• Over 2300 clinical vignette type questions

• Many questions focus on patient management

• Covers nine clinical science subjects

• Offers more precise study options than any other product

• More affordable than other study methods

• Disease/disorders of the central nervous system

• Diseases/disorders of the eye

• Diseases/disorders of the ear/nose/mouth/throat

• Diseases/disorders of the circulatory system

• Diseases/disorders of the blood/blood-forming organs

• Diseases/disorders of the digestive system

• Behavioral/emotional disorders

• Diseases/disorders of the musculoskeletal system

• Diseases/disorders of the skin/subcutaneous tissue

• Diseases/disorders of endocrine/nutrition/metabolic

• Diseases/disorders of the kidney/urinary tract

• Diseases/disorders of the male/female reproductive systems

• Infections/parasitic diseases

• Injuries/wounds/toxic effects/burns

• Health maintenance

• Ill-defined symptom complex

Infectious diseases of CNS -- tetanus, acute poliomyelitis, rabies, meningitis, encephalitis, brain abscess.

Diseases of peripheral nerves -- myasthenia gravis, neuropathies, neuralgia/neuritis.

Vascular diseases of CNS -- subarachnoid hemorrhage, transient cerebral ischemia, stroke/cerebral seizure/CVA.

Other diseases of CNS -- mental retardation, seizure disorder, brain death.

CNS trauma -- paraplegia.

Degenerative/hereditary CNS -- Alzheimer's, cerebral atrophy, Parkinson's disease, multiple sclerosis.

Intracranial neoplasm --

 

Eye -- ophthalmologic manifestations of diabetes, retinal detachments, defects and disorders, chorioretinitis, glaucoma, cataract, subjective visual disturbances, diplopia, visual field defects, pterygium, acute conjunctivitis, disorders of eyelids/lacrimal system, orbital cellulitis, disorders of optic nerve/visual pathways, strabismus, anomalies of pupillary function, nystagmus.

 

Ear -- diseases of the ear and mastoid process, infective otitis externa, impacted cerumen, otitis media, vertiginous syndromes, otalgia, hearing loss.

Mouth/tongue -- herpetic gingivostomatitis, herpes simplex fever blisters.

Nose/throat -- streptococcal sore throat, acute upper respiratory infection, chronic rhinitis, peritonsillar abscess, allergic rhinitis, diseases of nasal cavity, e.g., abscess.

Neoplasms -- malignant neoplasm of larynx, malignant neoplasm of lip, oral cavity, and pharynx.

Sinuses -- acute sinusitis, chronic sinusitis.

 

Pneumonia/influenza -- croup, acute bronchitis, acute bronchiolitis, bronchopneumonia, pneumonia, influenza with other respiratory manifestations.

Chronic obstructive pulmonary disease -- bronchitis, obstructive chronic bronchitis, emphysema, asthma, chronic airway obstruction.

Other diseases of the respiratory system -- pulmonary tuberculosis, sarcoidosis, pulmonary embolism and infarction, pleurisy without effusion, spontaneous tension pneumothorax, atelectasis, mediastinitis, cystic fibrosis, pulmonary hypertension.

Pneumoconiosis

Malignant neoplasm of bronchus/lung --

 

Essential hypertension --

Hypertensive disease -- hypertensive heart disease, hypertensive renal disease, secondary hypertension.

Coronary -- ischemic heart disease.

Congestive heart failure -- pericarditis, cardiomyopathy.

Atherosclerosis -- arteriosclerotic cardiovascular disease, generalized arteriosclerotic vascular disease.

Peripheral vascular disease -- aortic aneurysm, peripheral vascular disease, arterial embolism/thrombosis, phlebitis/thrombophlebitis, venous embolism/thrombosis, varicose veins of the lower extremity.

Valvular heart disease -- rheumatic heart disease, endocarditis, congenital anomalies of the heart.

Arrhythmias/conduction disorders --

 

Malignant neoplasias -- leukemias, multiple myeloma, lymphomas

Anemias -- iron deficiency, pernicious

Other -- septicemia, coagulation disorder, polycythemia, viremia, transfusion reaction.

