE PROBLEM 4 A 75-Year-Old Alcoholic Patient with Fever, Shortness of Breath, Chest Pain, and Cough Productive of Purulent Sputum and Blood CLINICAL CASE PROBLEM 5 A 55-Year-Old Male Smoker with Chronic Obstructive Pulmonary Disease, High Fever, Chills, Cough, and Shortness of Breath ANSWERS SUMMARY Community-Acquired Pneumonia CHAPTER 31 Esophageal Disorders CLINICAL CASE PROBLEM 1 A 33-Year-Old Man with Substernal and Retrosternal Pain and Hypertension SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 68-Year-Old Man Who Finds Swallowing Difficult ANSWERS SUMMARY Acid Reflux Disease (GERD) Dysphagia CHAPTER 32 Peptic Ulcer Disease CLINICAL CASE PROBLEM 1 A 58-Year-Old Man with Epigastric Pain SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY Symptoms and Signs CHAPTER 33 Hepatitis and Cirrhosis CLINICAL CASE PROBLEM 1 A 50-Year-Old Man with Ascites SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A Nauseated 25-Year-Old Woman with Icterus and Right Upper Quadrant Pain ANSWERS SUMMARY Infectious Forms of Hepatitis Alcoholic Hepatitis Cirrhosis CHAPTER 34 Pancreatitis CLINICAL CASE PROBLEM 1 A 50-Year-Old Man with a History of Severe Abdominal Pain SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY CHAPTER 35 Pancreatic Carcinoma CLINICAL CASE PROBLEM 1 A 62-Year-Old Man with Abdominal Pain SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS CHAPTER 36 Biliary Tract Disease CLINICAL CASE PROBLEM 1 A 33-Year-Old Woman with Right Upper Quadrant Abdominal Pain SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY Acute Cholecystitis Biliary Colic CHAPTER 37 Inflammatory Bowel Disease CLINICAL CASE PROBLEM 1 A 32-Year-Old Woman with Fever, Weight Loss, and Chronic Diarrhea SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 25-Year-Old Man Presents with an 18-Month History of Chronic Abdominal Pain CLINICAL CASE PROBLEM 3 A Thin, Anemic-Appearing 31-Year-Old Woman CLINICAL CASE PROBLEM 4 A 15-Year-Old Girl Who Can No Longer Drink Milk ANSWERS SUMMARY Ulcerative Colitis Crohn Disease Other Diseases That May Resemble Inflammatory Bowel Disease CHAPTER 38 Irritable Bowel Syndrome CLINICAL CASE PROBLEM 1 A 40-Year-Old Woman with Chronic Constipation and Abdominal Pain SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 34-Year-Old Woman with Crampy Abdominal Pain ANSWERS SUMMARY CHAPTER 39 Acute Appendicitis CLINICAL CASE PROBLEM 1 A 29-Year-Old Woman with Nausea, Vomiting, and Central Abdominal Pain SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 3-Year-Old Boy with 4 Days of Abdominal Pain ANSWERS SUMMARY CHAPTER 40 Colorectal Cancer and Other Colonic Disorders CLINICAL CASE PROBLEM 1 A 48-Year-Old Man with Weakness, Fatigue, and Lower Right-Sided Abdominal Fullness SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 78-Year-Old Man with Acute and Severe Abdominal Pain CLINICAL CASE PROBLEM 3 A 35-Year-Old Man with Rectal Bleeding and Mucoid Discharge from the Rectum ANSWERS SUMMARY Colorectal Cancer Polyps of the Colon and Rectum Diverticulosis and Diverticulitis Other Conditions of Note CHAPTER 41 Diabetes Mellitus CLINICAL CASE PROBLEM 1 An 18-Year-Old Woman with Weight Loss and Feeling Poorly SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 35-Year-Old Man Who Comes in for a Routine Periodic Health Examination CLINICAL CASE PROBLEM 3 A 45-Year-Old African American Woman with Type 2 DM Diagnosed 6 Months Ago CLINICAL CASE PROBLEM 4 A 64-Year-Old Man with Burning Feet CLINICAL CASE PROBLEM 5 A 27-Year-Old Patient with Type 1 DM with Protein in Her Urine ANSWERS SUMMARY Type 1 Diabetes Mellitus Type 2 Diabetes Mellitus CHAPTER 42 Thyroid CLINICAL CASE PROBLEM 1 A 38-Year-Old Woman with Sweating, Palpitations, Nervousness, Irritability, and Tremor SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 25-Year-Old Woman with a Higher Than Normal T4 Level CLINICAL CASE PROBLEM 3 A “Wonderfully Healthy” 38-Year-Old Woman CLINICAL CASE PROBLEM 4 A Lethargic 65-Year-Old Man CLINICAL CASE PROBLEM 5 A 28-Year-Old Woman with an Ongoing Upper Respiratory Infection ANSWERS SUMMARY CHAPTER 43 Common Endocrine Diseases CLINICAL CASE PROBLEM 1 A 25-Year-Old Man with “Visual Problems,” Headaches, Weight Gain, Sweating, and “Hands and Feet That Are Changing” SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 24-Year-Old Man with Weakness and Hyperpigmentation CLINICAL CASE PROBLEM 3 A 25-Year-Old Woman with Increased Thirst and Urination CLINICAL CASE PROBLEM 4 An Overly Tired 37-Year-Old Woman with Hypertension CLINICAL CASE PROBLEM 5 A 22-Year-Old Woman with Breast Secretions, Amenorrhea, and Decreased Libido CLINICAL CASE PROBLEM 6 A 42-Year-Old Woman with Increased Body Hair and Purple Streaks on Her Abdomen ANSWERS SUMMARY CHAPTER 44 Immune-Mediated Inflammatory Disorders and Autoimmune Disease CLINICAL CASE PROBLEM 1 A 32-Year-Old Woman with Pain in Her Finger SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 39-Year-Old Woman with Fatigue, Irritability, Unintentional Weight Loss and Skin Changes CLINICAL CASE PROBLEM 3 A 35-Year-Old Woman with Joint Pains and a Rash CLINICAL CASE PROBLEM 4 A 23-Year-Old Man with Low Back Pain CLINICAL CASE PROBLEM 5 Matching Questions 1 to 12 ANSWERS SUMMARY CHAPTER 45 Human Immunodeficiency Virus Infection CLINICAL CASE PROBLEM 1 A 25-Year-Old Pregnant Woman Is Referred to You by the Obstetrics/Gynecology Clinic Because Her Rapid HIV Test Result Is P ... SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 25-Year-Old Man Presents for Initial HIV Evaluation CLINICAL CASE PROBLEM 3 A 32-Year-Old Woman Presents with an Acute Retroviral Syndrome (Seroconversion Reaction) ANSWERS CHAPTER 46 Multiple Sclerosis CLINICAL CASE PROBLEM 1 A 27-Year-Old Woman with Weakness, Visual Loss, Ataxia, and Sensory Loss SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY CHAPTER 47 Fibromyalgia CLINICAL CASE PROBLEM 1 A 35-Year-Old Woman with Total Body Muscle Pain SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 54-Year-Old Woman with Fatigue, Body Aches and Depression ANSWERS SUMMARY Diagnosis Pathogenesis Treatment CHAPTER 48 Chronic Fatigue Syndrome CLINICAL CASE PROBLEM 1 A 25-Year-Old Woman with Chronic Fatigue SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 44-Year-Old Woman with Chronic Fatigue ANSWERS SUMMARY CHAPTER 49 Rheumatoid Arthritis CLINICAL CASE PROBLEM 1 A 35-Year-Old Woman with Malaise and Periarticular Pain and Stiffness SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 45-Year-Old Woman with Fatigue, Joint Pain, and Difficulty Breathing SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY Diagnosis Pathogenesis Treatment CHAPTER 50 Osteoarthritis CLINICAL CASE PROBLEM 1 An 80-Year-Old Woman with Painful Finger Joints SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 65-Year-Old Man with an Arthritic Knee SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 3 A 35-Year-Old Man with Knee Pain SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY Diagnosis Pathogenesis Treatment CHAPTER 51 Acute Gout and Pseudogout CLINICAL CASE PROBLEM 1 A 45-Year-Old Man with Excruciating Pain in His Left Foot SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 55-Year-Old Man with Joint Pain CLINICAL CASE PROBLEM 3 A 75-Year-Old Man with a Swollen, Painful Knee ANSWERS SUMMARY CHAPTER 52 Acne, Rosacea, and Other Common Dermatologic Conditions CLINICAL CASE PROBLEM 1 A Young Boy with Early Acne SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 32-Year-Old Woman with Pimples CLINICAL CASE PROBLEM 3 A 40-Year-Old with Allergies CLINICAL CASE PROBLEM 4 Perioral Rash in a Young Woman CLINICAL CASE PROBLEM 5 Acne in a College Student ANSWERS SUMMARY Acne First-Line Therapy Second-Line Therapy Third-Line Therapy Rosacea Treatments of Rosacea CHAPTER 53 Common Skin Cancers CLINICAL CASE PROBLEM 1 An Older Man with Long Sun Exposure SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 An Enlarging Facial Lesion CLINICAL CASE PROBLEM 3 Wartlike Lesions under the Breast CLINICAL CASE PROBLEM 4 Lesions in the Mouth ANSWERS CHAPTER 54 Ear, Nose, and Throat Problems CLINICAL CASE PROBLEM 1 A 38-Year-Old Woman with a Feeling of Dizziness and Imbalance SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 23-Year-Old Woman Who Is Dizzy CLINICAL CASE PROBLEM 3 A 30-Year-Old Man Who Becomes Dizzy When He Rolls Over CLINICAL CASE PROBLEM 4 A 39-Year-Old Woman with Unrelenting Dizziness Associated with Nausea and Vomiting CLINICAL CASE PROBLEM 5 A 26-Year-Old Woman with Severe Dizziness, Ataxia, and Hearing Loss CLINICAL CASE PROBLEM 6 A 37-Year-Old Woman with Intermittent Hearing Loss CLINICAL CASE PROBLEM 7 A 43-Year-Old Man with Hearing Loss Lateralized to the Left Ear CLINICAL CASE PROBLEM 8 A 42-Year-Old Woman with Facial Pain CLINICAL CASE PROBLEM 9 A 12-Year-Old Boy with Ear Pain ANSWERS SUMMARY Vertigo Orthostatic Hypotension Hearing Loss Rhinosinusitis Otitis Externa CHAPTER 55 Disorders of the Eye CLINICAL CASE PROBLEM 1 A 32-Year-Old Woman with Bilateral Red Eyes, a Sore Throat, and a Cough SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 17-Year-Old Girl with a 1-Day History of Red Eye CLINICAL CASE PROBLEM 3 A 29-Year-Old Man with Bilateral Red Eyes CLINICAL CASE PROBLEM 4 A 29-Year-Old Woman with a Tender, Painful, Red, and Sore Eye CLINICAL CASE PROBLEM 5 A 35-Year-Old Woman with an Acutely Inflamed and Painful Eye CLINICAL CASE PROBLEM 6 A 36-Year-Old Man with Ankylosing Spondylitis and a Painful Red Eye CLINICAL CASE PROBLEM 7 A 61-Year-Old Man with an Extremely Painful Eye CLINICAL CASE PROBLEM 8 A 23-Year-Old Woman with a Painful Eye and Blurred Vision ANSWERS SUMMARY Infectious Conjunctivitis Allergic Conjunctivitis Corneal Ulcers Anterior Uveitis (Iridocyclitis or Nontraumatic Iritis) Acute Angle Closure Glaucoma CHAPTER 56 Headache CLINICAL CASE PROBLEM 1 A 35-Year-Old Man with a Headache SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 58-Year-Old Woman with a History of Sinus Headaches CLINICAL CASE PROBLEM 3 A 25-Year-Old Newlywed with a 3-Year History of Recurrent Headaches CLINICAL CASE PROBLEM 4 A 24-Year-Old Woman with Chronic Headaches Preceded by Nausea and Vomiting CLINICAL CASE PROBLEM 5 A 35-Year-Old Man with a 6-Month History of Recurrent Steady, Aching, “Bandlike” Headaches CLINICAL CASE PROBLEM 6 A 75-Year-Old Woman with a Severe Left-Sided Temporal Headache CLINICAL CASE PROBLEM 7 A 62-Year-Old Man with Headaches That Have Been Getting Progressively Worse CLINICAL CASE PROBLEM 8 A 57-Year-Old Man with a Headache from Hell ANSWERS SUMMARY CHAPTER 57 Seizures CLINICAL CASE PROBLEM 1 A 22-Year-Old Man Who Suddenly Lost Consciousness, Became Rigid, and Fell to the Ground SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS  CLINICAL CASE PROBLEM 2 A 76-Year-Old Woman with a New-Onset Seizure CLINICAL CASE PROBLEM 3 A 12-Year-Old Girl Who Stares into Space ANSWERS SUMMARY CHAPTER 58 Sleep Disorders CLINICAL CASE PROBLEM 1 A 67-Year-Old Woman with Difficulty Sleeping SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 48-Year-Old Man with a 6-Month History of Snoring, Nocturnal Breath Cessations, and Excessive Daytime Sleepiness CLINICAL CASE PROBLEM 3 A 76-Year-Old Woman with an 8-Month History of Poor Sleep ANSWERS SUMMARY CHAPTER 59 Common Renal Diseases CLINICAL CASE PROBLEM 1 A 29-Year-Old Woman with Fatigue, Anorexia, and Bloody Urine SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A Girl with Joint Swelling, Erythema, and Pain ANSWERS SUMMARY Glomerulonephritis Nephrotic Syndrome Chronic Renal Failure CHAPTER 60 Renal Stones