McGraw-Hill Specialty Board Review Pediatrics by Robert Daum, Jason Canel

By Robert Daum, Jason Canel

1000+ Q&As and a hundred+ real-world circumstances supply all of the guidance you wish for any pediatric exam and the boards

McGraw-Hill strong point Board overview: Pediatrics is the precise strategy to organize for any kind of pediatric attempt or exam required for education and certification. You’ll locate every thing you would like in a single entire case-based assessment: greater than one thousand board-style questions, solutions with thorough reasons, greater than a hundred instances, full-color illustrations, and fabric that follows the examination content material requirement of the yank Board of Pediatrics.

Here’s why this can be the easiest evaluate software for any pediatric examination:

  • More than a thousand board-style multiple-choice questions with specified resolution causes
  • Progressive case-based strategy, comprises real-life scientific vignettes
  • Covers all parts addressed via the board and recertification examinations, throughout all subspecialties
  • 4-page colour insert, that includes 33 colour pictures for instances pertinent to emergency drugs, dermatology, and infectious illnesses
  • Cases and questions emphasize knowing key scientific recommendations primary to pediatric perform making it simply transferrable to real-life medical situations

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A venous hum can be distinguished by the great amount of variability in quality with position changes and with turning the head. Innocent murmurs do not typically have a diastolic component. A split, fixed second heart sound is associated with an atrial septal defect. 3. (D) Common tests performed in evaluation of innocent heart murmurs include 12-lead ECGs, chest radiographs, 4-extremity blood pressure (to rule out coarctation of the aorta) and echocardiograms. The use of these tests is at the discretion of the examining physician and depends on the findings on physical examination as well as the past medical and family history.

E) Cyanosis can be divided into 2 clinical categories: central or peripheral. Central cyanosis is a result of a decrease in the oxygen saturation of blood supplying the body. Peripheral cyanosis is a benign finding caused by increased oxygen extraction in distal capillary beds and is commonly seen in normal neonates. The clinical detection of cyanosis occurs when approximately 3-5 g/dL of desaturated hemoglobin is present in the systemic circulation. The most common causes of central cyanosis in the neonate include cyanotic heart disease, hemoglobinopathies, and respiratory distress.

Atrial septal defects are unlikely to cause a heart murmur at this early age, and ventricular septal defects cause a holosystolic murmur that does not evolve into a continuous murmur. Peripheral pulmonary stenosis is associated with a systolic ejection murmur that radiates to the back and to both axillae. Aortic stenosis causes a systolic murmur that does not evolve into a continuous murmur. The ductus arteriosus is required for fetal circulation; however, the structure usually closes within hours after delivery secondary to changes in oxygen tension as well as other circulating factors such as prostaglandin.

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