By Parveen Kumar CBE BSc MD DM (HC) FRCP FRCP(Edin), Michael L Clark MD FRCP
• What factors high blood pressure in childrens?
• Is it universal for epileptic sufferers to have post-ictal vomiting? if this is the case, how usually does this happen?
• Why is the prevalence of parkinsonism much less universal in people who smoke?
• what's the function of urine exam in diabetic keep an eye on?
Where do you switch to in case you have a tricky clinical query that wishes answering?
The ‘Ask the writer’ on-line function from the best-selling textbook Kumar & Clark’s Clinical Medicine has accrued a wealth of questions and reviews without delay from clinical scholars and medical professionals approximately issues which are of specific curiosity or hassle to them.
Kumar and Clark have introduced jointly over a thousand of the questions they've been requested in addition to their solutions. it's going to attract the various lovers of Kumar & Clark, from first-year scholars to training medical professionals, and may offer an invaluable and fascinating sounding board to assist confirm top practice.
This special publication gives you a brief and straightforward technique to become aware of the solutions on your personal scientific questions…!
- The writing variety is attractive and conversational, designed to entertain in addition to instruct.
- Carries the ‘Kumar & Clark’ stamp of authority.
- All questions totally listed for ease of reference.
- Covers subject matters which are simply misunderstood in medication - sturdy practise for scientific scholars, senior apartment officers/interns and experts in training/residents getting ready for written or oral exams.
Read Online or Download 1000 Questions and Answers from Kumar & Clark's Clinical Medicine PDF
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Extra info for 1000 Questions and Answers from Kumar & Clark's Clinical Medicine
Question 38 In a patient with liver cell failure, can there be resting and action tremors or parkinsonian features if it is confirmed that the patient does not have Wilson’s disease? Question 39 Does the absence of any cirrhosis of the liver, together with normal liver enzymes, in a 9-year-old boy complaining of chorea of a 5-year duration, exclude Wilson’s disease? Question 40 Can Wilson’s disease be excluded in a patient complaining of movement disorder for over 2 years, when there is an absence of cirrhotic liver change?
If so, what is the recommended dosage and how long should treatment be continued? Question 26 Currently favoured regimens for eradication of Helicobacter pylori are triple therapy with a proton pump inhibitor along with two antibiotics for 1 week. For example: ● Omeprazole 20 mg ϩ metronidazole 400 mg and clarithromycin 500 mg (all twice daily). ● Omeprazole 20 mg ϩ clarithromycin 500 mg and amoxicillin 1 g (all twice daily). Resistance to amoxicillin has not yet been demonstrated. Previously, regimens such as omeprazole, metronidazole, amoxicillin and clarithromycin were recommended; are these regimens no longer used?
Answer 14 Yes; the inhibition of gastric mucosal cyclo-oxygenase (COX) activity is a systemic effect. Answer 15 A patient with a bleeding peptic ulcer, which is usually due to Helicobacter pylori, should have eradication therapy. In the case of a bleeding ulcer, eradication must be checked with a 13C urea breath test or a stool antigen test. When eradication has been shown to be successful, it 41 6 Gastrointestinal disease is safe to use low-dose aspirin. ) Answer 16 Sulpiride is not used. It does have an antimuscarinic action, which would reduce acid production, but in GORD this is offset by a reduction in lower oesophageal sphincter tone.
1000 Questions and Answers from Kumar & Clark's Clinical Medicine by Parveen Kumar CBE BSc MD DM (HC) FRCP FRCP(Edin), Michael L Clark MD FRCP