CLINICAL CASE PROBLEM 1 A 30-Year-Old Man with Flank Pain SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY CHAPTER 61 Urinary Tract Infections CLINICAL CASE PROBLEM 1 A 27-Year-Old Woman with Spina Bifida and Bilateral Costovertebral Angle Pain SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 34-Year-Old Woman with Hematuria, Dysuria, Increased Urinary Frequency, and Nocturia ANSWERS SUMMARY CHAPTER 62 Fluid and Electrolyte Abnormalities CLINICAL CASE PROBLEM 1 A 72-Year-Old Man with Chronic Obstructive Pulmonary Disease SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 22-Year-Old Woman Who Is Dizzy and Has Tingling Around Her Mouth and Fingertips CLINICAL CASE PROBLEM 3 A 28-Year-Old Pregnant Woman with Persistent Vomiting CLINICAL CASE PROBLEM 4 A 60-Year-Old Man Resuscitated in the Cardiac Care Unit CLINICAL CASE PROBLEM 5 A Woman with Gradual Onset of Altered Mental Status ANSWERS SUMMARY Approach to Analysis of Arterial Blood Gases Specific Acid-Base Disorders and Diagnoses CHAPTER 63 Anemia CLINICAL CASE PROBLEM 1 A 35-Year-Old Woman with Fatigue SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A Pregnant Woman with a Hemoglobin Level of 10.8 g/dL CLINICAL CASE PROBLEM 3 A Fatigued 55-Year-Old Man CLINICAL CASE PROBLEM 4 A 78-Year-Old Woman Complaining of a “Lack of Energy” CLINICAL CASE PROBLEM 5 A 75-Year-Old Woman with Fatigue, Paresthesias, Weakness, and an Unsteady Gait CLINICAL CASE PROBLEM 6 A 38-Year-Old Man with a Hemoglobin Value of 10 g/dL CLINICAL CASE PROBLEM 7 An 18-Year-Old Woman with Severe Fatigue and Lightheadedness CLINICAL CASE PROBLEM 8 A 74-Year-Old Retired Petroleum Worker with Pancytopenia ANSWERS SUMMARY CHAPTER 64 Certain Hematologic Conditions CLINICAL CASE PROBLEM 1 A 16-Year-Old Boy with a Supraclavicular Mass SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 62-Year-Old Man with Swellings in His Neck and Elbows and Chest Pains CLINICAL CASE PROBLEM 3 A 62-Year-Old Man with “Bone Pain” in His “Breast Bone” and Skull MATCHING QUESTIONS PART A: DISEASES PART B: DESCRIPTION ANSWERS SUMMARY Most Common Solid Hematologic Malignant Neoplasms Are the Lymphomas Multiple Myeloma Miscellaneous Important Hematologic Conditions CHAPTER 65 Breast, Lung, and Brain Cancer CLINICAL CASE PROBLEM 1 A 38-Year-Old Woman with BRCA1 and BRCA2 Mutations and Three First-Degree Relatives with Breast Cancer SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 62-Year-Old Woman with a Solitary Pulmonary Nodule CLINICAL CASE PROBLEM 3 A 79-Year-Old Man with a Bad Headache ANSWERS SUMMARY Breast Cancer–Associated Gene Mutations Solitary Lung Nodules Brain Tumors CHAPTER 66 Cancer Pain Management CLINICAL CASE PROBLEM 1 A 75-Year-Old Man with Metastatic Bone Pain Secondary to Advanced Prostate Cancer SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 52-Year-Old Man with Metastatic Renal Cell Carcinoma CLINICAL CASE PROBLEM 3 A 66-Year-Old Woman with Metastatic Renal Cell Carcinoma ANSWERS SUMMARY The “Ten Commandments” of Cancer Pain Management Ways to Administer Medications for Cancer Pain Classification of Cancer Pain Conversion of One Narcotic Analgesic to Another Method of Beginning Narcotic Analgesic for Moderate to Severe Cancer Pain Cancer Pain Other Forms of Palliative Cancer Pain Therapy CHAPTER 67 Developmental Disabilities CLINICAL CASE PROBLEM 1 A 55-Year-Old Woman with a 6-Month History of “Acting Out,” Increased Moodiness, and Weight Loss SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY CHAPTER 68 Travel Medicine CLINICAL CASE PROBLEM 1 A 42-Year-Old Man Enjoys a Tropical Feast SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 Another Tropical Feast CLINICAL CASE PROBLEM 3 An “Ecotour” with Unintentional Sampling of the Ecosystem CLINICAL CASE PROBLEM 4 Planning a Trip CLINICAL CASE PROBLEM 5 Another Traveler CLINICAL CASE PROBLEM 6 A Pilgrim to Mecca CLINICAL CASE PROBLEM 7 A Bicycle Trip through Africa ANSWERS SUMMARY SECTION four - Women’s Health CHAPTER 69 Osteoporosis CLINICAL CASE PROBLEM 1 A 61-Year-Old Postmenopausal Woman SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY CHAPTER 70 Breast Disease CLINICAL CASE PROBLEM 1 A 41-Year-Old Woman with a Painless Breast Lump SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 49-Year-Old Woman Goes in for a Routine Screening Mammography CLINICAL CASE PROBLEM 3 A 42-Year-Old Woman with Painful Bilateral Breast Pain That Waxes and Wanes with Her Period CLINICAL CASE PROBLEM 4 A 23-Year-Old Woman with a Firm but Mobile Mass CLINICAL CASE PROBLEM 5 A 33-Year-Old Woman with a Small Lump and a Bloody Nipple Discharge ANSWERS SUMMARY CHAPTER 71 Vulvovaginitis and Bacterial Vaginosis CLINICAL CASE PROBLEM 1 A 21-Year-Old Woman with Vaginal Itching and Discharge Select the Best Answer to the Following Questions CLINICAL CASE PROBLEM 2 A 29-Year-Old Woman with a Malodorous Vaginal Discharge CLINICAL CASE PROBLEM 3 A 17-Year-Old Girl with Severe Pruritus and Malodorous Vaginal Discharge ANSWERS SUMMARY Diagnosis Treatment CHAPTER 72 Cervical Cancer Screening CLINICAL CASE PROBLEM 1 A 26-Year-Old Woman with Atypical Squamous Cells of Undetermined Significance Papanicolaou (Pap) Test Result SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 33-Year-Old Woman with a Low-Grade Squamous Intraepithelial Lesion Pap Test Result CLINICAL CASE PROBLEM 3 A 26-Year-Old Pregnant Woman with a High-Grade Squamous Intraepithelial Lesion Pap Test Result CLINICAL CASE PROBLEM 4 An Adolescent Girl Interested in the Human Papillomavirus Vaccine ANSWERS SUMMARY CHAPTER 73 Premenstrual Syndrome and Premenstrual Dysphoric Disorder CLINICAL CASE PROBLEM 1 A 23-Year-Old Woman with Cyclic Physical and Affective Symptoms SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY CHAPTER 74 Postmenopausal