Board Review from Medscape: Case-Based Internal Medicine by David C. Dale

By David C. Dale

It is a handy new overview book, such as approximately a thousand case-based difficulties. even if you are learning for the board, recertifying, or simply searching for a handy approach to verify your patient-care talents remain sharp, this inner drugs self review software makes overview effortless and enjoyable.

• finished. an in depth library of questions covers all of grownup inner medication, plus Psychiatry, Neurology, Dermatology, and extra. And, all the 981 questions provides ordinarily encountered circumstances, diagnostic and healing thoughts, and in-depth reasoning and factors at the instructed offerings. Covers the entire significant components of perform you want to overview to attain good at the exam.
• reliable. Questions are derived from the revered ACP medication CME application. For additional analyzing, the issues are referenced to ACP medication, a continuously up-to-date, evidence-based reference of grownup inner drugs. The circumstances are reviewed through specialists in medical perform from our editorial board on the nation's major clinical institutions.
• appropriate. Case-based for higher relevance to day-by-day practice—the layout chosen for lots of of the questions about fresh assessments. those self-assessment questions supply easy-to-understand, designated motives of the rules in the back of the answers—an perfect approach to prepare for the forums or recertification.
• Print or digital codecs. Our challenge sequence may be ordered in conventional print or handy booklet codecs. The soft-cover print booklet is nearly six hundred pages, released in July of 2005. Or, our publication deals a handy PDF layout for instant obtain and lets you try out your clinical wisdom anyplace you choose—from your machine or hand held equipment or through printing out an easy-to-read hardcopy to hold with you.

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Extra info for Board Review from Medscape: Case-Based Internal Medicine Self-Assessment Questions

Example text

Generally, a two-drug regimen should include a diuretic appropriate for the level of renal function. The alpha-blocker arm of the ALLHAT trial was terminated early because of an almost twofold increase in the risk of heart failure, compared with the diuretic group. On the basis of these results, alpha blockers are no longer considered an appropriate initial therapy for hypertension. Tobacco use should be discouraged because, in addition to being a powerful CV risk factor, each cigarette smoked elevates blood pressure for 15 to 30 minutes, and multiple cigarettes can raise blood pressure for most of the day.

These agents were once thought to be contraindicated because of their negative effects on cardiac inotropy (and they still are contraindicated in patients with NYHA class IV symptoms). It is now recognized that beta blockers play an important role in interrupting the catecholamine cascade that is brought on by the low flow state. They have significant benefit with regard to mortality for CHF patients with NYHA class II and class III symptoms. No specific beta blocker has been shown to be preferable to the others.

Beta blockers are not indicated in this patient because his blood pressure is already well controlled ❏ E. Beta blockers are not indicated in this patient because his CHF is well controlled by his current therapy ❏ F. Beta blockers are indicated in this patient Key Concept/Objective: To know the indications for use of beta blockers in patients with CHF The use of beta blockers in CHF represents a major change in pharmacotherapy for this disease. These agents were once thought to be contraindicated because of their negative effects on cardiac inotropy (and they still are contraindicated in patients with NYHA class IV symptoms).

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