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Gastroenterology Section:
Page 1-27, first column, under ACUTE MESENTERIC ISCHEMIA.
"Bowel infarction leads to acidosis, increased SGOT (ALT), and elevated amylase." ALT should be replaced with AST.
Pulmonary Medicine Section: Page 3-34, 3rd full paragraph:
It states that a health care worker with 10 mm diameter of induration (PPD result) is a candidate for treatment.
At the end of this Pulmonary Medicine section, review Question and Answer # 34 C indicates that a nurse with a PPD of 10mm does not need INH. The correct answer is that, for a PPD of 10 mm, the nurse should be treated. The guidelines for this group changed a few years ago, which is long enough for the question to now appear on the Boards. Page 3-27, middle of first column
It states: “As mentioned before, LMWH [Low Molecular Weight Heparin] is not used in pregnant women (yet).”
At the end of this Pulmonary Medicine section, review Question number 32 asks what the proper treatment is for a pregnant patient hospitalized for DVTs and PE, and who has been given IV heparin in the hospital. The correct answer to this question is given as B: “Adjusted-dose SQ heparin or LMWH until after delivery.”
Neither reference is wholly correct or wholly incorrect. Use of LMWH in pregnancy is standard in some centers, controversial in others. (As a result, this differentiation is unlikely to appear as a Board exam question.)
General Internal Medicine Section; page 10-15, under "Treatment Options for ED"
"Tadalafil (Cialis) has the same mechanism of action as sildenafil and tadalafil" should read: "Tadalafil (Cialis) has the same mechanism of action as sildenafil and vardenafil."
Endocrinology Section; page 7-29; under subheading: "NORMAL CALCIUM PHYSIOLOGY; last line of first paragraph:
It reads: "PTH increases Ca+ deposition into bone, increases renal tubular CA+ resorption, and renal tubular PO4 excretion." Replace this line with: "As mentioned above, PTH increases serum calcium levels by increasing resorption of bone and decreasing renal excretion of calcium. PTH stimulates renal secretion of phosphate which, in turn, enables calcium resorption."
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