Symptoms CLINICAL CASE PROBLEM 1 A 51-Year-Old Woman with Hot Flushes SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY CHAPTER 75 Dysmenorrhea CLINICAL CASE PROBLEM 1 A 14-Year-Old Girl with Painful Menses SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 26-Year-Old Woman with Infertility and Painful Menses ANSWERS SUMMARY CHAPTER 76 Abnormal Uterine Bleeding CLINICAL CASE PROBLEM 1 A 35-Year-Old Woman with Heavy Menses SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 25-Year-Old Woman with Amenorrhea CLINICAL CASE PROBLEM 3 A 55-Year-Old Woman with Postmenopausal Bleeding CLINICAL CASE PROBLEM 4 A 27-Year-Old Woman with Oligomenorrhea ANSWERS SUMMARY Abnormal Uterine Bleeding Amenorrhea Polycystic Ovarian Syndrome CHAPTER 77 Ectopic Pregnancy CLINICAL CASE PROBLEM 1 A 37-Year-Old Woman with Pelvic Pain and Vaginal Spotting SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY CHAPTER 78 Contraception CLINICAL CASE PROBLEM 1 A 23-Year-Old Woman Presents for Her Annual Gynecologic Examination SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 40-Year-Old Postpartum Woman CLINICAL CASE PROBLEM 3 A 34-Year-Old Woman with a History of Hypertension and Diabetes CLINICAL CASE PROBLEM 4 A 21-Year-Old Woman Who Had Unprotected Sex 3 Days Ago ANSWERS SUMMARY Barrier Methods Spermicides Oral Contraceptive Pills Oral Contraceptive Initiation Other Estrogen-Containing Contraceptives Progestin-Only Methods Copper Intrauterine Device Natural Family Planning Methods Lactational Amenorrhea Method Sterilization: Bilateral Tubal Ligation, Vasectomy Emergency Contraception CHAPTER 79 Spontaneous and Elective Abortion CLINICAL CASE PROBLEM 1 Bleeding in the Middle of the Night SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 An Unplanned Event ANSWERS SUMMARY CHAPTER 80 Sexually Transmitted Diseases CLINICAL CASE PROBLEM 1 A 24-Year-Old Woman with Diffuse Abdominal Pain SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 19-Year-Old Woman with Complaints of Vaginal Discharge CLINICAL CASE PROBLEM 3 A 24-Year-Old Man with Dysuria CLINICAL CASE PROBLEM 4 A 23-Year-Old Woman Presents for Her Annual Examination CLINICAL CASE PROBLEM 5 A 25-Year-Old Woman with Vulvar “Growths” CLINICAL CASE PROBLEM 6 A 24-Year-Old Woman with Genital Lesions ANSWERS Summary Pelvic Inflammatory Disease Uncomplicated Gonococcal Cervicitis Nongonococcal Urethritis Genital Warts and Human Papillomavirus Syphilis Genital Herpes and Herpes Simplex Virus Human Immunodeficiency Virus Other Sexually Transmitted Diseases CHAPTER 81 Infertility CLINICAL CASE PROBLEM 1 A 27-Year-Old Woman Comes to Your Office with Her Husband SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY SECTION five - Maternity Care CHAPTER 82 Family-Centered Maternity Care CLINICAL CASE PROBLEM 1 A 22-Year-Old Primigravida Comes for Her First Prenatal Visit SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY CHAPTER 83 Preconception Care CLINICAL CASE PROBLEM 1 An Opportunity for Pregnancy Planning SELECT THE BEST ANSWERS TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 An Opportunity for Counseling Before Conception ANSWERS SUMMARY CHAPTER 84 Routine Prenatal Care CLINICAL CASE PROBLEM 1 A 24-Year-Old Primigravida at 8 Weeks of Gestation SELECT THE BEST ANSWERS TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 35-Year-Old Primigravida CLINICAL CASE PROBLEM 3 Sexually Transmitted Diseases and Pregnancy ANSWERS SUMMARY CHAPTER 85 Immunization and Consumption of Over-the-Counter Drugs During Pregnancy CLINICAL CASE PROBLEM 1 A Pregnant Woman Moving to Nepal SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A Pregnant Woman Concerned about Consuming Ibuprofen CLINICAL CASE PROBLEM 3 A Pregnant Woman With 2 Days of Cold Symptoms and Nausea/Vomiting CLINICAL CASE MANAGEMENT PROBLEM ANSWERS SUMMARY CHAPTER 86 Exercise and Pregnancy CLINICAL CASE PROBLEM 1 A 34-Year-Old Primigravida Who Is an Aerobic Dance Instructor SELECT THE BEST ANSWERS TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 37-Year-Old Pregnant Woman with Severe Back Pain CLINICAL CASE PROBLEM 3 A 22-Year-Old Primigravida with Recent Onset of Abdominal Tightness While Exercising on a Treadmill Answers Summary CHAPTER 87 Common Problems of Pregnancy CLINICAL CASE PROBLEM 1 Nausea and Vomiting in the First Trimester CLINICAL CASE PROBLEM 2 Painful Pizza CLINICAL CASE PROBLEM 3 Abdominal Complaints in the Third Trimester ANSWERS Summary CHAPTER 88 Spontaneous Abortion CLINICAL CASE PROBLEM 1 Evaluating Bleeding in Early Pregnancy SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 Managing Spontaneous Abortion CLINICAL CASE MANAGEMENT PROBLEM ANSWERS SUMMARY CHAPTER 89 Thyroid Disease in Pregnancy CLINICAL CASE PROBLEM 1 Excessive Fatigue in Pregnancy SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 “My heart is fluttering.” ANSWERS SUMMARY CHAPTER 90 Gestational Diabetes and Shoulder Dystocia CLINICAL CASE PROBLEM 1 Screening for and Diagnosis of Gestational Diabetes Mellitus SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 Management of Gestational Diabetes Mellitus CLINICAL CASE PROBLEM 3 Shoulder Dystocia ANSWERS SUMMARY CHAPTER 91 Hypertension in Pregnancy CLINICAL CASE PROBLEM 1 Elevated Blood Pressure in Early Pregnancy SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 Elevated Blood Pressure in Late Pregnancy ANSWERS SUMMARY CHAPTER 92 Intrauterine Growth Restriction CLINICAL CASE PROBLEM 1 Uterine Size/Date Discrepancy SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 Managing Intrauterine Growth Restriction ANSWERS SUMMARY CHAPTER 93 Postterm Pregnancy CLINICAL CASE PROBLEM 1 “I Should Have Delivered by Now.” SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 Managing a Postterm Pregnancy ANSWERS SUMMARY CHAPTER 94 