BOARD REVIEW FROM MEDSCAPE
Case-Based Internal Medicine
Self-Assessment Questions
CLINICAL ESSENTIALS
CARDIOVASCULAR MEDICINE
DERMATOLOGY
ENDOCRINOLOGY
GASTROENTEROLOGY
HEMATOLOGY
IMMUNOLOGY/ALLERGY
INFECTIOUS DISEASE
INTERDISCIPLINARY MEDICINE
METABOLISM
NEPHROLOGY
NEUROLOGY
ONCOLOGY
PSYCHIATRY
RESPIRATORY MEDICINE
RHEUMATOLOGY
www.acpmedicine.com
,BOARD REVIEW FROM MEDSCAPE
Case-Based Internal Medicine
Self-Assessment Questions
,Director of Publishing Cynthia M. Chevins
Director, Electronic Publishing Liz Pope
Managing Editor Erin Michael Kelly
Development Editors Nancy Terry, John Heinegg
Senior Copy Editor John J. Anello
Copy Editor David Terry
Art and Design Editor Elizabeth Klarfeld
Electronic Composition Diane Joiner, Jennifer Smith
Manufacturing Producer Derek Nash
© 2005 WebMD Inc. All rights reserved.
No part of this book may be reproduced in any form by any means, including photocopying, or translated, trans-
mitted, framed, or stored in a retrieval system other than for personal use without the written permission of the
publisher.
Printed in the United States of America
ISBN: 0-9748327-7-4
Published by WebMD Inc.
Board Review from Medscape
WebMD Professional Publishing
111 Eighth Avenue
Suite 700, 7th Floor
New York, NY 10011
1-800-545-0554
1-203-790-2087
1-203-790-2066
The authors, editors, and publisher have conscientiously and carefully tried to ensure that recommended measures and drug dosages
in these pages are accurate and conform to the standards that prevailed at the time of publication. The reader is advised, however, to
check the product information sheet accompanying each drug to be familiar with any changes in the dosage schedule or in the contra-
indications. This advice should be taken with particular seriousness if the agent to be administered is a new one or one that is infre-
quently used. Board Review from Medscape describes basic principles of diagnosis and therapy. Because of the uniqueness of each patient and
the need to take into account a number of concurrent considerations, however, this information should be used by physicians only as a general
guide to clinical decision making.
Board Review from Medscape is derived from the ACP Medicine CME program, which is accredited by the University of Alabama School of
Medicine and Medscape, both of whom are accredited by the ACCME to provide continuing medical education for physicians. Board Review
from Medscape is intended for use in self-assessment, not as a way to earn CME credits.
, EDITORIAL BOARD
Editor-in-Chief Janet B. Henrich, M.D.
David C. Dale, M.D., F.A.C.P. Associate Professor of Medicine and Obstetrics and
Professor of Medicine, University of Washington Gynecology, Yale University School of Medicine, New
Medical Center, Seattle, Washington Haven, Connecticut
(Hematology, Infectious Disease, and General Internal (Women’s Health)
Medicine)
William L. Henrich, M.D., F.A.C.P.
Founding Editor Professor and Chairman, Department of Medicine,
Daniel D. Federman, M.D., M.A.C.P. University of Maryland School of Medicine, Baltimore,
The Carl W. Walter Distinguished Professor of Medicine Maryland
and Medical Education and Senior Dean for Alumni (Nephrology)
Relations and Clinical Teaching, Harvard Medical
School, Boston, Massachusetts Michael J. Holtzman, M.D.
Selma and Herman Seldin Professor of Medicine, and
Director, Division of Pulmonary and Critical Care
Associate Editors Medicine, Washington University School of Medicine,
Karen H. Antman, M.D. St. Louis, Missouri
Deputy Director for Translational and Clinical Science, (Respiratory Medicine)
National Cancer Institute, National Institutes of Health,
Bethesda, Maryland Mark G. Lebwohl, M.D.
(Oncology) Sol and Clara Kest Professor and Chairman, Department
of Dermatology, Mount Sinai School of Medicine, New
John P. Atkinson, M.D., F.A.C.P. York, New York
Samuel B. Grant Professor and Professor of Medicine (Dermatology)
and Molecular Microbiology, Washington University
School of Medicine, St. Louis, Missouri Wendy Levinson, M.D., F.A.C.P.