 

Esophagus -- malignant neoplasm of the esophagus, esophageal varices, achalasia, esophagitis.

Stomach -- malignant neoplasm of the stomach, benign neoplasm of this stomach, gastric ulcer, peptic ulcer, gastritis.

Small intestine/colon -- malignant neoplasm of the colon, duodenal ulcer/duodenitis, benign neoplasm of the duodenum, jejunum, ileum, appendicitis, noninfectious gastroenteritis, intestinal obstruction, diverticula of the small intestine, diverticula of the colon, irritable colon/irritable bowel syndrome, peritonitis, prolapse, abscess.

Rectum -- malignant neoplasm of rectosigmoid junction, malignant neoplasm of rectum, benign neoplasm of rectum, hemorrhoids, anal fissure, abscess of anal and rectal regions, proctitis.

Gallbladder -- calculus of gallbladder, cholecystitis.

Liver -- malignant neoplasm of the liver, cirrhosis of the liver.

Pancreas -- malignant neoplasm of pancreas, benign neoplasm of pancreas, pancreatitis.

Hernia -- inguinal hernia, other hernias with obstruction, ventral hernia, diaphragmatic hernia.

 

Psychoses -- schizophrenia, mood disorders (affective psychoses), bipolar disorder, mixed, paranoid states, other non-organic psychoses, psychoses originating in childhood.

Eating disorders -- obesity, anorexia nervosa, bulimia.

Anxiety/mood/personality disorders -- anxiety/panic disorders, somatoform disorders, neurotic disorders, personality disorders, acute stress reaction, adjustment disorders, depressive disorders, conduct disturbance, attention-deficit/hyperactivity disorder, physical disorders of psychogenetic origin.

Substance abuse disorders -- alcoholism, chemical/drug dependence.

Other -- altered mental status/confusion states, SIDS family, abuse of other person, uncomplicated bereavement, sexual dysfunction.

 

Minor/acute musculoskeletal problems -- internal derangement of the knee, effusion of the joint, fibrositis of the shoulder region, synovitis/tenosynovitis, bursitis, ganglion/cyst of Synovium/tendon/bursa, muscular wasting and disuse atrophy, infective myositis, myositis ossificans, myalgia/myositis, disorders of the bone and cartilage, developmental problems, other congenital anomalies of limbs.

Disorders of the back/spine -- spinal enthesopathy, spondylosis, spinal stenosis, kyphoscoliosis/scoliosis, sprains and strains of back.

Contusions --

Fractures/dislocations -- closed fracture of the mandible, fracture of the vertebral column, closed fracture of phalanges of the hand, fracture of the neck or femur, various closed fractures of the foot and leg, dislocations/separations.

Other sprains/strains -- temporomandibular joint disorders, rotator cuff syndrome, enthesophathy of the elbow and ankle region.

Rheumatoid condition -- various collagen disorders, rheumatoid arthritis, other non-arthritic rheumatism.

Osteoarthritis and arthropathys -- infective arthritis, monoarthritis.

Malignancy -- secondary malignant neoplasm of the bone/marrow, pathologic fracture.

 

Skin eruptions -- scabies, contact dermatitis, psoriasis, pemphigus, acne, seborrhea, urticaria.

Nails/hair -- ingrowing nail, diseases of hair/hair follicles.

Decubitus ulcer --

Lumps/tumors of the skin -- viral warts, secondary syphilis, malignant neoplasm of the skin, benign neoplasm of the skin, keratoderma, sebaceous cyst.

 

Diseases of the thyroid gland -- malignant neoplasm of the thyroid, goiter, hyperthyroidism, hypothyroidism.

Diabetes mellitus, hypoglycemia --

Nutritional deficiencies -- nutritional deficiencies/A vitaminosis.

Disorders of the adrenal gland -- Cushing Syndrome, hyperaldosteronism.

Other endocrine/metabolic/immunity disease -- hypercholesterolemia, gout, electrolyte disorders, immunity deficiency.

 

Lower -- malignant neoplasm of the prostate, malignant neoplasm of the bladder, other urethritis, hyperplasia of the prostate, enuresis.