Labor CLINICAL CASE PROBLEM 1 “Am I in Labor?” SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 “I’m Finally in Labor!” CLINICAL CASE PROBLEM 3 “What’s Wrong With My Labor?” ANSWERS SUMMARY CHAPTER 95 Delivery Emergencies CLINICAL CASE PROBLEM 1 SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 Bleeding During Labor CLINICAL CASE PROBLEM 3 Bleeding Before Labor CLINICAL CASE PROBLEM 4 She Won’t Stop Bleeding ANSWERS SUMMARY CHAPTER 96 Postpartum Blues, Depression, and Psychoses CLINICAL CASE PROBLEM 1 Preconception Behavioral Health Counseling SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 Postpartum Sadness CLINICAL CASE PROBLEM 3 Postpartum Hallucinations CLINICAL CASE PROBLEM 4 Psychiatric Drugs During Lactation ANSWERS SUMMARY SECTION six - Children and Adolescents CHAPTER 97 Common Problems of the Newborn CLINICAL CASE PROBLEM 1 A Precipitous Delivery SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 “My Baby Is Turning Yellow.” CLINICAL CASE PROBLEM 3 A 1-Week-Old With Fever ANSWERS CHAPTER 98 Infant Feeding CLINICAL CASE PROBLEM 1 A New Mother With Insecurities SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 28-Year-Old Primigravida Woman With Mastitis CLINICAL CASE PROBLEM 3 A Woman With a Baby Who Spits Up Often CLINICAL CASE PROBLEM 4 A Woman With Breastfeeding Problems ANSWERS SUMMARY CHAPTER 99 Colic CLINICAL CASE PROBLEM 1 “Make Her Stop Crying!” SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 5-Week-Old With Infantile Colic ANSWERS SUMMARY TEST BANK QUESTIONS CHAPTER 100 Immunizations CLINICAL CASE PROBLEM 1 A 4-Month-Old Infant Who Missed His Shots Because of a Cold at 2 Months of Age SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 12-Month-Old Infant Whose Parents Refuse Vaccination ANSWERS SUMMARY TEST BANK QUESTIONS CHAPTER 101 Fever CLINICAL CASE PROBLEM 1 A 15-Month-Old Boy With Persistent Fever CLINICAL CASE PROBLEM 2 A 2-Year-Old Girl With a Rash and Fever ANSWERS CHAPTER 102 Over-the-Counter Drugs CLINICAL CASE PROBLEM 1 A 6-Month-Old Infant With an Upper Respiratory Tract Infection CLINICAL CASE PROBLEM 2 An 18-Month-Old Infant With a Persistent Cough CLINICAL CASE PROBLEM 3 A 13-Month-Old Infant with Nausea and Vomiting CLINICAL CASE PROBLEM 4 An 8-Month-Old Infant with Fever, Diarrhea, and Red Cheeks ANSWERS SUMMARY CHAPTER 103 Diaper Rash and Other Infant Dermatitis CLINICAL CASE PROBLEM 1 A 2-Month-Old Infant with a Rash on His Cheeks SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 3-Week-Old Infant with a Crusty Head CLINICAL CASE PROBLEM 3 A 2-Week-Old Infant Who Looks “Too Ugly for Photos” CLINICAL CASE PROBLEM 4 An 8-Month-Old Infant with a Long-Term Persistent Diaper Rash CLINICAL CASE PROBLEM 5 A 4-Month-Old Infant with a Diaper Rash Caused by Dirty Diapers ANSWERS SUMMARY Atopic Dermatitis Seborrheic Dermatitis Candidal Dermatitis Primary Irritant Dermatitis CHAPTER 104 Failure to Thrive and Short Stature CLINICAL CASE PROBLEM 1 SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 Falling Off the Growth Curve CLINICAL CASE PROBLEM 3 A 13-Year-Old Girl Who Is Short and Has a Webbed Neck ANSWERS SUMMARY Failure to Thrive Short Stature CHAPTER 105 Child Abuse CLINICAL CASE PROBLEM 1 A 2-Month-Old Infant Who Fell Off a Sofa SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A Blistered 8-Month-Old Baby CLINICAL CASE PROBLEM 3 An 8-Year-Old-Girl with a New Stepfather ANSWERS SUMMARY TEST BANK QUESTIONS CHAPTER 106 Common Cold CLINICAL CASE PROBLEM 1 A 4-Year-Old Child with a Runny Nose, Sore Throat, and Nonproductive Cough SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 6-Month-Old with Nasal Congestion and Difficulty Feeding ANSWERS SUMMARY CHAPTER 107 Otitis Media CLINICAL CASE PROBLEM 1 A 20-Month-Old Child Who Is Febrile, Fussy, and Pulling at His Ear SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 24-Month-Old Child with an Upper Respiratory Tract Infection but No External Signs of an Acute Ear Infection CLINICAL CASE PROBLEM 3 A 2-Year-Old Child Tugging at His Ear ANSWERS SUMMARY CHAPTER 108 Croup and Epiglottitis CLINICAL CASE PROBLEM 1 An 18-Month-Old Infant with an Upper Respiratory Tract Infection SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 5-Year-Old Child Who Has Been Talking Strangely and Is Anorexic ANSWERS SUMMARY Differentiation between Epiglottitis and Croup CHAPTER 109 Bronchiolitis and Pneumonia in Children CLINICAL CASE PROBLEM 1 A 4-Month-Old with Cough, Fever, and Wheezing SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 3-Year-Old with Fever, Cough, and Wheezing ANSWERS SUMMARY Bronchiolitis Community-Acquired Pneumonia in Children CHAPTER 110 Childhood Asthma CLINICAL CASE PROBLEM 1 “My Child Is Usually Healthy, but He Wheezes Sometimes.” SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 7-Year-Old With Rhinitis and Chest Tightness CLINICAL CASE PROBLEM 3 Lost Continuity with Revolving Homes Answers SUMMARY CHAPTER 111 Allergic Rhinitis CLINICAL CASE PROBLEM 1 A 6-Year-Old Boy with a Cold SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 Too Many Colds ANSWERS SUMMARY CHAPTER 112 Viral Exanthems CLINICAL CASE PROBLEM 1 A 3-Year-Old with a Rash and Fever SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 5-Year-Old With Cough, Coryza, and Conjunctivitis CLINICAL CASE PROBLEM 3 A 4-Year-Old with a Bright Red Rash on Both Cheeks MATCHING QUESTIONS ANSWERS SUMMARY CHAPTER 113 Cardiac Murmurs CLINICAL CASE PROBLEM 1 A 3-Year-Old Child With a Cardiac Murmur SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 2-Week-Old Infant With a Harsh Grade 3/6 Pansystolic Heart Murmur CLINICAL CASE PROBLEM 3 A Baby With Abnormal Facies and a Murmur CLINICAL CASE PROBLEM 4 Heart Murmur in a Term Infant ANSWERS SUMMARY CHAPTER 114 Vomiting and Diarrhea