(Immunology) Vice Chairman, Department of Medicine, The
University of Toronto, and Associate Director, Research
Christine K. Cassel, M.D., M.A.C.P. Administration, Saint Michael’s Hospital, Toronto,
President, American Board of Internal Medicine, Ontario, Canada
Philadelphia, Pennsylvania (Evidence-Based Medicine and General Internal Medicine)
(Ethics, Geriatrics, and General Internal Medicine)
Mark Feldman, M.D., F.A.C.P. D. Lynn Loriaux, M.D., Ph.D., M.A.C.P.
Professor of Medicine and Chair, Department of
William O. Tschumy, Jr., M.D., Chair of Internal
Medicine, Oregon Health Sciences University, Portland,
Medicine and Clinical Professor of Internal Medicine,
Oregon
University of Texas Southwestern Medical School of
(Endocrinology and Metabolism)
Dallas; and Director, Internal Medicine Residency
Program, Presbyterian Hospital of Dallas, Dallas, Texas
(Gastroenterology) Shaun Ruddy, M.D., F.A.C.P.
Elam C. Toone Professor of Internal Medicine,
Raymond J. Gibbons, M.D. Microbiology and Immunology, and Professor Emeritus,
Director, Nuclear Cardiology Laboratory, The Mayo Division of Rheumatology, Allergy and Immunology,
Clinic, Rochester, Minnesota Medical College of Virginia at Commonwealth
(Cardiology) University, Richmond, Virginia
(Rheumatology)
Brian Haynes, M.D., Ph.D., F.A.C.P.
Professor of Clinical Epidemiology and Medicine and Jerry S. Wolinsky, M.D.
Chair, Department of Clinical Epidemiology and The Bartels Family Professor of Neurology, The
Biostatistics, McMaster University Health Sciences University of Texas Health Science Center at Houston
Centre, Hamilton, Ontario, Canada Medical School, and Attending Neurologist, Hermann
(Evidence-Based Medicine, Medical Informatics, and General Hospital, Houston, Texas
Internal Medicine) (Neurology)
Case-Based Internal Medicine
Self-Assessment Questions
CLINICAL ESSENTIALS
CARDIOVASCULAR MEDICINE
DERMATOLOGY
ENDOCRINOLOGY
GASTROENTEROLOGY
HEMATOLOGY
IMMUNOLOGY/ALLERGY
INFECTIOUS DISEASE
INTERDISCIPLINARY MEDICINE
METABOLISM
NEPHROLOGY
NEUROLOGY
ONCOLOGY
PSYCHIATRY
RESPIRATORY MEDICINE
RHEUMATOLOGY
www.acpmedicine.com
,BOARD REVIEW FROM MEDSCAPE
Case-Based Internal Medicine
Self-Assessment Questions
,Director of Publishing Cynthia M. Chevins
Director, Electronic Publishing Liz Pope
Managing Editor Erin Michael Kelly
Development Editors Nancy Terry, John Heinegg
Senior Copy Editor John J. Anello
Copy Editor David Terry
Art and Design Editor Elizabeth Klarfeld
Electronic Composition Diane Joiner, Jennifer Smith
Manufacturing Producer Derek Nash
© 2005 WebMD Inc. All rights reserved.
No part of this book may be reproduced in any form by any means, including photocopying, or translated, trans-
mitted, framed, or stored in a retrieval system other than for personal use without the written permission of the
publisher.
Printed in the United States of America
ISBN: 0-9748327-7-4
Published by WebMD Inc.
Board Review from Medscape
WebMD Professional Publishing
111 Eighth Avenue
Suite 700, 7th Floor
New York, NY 10011
1-800-545-0554
1-203-790-2087
1-203-790-2066
The authors, editors, and publisher have conscientiously and carefully tried to ensure that recommended measures and drug dosages
in these pages are accurate and conform to the standards that prevailed at the time of publication. The reader is advised, however, to
check the product information sheet accompanying each drug to be familiar with any changes in the dosage schedule or in the contra-
indications. This advice should be taken with particular seriousness if the agent to be administered is a new one or one that is infre-
quently used. Board Review from Medscape describes basic principles of diagnosis and therapy. Because of the uniqueness of each patient and
the need to take into account a number of concurrent considerations, however, this information should be used by physicians only as a general
guide to clinical decision making.
