By Vincent Young MD PhD, William Kormos, Dr. Davoren Chick MD FACP

Michigan nation Univ., East Lansing. examination assessment presents USMLE-style questions for these getting ready to take the USMLE Step 2 and 3s. checks. High-yield structure highlights key recommendations and covers medical center details. plentiful color-enhanced illustrations. past version: c2001. Softcover. DNLM: inner Medicine--Examination Questions.

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She begins psychotherapy and sees the physician once per week. ” She behaves as if this is true and that the psychiatrist will explode with rage at any minute. The psychiatrist is not normally seen as an angry person and is unaware of any anger toward the patient. Which of the following defense mechanisms is this patient likely displaying? a. b. c. d. e. Distortion Blocking Isolation Projection Dissociation Block 2 23 2-8. A 24-year-old white male presents with a persistent headache for the past few months.

Which of the following is the best option for treatment of this patient? a. b. c. d. e. Admission to the hospital for intravenous antibiotics Antipyretic for symptomatic relief Incision and drainage Oral dicloxacillin for 7 to 10 days Oral erythromycin for 7 to 10 days 2-33. You are evaluating a 28-year-old man who is concerned about depression. He reports increased irritability, depressed mood, decreased enjoyment from usual activities, and sleep and appetite disturbances for 6 weeks. He reports a history of alcohol use, and currently has 6 beers a day on the weekdays, with up to 12 on the weekends.

The patient is endotracheally intubated, given a 2-L bolus of normal saline, and started on antibiotics. His BP improves to 110/70 mm Hg and he is transferred to the intensive care unit (ICU). You see a friend that accompanied the patient to the hospital and ask him some questions. You find out that the patient is a drum maker and works with animal hides. What is the most likely organism that is responsible for the patient’s presentation? a. b. c. d. e. Streptococcus pneumoniae Corynebacterium diphtheriae Coxiella burnetii Haemophilus influenzae Bacillus anthracis 3-35.

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