CLINICAL CASE PROBLEM 1 An 18-Month-Old Infant With Diarrhea SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 23-Month-Old Infant With Sunken Eyeballs and Doughy Skin CLINICAL CASE PROBLEM 3 A 3-Year-Old Boy With Diarrhea Who Had Been Camping CLINICAL CASE MANAGEMENT PROBLEM ANSWERS SUMMARY CHAPTER 115 Recurrent Abdominal Pain CLINICAL CASE PROBLEM 1 SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY CHAPTER 116 Enuresis CLINICAL CASE PROBLEM 1 Bed-Wetting in a 7-Year-Old Boy SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 Family Upheaval Owing to Bed-Wetting ANSWERS SUMMARY TEST BANK QUESTIONS CHAPTER 117 Lymphoma and Leukemia CLINICAL CASE PROBLEM 1 A 14-Year-Old Girl With a Mediastinal Mass SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 “My Little Girl Is All Bruised Up” ANSWERS SUMMARY Lymphoma Non-Hodgkin Lymphoma Leukemia Acute Lymphoblastic Leukemia Acute Myeloid Leukemia TEST BANK QUESTIONS CHAPTER 118 Sickle Cell Disease CLINICAL CASE PROBLEM 1 A 10-Year-Old Boy With Diffuse Musculoskeletal Pain SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 Headache in a Child of Middle Eastern Descent ANSWERS SUMMARY  2. Diagnosis  3. Clinical Manifestations  4. Treatment CHAPTER 119 Physical Activity and Nutrition CLINICAL CASE PROBLEM 1 A 12-Year-Old Boy Who Is Overweight SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A School with a Large Overweight Student Population ANSWERS SUMMARY CHAPTER 120 The Limping Child CLINICAL CASE PROBLEM 1 An 18-Month-Old With Pain While Walking SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 5-Year-Old with Fever, Fatigue, and Pain in Leg CLINICAL CASE PROBLEM 3 A 12-Year-Old With a Limp and Thigh Pain CLINICAL CASE PROBLEM 4 A 9-Year-Old Boy With Leg Pain ANSWERS SUMMARY TEST BANK QUESTIONS CHAPTER 121 Foot and Leg Deformities CLINICAL CASE PROBLEM 1 A 3-Month-Old With Crooked Feet SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 4-Week-Old With “Toeing In” CLINICAL CASE PROBLEM 3 A 15-Month-Old With “Bowlegs” CLINICAL CASE PROBLEM 4 An 18-Month-Old With Twisted Legs CLINICAL CASE PROBLEM 5 A 6-Month-Old With Crooked Feet CLINICAL CASE PROBLEM 6 A 21-Month-Old Child With Flat Feet ANSWERS SUMMARY TEST BANK QUESTIONS CHAPTER 122 Mononucleosis CLINICAL CASE PROBLEM 1 Pharyngitis With Hepatosplenomegaly SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 Pharyngitis, Fever, and Lymphadenopathy ANSWERS SUMMARY CHAPTER 123 Adolescent Development CLINICAL CASE PROBLEM 1 A 13-Year-Old Comes for a Sports Physical SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A Young Driver with Health Problems ANSWERS SUMMARY Minor Consent CHAPTER 124 Adolescent Safety CLINICAL CASE PROBLEM 1 Routine Examinations as Safety Updates SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 “Could My Daughter Be on Drugs?” ANSWERS SUMMARY SECTION seven - Geriatric Medicine CHAPTER 125 Functional Assessment of the Elderly Patient CLINICAL CASE PROBLEM 1 A Worrisome Visit SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS CHAPTER 126 Polypharmacy and Drug Reactions in the Elderly Patient CLINICAL CASE PROBLEM 1 A 75-Year-Old Patient with a Bagful of Pills SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 An 85-Year-Old Patient with Dangerously High Blood Pressure ANSWERS SUMMARY CHAPTER 127 The Propensity and Consequences of Falls Among Elderly Patients CLINICAL CASE PROBLEM 1 An 81-Year-Old Patient Who Is Repeatedly Falling SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY CHAPTER 128 Urinary Incontinence in the Elderly Patient CLINICAL CASE PROBLEM 1 An 88-Year-Old Institutionalized Patient with Urinary Incontinence SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY CHAPTER 129 Prostate Disease CLINICAL CASE PROBLEM 1 A 75-Year-Old Patient with Nocturia, Hesitancy, and a Slow Urinary Flow SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 58-Year-Old Patient with Hesitancy of the Urinary Stream and Bone Pain CLINICAL CASE PROBLEM 3 A 24-Year-Old Patient with Fever, Suprapubic Discomfort, and Inhibited Urinary Voiding ANSWERS SUMMARY Benign Prostatic Hypertrophy Carcinoma of the Prostate Prostatitis CHAPTER 130 Pressure Ulcers CLINICAL CASE PROBLEM 1 An 80-Year-Old Nursing Home Resident with a Pressure Ulcer SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 78-Year-Old Immobilized Patient with a 1-cm Area of Erythema and Bruising on His Heel ANSWERS SUMMARY Terminology Prevalence Complications Mortality Risk Factors Pathophysiology Pathophysiologic Series of Events in Pressure Ulcer Formation Prevention of Pressure Ulcers Education Assessment of Patients with Pressure Ulcers Treatment of Pressure Ulcers CHAPTER 131 Constipation in the Elderly Patient CLINICAL CASE PROBLEM 1 A 78-Year-Old Patient With Constipation SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 An 86-Year-Old Patient with Stage IV Carcinoma of the Prostate ANSWERS SUMMARY CHAPTER 132 Pneumonia and Other Common Infectious Diseases of the Elderly Patient CLINICAL CASE PROBLEM 1 An 81-Year-Old Patient Who Lives by Himself and Has Increasing Confusion and Shortness of Breath SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 An 84-Year-Old Patient Who Is Currently Residing in a Long-Term Care Facility and Has Increasing Confusion and Shortness o ... CLINICAL CASE PROBLEM 3 An 81-Year-Old Patient with Dysuria, Frequency, Urgency, and Incontinence CLINICAL CASE PROBLEM 4 A 75-Year-Old Patient with Fever, Chills, Confusion, Dysuria, and Diarrhea ANSWERS CHAPTER 133 Polymyalgia Rheumatica and Temporal Arteritis CLINICAL CASE PROBLEM 1 An 82-Year-Old Patient With Aching and Stiffness in the Shoulder and Hip Girdles SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY Polymyalgia Rheumatica Temporal Arteritis CHAPTER 134 Hypertension