Board Review from Medscape is derived from the ACP Medicine CME program, which is accredited by the University of Alabama School of
Medicine and Medscape, both of whom are accredited by the ACCME to provide continuing medical education for physicians. Board Review
from Medscape is intended for use in self-assessment, not as a way to earn CME credits.
, EDITORIAL BOARD
Editor-in-Chief Janet B. Henrich, M.D.
David C. Dale, M.D., F.A.C.P. Associate Professor of Medicine and Obstetrics and
Professor of Medicine, University of Washington Gynecology, Yale University School of Medicine, New
Medical Center, Seattle, Washington Haven, Connecticut
(Hematology, Infectious Disease, and General Internal (Women’s Health)
Medicine)
William L. Henrich, M.D., F.A.C.P.
Founding Editor Professor and Chairman, Department of Medicine,
Daniel D. Federman, M.D., M.A.C.P. University of Maryland School of Medicine, Baltimore,
The Carl W. Walter Distinguished Professor of Medicine Maryland
and Medical Education and Senior Dean for Alumni (Nephrology)
Relations and Clinical Teaching, Harvard Medical
School, Boston, Massachusetts Michael J. Holtzman, M.D.
Selma and Herman Seldin Professor of Medicine, and
Director, Division of Pulmonary and Critical Care
Associate Editors Medicine, Washington University School of Medicine,
Karen H. Antman, M.D. St. Louis, Missouri
Deputy Director for Translational and Clinical Science, (Respiratory Medicine)
National Cancer Institute, National Institutes of Health,
Bethesda, Maryland Mark G. Lebwohl, M.D.
(Oncology) Sol and Clara Kest Professor and Chairman, Department
of Dermatology, Mount Sinai School of Medicine, New
John P. Atkinson, M.D., F.A.C.P. York, New York
Samuel B. Grant Professor and Professor of Medicine (Dermatology)
and Molecular Microbiology, Washington University
School of Medicine, St. Louis, Missouri Wendy Levinson, M.D., F.A.C.P.
(Immunology) Vice Chairman, Department of Medicine, The
University of Toronto, and Associate Director, Research
Christine K. Cassel, M.D., M.A.C.P. Administration, Saint Michael’s Hospital, Toronto,
President, American Board of Internal Medicine, Ontario, Canada
Philadelphia, Pennsylvania (Evidence-Based Medicine and General Internal Medicine)
(Ethics, Geriatrics, and General Internal Medicine)
Mark Feldman, M.D., F.A.C.P. D. Lynn Loriaux, M.D., Ph.D., M.A.C.P.
Professor of Medicine and Chair, Department of
William O. Tschumy, Jr., M.D., Chair of Internal
Medicine, Oregon Health Sciences University, Portland,
Medicine and Clinical Professor of Internal Medicine,
Oregon
University of Texas Southwestern Medical School of
(Endocrinology and Metabolism)
Dallas; and Director, Internal Medicine Residency
Program, Presbyterian Hospital of Dallas, Dallas, Texas
(Gastroenterology) Shaun Ruddy, M.D., F.A.C.P.
Elam C. Toone Professor of Internal Medicine,
Raymond J. Gibbons, M.D. Microbiology and Immunology, and Professor Emeritus,
Director, Nuclear Cardiology Laboratory, The Mayo Division of Rheumatology, Allergy and Immunology,
Clinic, Rochester, Minnesota Medical College of Virginia at Commonwealth
(Cardiology) University, Richmond, Virginia
(Rheumatology)
Brian Haynes, M.D., Ph.D., F.A.C.P.
Professor of Clinical Epidemiology and Medicine and Jerry S. Wolinsky, M.D.
Chair, Department of Clinical Epidemiology and The Bartels Family Professor of Neurology, The
Biostatistics, McMaster University Health Sciences University of Texas Health Science Center at Houston
Centre, Hamilton, Ontario, Canada Medical School, and Attending Neurologist, Hermann
(Evidence-Based Medicine, Medical Informatics, and General Hospital, Houston, Texas
Internal Medicine) (Neurology)
