Emergency Medicine Examination & Board Review by I.W. Fong

By I.W. Fong

Endorsed through the best expert association in Emergency drugs

Emergency medication presents readers with six hundred+ case-based questions which covers a radical assessment of all parts of Emergency medication.

Answers and factors are cross-referenced to the market-leading Tintinalli textual content. this gives an in depth clarification of solutions, and refers readers to so much authoritative info on hand for additional examine and evaluation.

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Example text

A) Obtain a head computed tomography scan. (B) Intubate the patient. (C) Restrict the patient's intake of fluids. (D) Administer mannitol. 6-6 Which one of the following statements regarding type 2 diabetes is TRUE? (A) It used to be referred to as insulin-dependent diabetes. (B) It can be prevented. (C) It rarely requires insulin therapy. (D) It accounts for 60% of cases of diabetes worldwide. 6-7 Which one of the following classes of medications is know to adversely affect glycemic control? (A) Anticonvulsants.

Dermal vascular thrombosis causes gangrene of the extremities, nose, ears, and genitalia. 4-5 The answer is D (Chapters 135, 246). The patient has disseminated herpes zoster and signs of pulmonary involvement. He needs oxygen and a chest radiograph. Disseminated herpes zoster occurs in immunocompromised patients such as those with Hodgkin's lymphoma, leukemia, and AIDS. These patients are at risk for ocular, lung, and CNS involvement and require admission and antiviral therapy. The emergency physician should include smallpox in the differential diagnosis of fever and vesicular rash.

Patients usually present with fever and headache. Gastrointestinal symptoms commonly include abdominal distention and constipation rather than diarrhea. 7-18 The answer is B (Chapter 206). Giardiasis is the most commonly identified cause of chronic diarrhea. Most cases of acute traveler's diarrhea are bacterial, and viral causes account for only 5-10% of cases. Amebiasis is another cause of chronic diarrhea that is associated with bloody diarrhea and fever. Antibiotics for cholera can shorten the illness course, diminish vomiting, lessen volume resuscitation needs, and ensure that bacteria are eradicated from stool.

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