Management in the Elderly Patient CLINICAL CASE PROBLEM 1 An 80-Year-Old Patient With Hypertension SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 75-Year-Old African American Patient With Angina Pectoris CLINICAL CASE PROBLEM 3 A Hypertensive 72-Year-Old White Patient With a Previous Myocardial Infarction and Mild Congestive Heart Failure CLINICAL CASE PROBLEM 4 A Hypertensive 72-Year-Old White Patient With Diabetes ANSWERS SUMMARY CHAPTER 135 Cerebrovascular Accidents CLINICAL CASE PROBLEM 1 A 67-Year-Old Patient With a Sudden-Onset Left-Sided Hemiplegia, Dysphagia, and a “Visual Problem” SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 47-Year-Old Patient With Mental Status Impairment, Footdrop, and Left-Sided Hemiplegia and Numbness CLINICAL CASE PROBLEM 3 A 77-Year-Old Patient With Nystagmus, Homonymous Hemianopia, Numbness of the Face, and Facial Weakness CLINICAL CASE PROBLEM 4 A 42-Year-Old White Patient With a “Curtain Coming Down” Over His Eyes ANSWERS SUMMARY CHAPTER 136 Depression in the Elderly CLINICAL CASE PROBLEM 1 An 85-Year-Old Female Nursing Home Resident Who Simply “Stares into Space” and Cries Almost All the Time SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY CHAPTER 137 Dementia and Delirium CLINICAL CASE PROBLEM 1 A 78-Year-Old Patient With Increasing Confusion, Impairment of Memory, and Inability to Look After Herself SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY CHAPTER 138 Parkinson Disease CLINICAL CASE PROBLEM 1 A 75-Year-Old Patient With a Slow and Shuffling Gait, Tremors, and Depression SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY CHAPTER 139 Elder Abuse CLINICAL CASE PROBLEM 1 A 72-Year-Old Patient With a Sore Right Shoulder and Multiple Bruises SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY CHAPTER 140 Emergency Treatment of Abdominal Pain in the Elderly Patient CLINICAL CASE PROBLEM 1 An 84-Year-Old Patient With Abdominal Pain SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY SECTION Eight - Behavioral Health CHAPTER 141 Depressive Disorders CLINICAL CASE PROBLEM 1 A 29-Year-Old Man Who “Just Doesn’t Feel Interested Anymore” SELECT THE BEST ANSWER TO EACH OF THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 38-Year-Old Man Who Is Always Sad CLINICAL CASE PROBLEM 3 A 36-Year-Old Woman Who Is Stressed at Work CLINICAL CASE PROBLEM 4 A 41-Year-Old “Extremely Burned-Out” Man CLINICAL CASE PROBLEM 5 A 32-Year-Old Woman Who Is No Longer Happy with Anything in Life CLINICAL CASE PROBLEM 6 A 65-Year-Old Man After a Heart Attack ANSWERS SUMMARY Prevalence Differential Diagnosis Subclassifications of Major Depressive Disorder Treatment CHAPTER 142 Bipolar Disorder CLINICAL CASE PROBLEM 1 A 21-Year-Old Man Who States That He Was Told by God to Drop Out of College, Invest His College Savings in the Stock Marke ... SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 38-Year-Old Woman with a 2.5-Year History of “Mood Swings” CLINICAL CASE PROBLEM 3 A 46-Year-Old Woman with Polymyalgia Rheumatica Treated with Prednisone and Hypertension Treated with Lisinopril Reports D ... ANSWERS SUMMARY Classification of Bipolar Disorders Prevalence Heritability of Bipolar Disorder Treatment CHAPTER 143 Generalized Anxiety Disorder and Social Phobia CLINICAL CASE PROBLEM 1 A 27-Year-Old Woman with Restlessness and Chronic Worry SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 22-Year-Old Law Student Unable to Answer Questions in Class CLINICAL CASE PROBLEM 3 An Anxious Young Man ANSWERS SUMMARY Generalized Anxiety Disorder Social Phobia (also known as Social Anxiety Disorder) CHAPTER 144 Posttraumatic Stress Disorder CLINICAL CASE PROBLEM 1 A 23-Year-Old Man Who Is a Returning War Veteran SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 After Sexual Assault ANSWERS SUMMARY CHAPTER 145 Obsessive-Compulsive Disorder CLINICAL CASE PROBLEM 1 A New 25-Year-Old Patient SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A Nervous Pizza Deliverer ANSWERS SUMMARY CHAPTER 146 Attention-Deficit/Hyperactivity Disorder CLINICAL CASE PROBLEM 1 A 6-Year-Old Child Who Is “Always on the Go,” “Into Everything,” and “Easily Distracted” CLINICAL CASE PROBLEM 2 A 9-Year-Old Boy Who Is Being Treated for Attention-Deficit/Hyperactivity Disorder CLINICAL CASE PROBLEM 3 A 19-Year-Old College Student Who Is Struggling to Succeed ANSWERS SUMMARY CHAPTER 147 Conduct Disorder and Oppositional Defiant Disorder CLINICAL CASE PROBLEM 1 A 13-Year-Old Boy with Repeat Offenses SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 7-Year-Old Child with “Bad Behavior” ANSWERS SUMMARY Conduct Disorder Oppositional Defiant Disorder CHAPTER 148 Diagnosis and Management of Schizophrenia CLINICAL CASE PROBLEM 1 A 21-Year-Old Man Brought to the Emergency Department by Paramedics SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY CHAPTER 149 Substance Use Disorders CLINICAL CASE PROBLEM 1 A 32-Year-Old Administrator with “Rapidly Swinging Moods” SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS SUMMARY CHAPTER 150 Eating Disorders CLINICAL CASE PROBLEM 1 A 17-Year-Old Girl with Rapid Weight Loss and an Intense Fear of Gaining Weight SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 23-Year-Old Woman Who Binges and Then Vomits to Prevent Weight Gain ANSWERS SUMMARY CHAPTER 151 Somatoform and Related Disorders CLINICAL CASE PROBLEM 1 A 29-Year-Old Woman with 22 Different Symptoms SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 23-Year-Old Woman Complaining of Having “a Peculiarly Prominent Jaw” CLINICAL CASE PROBLEM 3 A Woman with a Constant Headache CLINICAL CASE PROBLEM 4 A 23-Year-Old Woman Suddenly Becomes Blind ANSWERS SUMMARY CHAPTER 152 Sexual Dysfunction CLINICAL CASE PROBLEM 1 A 65-Year-Old Man with Hypertension and