内科学(第12版)(美国医师执照考试丛书)(Medicine)

分類: 图书,考试,医学类考试,
品牌: 罗伯特S.奥本(Robert S.Urban)
基本信息·出版社:北京大学医学出版社
·页码:412 页
·出版日期:2010年01月
·ISBN:9787811168631
·条形码:9787811168631
·版本:第1版
·装帧:平装
·开本:32
·正文语种:英语
·丛书名:美国医师执照考试丛书
·外文书名:Medicine
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内容简介《内科学(第12版)》内容简介:当前,我国很多医学院校在进行英文授课、考试的改革,《内科学(第12版)》对国内从事英语授课、考试的教师和学生也有重要的参考价值。为广大的医学生和医务工作者比较中美医学教育和自己掌握的知识提供参考。同时,该书也是学习专业英语的好教材。
本册《内科学(第12版)》介绍了内科学的相关考试内容。
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目录
Introduction
Acknowledgments
Infectious Disease
Questions
Answers
Hospital-Based Medicine
Questions
Answers
Rheumatology
Questions
Answers
Pulmonary Disease
Questions
Answers
Cardiology
Questions
Answers
Endocrinology and Metabolic Disease
Questions
Answers
Gastroenterology
Questions
Answers
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9. The answer is c. (Fauci, pp 1102-1105.) A painful vesicular rash in a dermatomal distribution strongly suggests herpes zoster, although other viral pathogens may also cause vesicles. Herpes zoster may involve the eyelid when the first or second branch of the fifth cranial nerve is affected. Impetigo is a cellulitis caused by group A β-hemolytic streptococci. It often involves the face and can occur after an abrasion of the skin. Its distribution is not dermatomal, and while it may cause vesicles, they are usually smafl and are not weeping fluid. Chickenpox produces vesicles in various stages of development that are diffuse and produce more pruritus than pain. Coxsackievirus can produce a morbilliform vesiculopustular rash, often with a hemorrhagic component and with lesions of the throat, palms, and soles. Herpes simplex virus causes lesions of the lip (herpes labialis) and also does not spread in a dermatomal pattern.
10. The answer is a. (Fauci, pp 829-831.) This patient presents with the clinical picture of pelvic inflammatory disease (PID), including lower quadrant tenderness, cervical motion tendemess, and adnexal tenderness. Fever and mucopurulent discharge are additional evidence for the diagnosis. Treatment requires antibiotic therapy. Ceftriaxone and doxycycline are one recommended regimen that would cover both Neisseria gonorrhoeae and C trachomatis. Endometrial biopsy can provide definitive diagnosis, but it is unnecessary except when patients do not respond to therapy or have atypical presentations. Dilation and curettage, a more invasive procedure, would rarely be necessary. At times, surgical emergencies may mimic PID and even require hospitalization for further observation. The specific findings of cervical motion tenderness, discharge, and bilateral tendemess all distinguish PID from appendicitis in this patient. Aztreonam has good gram-negative coverage but doe
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