Erectile Dysfunction SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 24-Year-Old Woman Who Is Unable to Have Sexual Intercourse ANSWERS SUMMARY CHAPTER 153 Psychotherapy in Family Medicine CLINICAL CASE PROBLEM 1 A 32-Year-Old Working Single Mother with Three Young Children SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 42-Year-Old Man With a 6-Month History of Depression ANSWERS SUMMARY SECTION Nine - Emergency Medicine CHAPTER 154 Cardiac Arrest CLINICAL CASE PROBLEM 1 A 55-Year-Old Man Found Collapsed in the Street SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A Witnessed Cardiac Arrest CLINICAL CASE PROBLEM 3 A 53-Year-Old Man with “Rapid Heartbeat” ANSWERS SUMMARY DURING CARDIOPULMONARY RESUSCITATION CHAPTER 155 Advanced Trauma Life Support CLINICAL CASE PROBLEM 1 A 27-Year-Old Man Injured in a Motor Vehicle Accident SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 Car-Motorcycle Collision ANSWERS SUMMARY TEST BANK QUESTIONS CHAPTER 156 Diabetic Ketoacidosis CLINICAL CASE PROBLEM 1 A Vomiting Diabetic SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS CHAPTER 157 Acute and Chronic Poisoning CLINICAL CASE PROBLEM 1 Unexplained Unconsciousness ANSWERS SUMMARY CHAPTER 158 Urticaria and Angioneurotic Edema CLINICAL CASE PROBLEM 1 “Doctor, I Have a Fat Lip” CLINICAL CASE PROBLEM 2 Extremity Swelling and Gastrointestinal Symptoms SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 3 ANSWERS SUMMARY CHAPTER 159 Heat and Cold Illness CLINICAL CASE PROBLEM 1 A 51-Year-Old Alcoholic Man Brought to the Emergency Department SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 46-Year-Old Man with Blanched Feet CLINICAL CASE PROBLEM 3 A 4-Year-Old Boy with a Low Core Temperature CLINICAL CASE PROBLEM 4 An Overheated 34-Year-Old Man CLINICAL CASE PROBLEM 5 An Exhausted 23-Year-Old Marathon Runner CLINICAL CASE PROBLEM 6 A 34-Year-Old Marathon Runner Who Collapsed ANSWERS SUMMARY Heat Regulation in Healthy Adults Heat Exhaustion Heatstroke Treatment Cold Injuries and Syndromes CHAPTER 160 High Altitude and Barotrauma CLINICAL CASE PROBLEM 1 My Head Hurts SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 Coming Up Too Quick ANSWERS SUMMARY Acute Mountain Sickness High-Altitude Pulmonary Edema High-Altitude Cerebral Edema Decompression Sickness Pulmonary Barotrauma TEST BANK QUESTIONS SECTION Ten - Sports Medicine CHAPTER 161 Preparticipation Evaluation CLINICAL CASE PROBLEM 1 Difficult Situations as a Team Physician SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 ANSWERS SUMMARY TEST BANK QUESTIONS CHAPTER 162 Exercise Prescriptio CLINICAL CASE PROBLEM 1 A 48-Year-Old Patient Wanting to Start an Exercise Program SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS ANSWERS SUMMARY TEST BANK QUESTIONS CHAPTER 163 Concussions CLINICAL CASE PROBLEM 1 An Unconscious Football Player SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A Confused Football Player CLINICAL CASE PROBLEM 3 A Gymnast Who Fell and Hit Her Head ANSWERS SUMMARY CHAPTER 164 Acceleration and Deceleration Neck Injuries CLINICAL CASE PROBLEM 1 A 32-Year-Old Patient with Severe Neck Pain SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 ANSWERS SUMMARY TEST BANK QUESTIONS CHAPTER 165 Upper Extremity Injuries CLINICAL CASE PROBLEM 1 A 42-Year-Old Man with Right Shoulder Pain SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 37-Year-Old Man with Right Elbow Pain CLINICAL CASE PROBLEM 3 A 29-Year-Old Patient with Severe Wrist Pain CLINICAL CASE PROBLEM 4 A 23-Year-Old Patient with a Painful Thumb ANSWERS SUMMARY Test Bank Questions CHAPTER 166 Low Back Pain CLINICAL CASE PROBLEM 1 A 28-Year-Old Patient with Chronic Low Back Pain SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 64-Year-Old Patient with Back and Leg Pain Aggravated by Walking ANSWERS SUMMARY CHAPTER 167 Lower Extremity Strains and Sprains CLINICAL CASE PROBLEM 1 A 21-Year-Old Woman with a Swollen Ankle SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 26-Year-Old Man Hit on the Lateral Side of the Knee CLINICAL CASE PROBLEM 3 A 22-Year-Old Man Who Twisted His Right Knee CLINICAL CASE PROBLEM 4 A 23-Year-Old Woman with Right Posterior Thigh Pain CLINICAL CASE PROBLEM 5 A 16-Year-Old Girl Who Injured Her Knee While Pivoting ANSWERS SUMMARY Definitions Common Sites Other Significant Injury: Medial and Lateral Meniscal Injuries of the Knee Test Bank Questions CHAPTER 168 Joint and Soft Tissue Injections CLINICAL CASE PROBLEM 1 A Landscaper with a Sore Shoulder SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A Patient with a Hot Knee CLINICAL CASE PROBLEM 3 A Patient with a Painful Shoulder ANSWERS SUMMARY Test Bank Questions CHAPTER 169 Fracture Management CLINICAL CASE PROBLEM 1 A 75-Year-Old Patient Who Slipped and Fell on Her Outstretched Hand SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 The Team’s Top Scorer Fell and Hurt His Hand CLINICAL CASE PROBLEM 3 A 25-Year-Old Man with Pain in His Ankle ANSWERS SUMMARY TEST BANK QUESTIONS CHAPTER 170 Infectious Disease and Sports CLINICAL CASE PROBLEM 1 A 17-Year-Old Soccer Player with Aches, Pains, and Fever SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 A 20-Year-Old Football Player with Mononucleosis CLINICAL CASE PROBLEM 3 Infections in Wrestlers ANSWERS SUMMARY TEST BANK QUESTIONS CHAPTER 171 Female Athlete Triad CLINICAL CASE PROBLEM 1 A 20-Year-Old Runner with “Shin Splints” SELECT THE BEST ANSWER TO THE FOLLOWING QUESTIONS CLINICAL CASE PROBLEM 2 An 18-Year-Old Patient with Amenorrhea ANSWERS SUMMARY SECTION ELEVEN - Illustrated Review CHAPTER 172 Illustrated Review PRIMARY DERMATOLOGIC CONDITIONS DERMATOLOGIC MANIFESTATIONS OF UNDERLYING DISEASE OPHTHALMOSCOPY MICROSCOPY ANSWERS

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