Upper -- malignant neoplasm of the kidney, nephrotic syndrome/nephritis, chronic renal failure/insufficiency, acute renal failure, calculus of kidney, ureter.

 

Uterus -- malignant neoplasm of the uterus, leiomyoma of the uterus, disorders of the uterus, uterine prolapse.

Ovary -- malignant neoplasm of the ovary, ovarian cysts.

Cervix -- malignant neoplasm of the cervix, cervicitis/endocervicitis, dysplasia of cervix uteri, abnormal Pap smear of the cervix

Vagina/vulva -- malignant neoplasm of the vagina/vulva, vaginitis/vulvovaginitis, prolapse of the vaginal walls

Menstrual disorders -- dysmenorrhea, pre-menstrual tension syndrome.

Menopause -- climacteric states, atrophic vaginitis.

Breast -- malignant neoplasm of the female breast, benign neoplasm of the breast, breast-related problems, e.g., cyst.

Female infertility --

Acute parametritis/pelvic cellulitis -- disorders of the pelvic organs (PID), female infertility.

Male reproductive system -- testicular feminization, male infertility, torsion of testes, testicular mass.

Pregnancy/childbirth/neonates --

Pregnancy, complicated -- adolescent pregnancy, supervision of at-risk pregnancy, ectopic pregnancy, spontaneous, induced or septic abortion, hemorrhage in early pregnancy, placenta previa, abruptio placentae, antepartum hemorrhage, preeclampsia, eclampsia, pre-mature labor, other viral diseases in pregnancy, incompetent cervix, CNS malformation in fetus, suspected fetal abnormality, Rh incompatibility, infection, amniotic cavity, obstruction/malposition of fetus at birth, cesarean delivery, complications of labor and delivery, trisomy, multiple fetuses.

Uncomplicated pregnancy -- supervision of normal pregnancy and delivery, single liveborn before admission to hospital.

Condition is originating in the perinatal period -- congenital anomalies of the digestive system, fetal growth retardation, post-term infants, birth trauma, birth asphyxia, respiratory distress syndrome, other respiratory problems after birth, infections specific to the perinatal period, hemolytic disease due to isoimmunization, perinatal jaundice.

 

Intestinal infectious diseases -- enteric infections.

Other bacterial diseases -- streptococcal infection, staphylococcal infection, pneumococcal infection, Escherichia coli infection, Hemophilus influenzae infection, other bacterial infections.

Other diseases due to viruses and chlamydia -- hepatitis, mumps, herpangina, infectious mononucleosis, inclusion conjunctivitis, molluscum contagiosum, cat-scratch disease, foot and mouth disease, cytomegalic inclusion disease, ECHO virus, rhinovirus.

Infections of the skin and subcutaneous tissue -- impetigo, cellulitis/other local infection.

HIV infection -- AIDS, ARC.

Viral diseases accompanied by exanthem -- chicken pox, herpes zoster without complications, herpes zoster with herpes simplex, measles, rubella and roseola, erythema infectiosum (Fifth Disease)

Arthropod-borne diseases -- Lyme disease.

Syphilis and other venereal diseases -- syphilis, gonococcal infections.

Mycoses -- dermatophytosis, candidiasis of vulva, vagina, mouth.

Infectious diseases of the urinary system -- infections of the kidney, acute cystitis.

Infectious disease complicating pregnancy -- infection of genitourinary tract, other infections complicating pregnancy.

Infections involving bone -- acute or chronic osteomyelitis

 

Eye injury -- foreign body in the eye, eye burn.

Foreign body -- foreign body in the ear and nose, foreign body in trachea/aspiration, swallowed foreign body.

Various toxins -- food poisoning, poisoning by drugs/medicinal substances, toxic effects of non-medicinal substances, adverse effects of drugs/medicinal substances.

Other -- epistaxis, burns

Trauma -- rape/crisis adjustment, concussion with no loss of consciousness, concussion with brief loss of consciousness, cranial injuries, traumatic pneumothorax, internal injuries of chest, abdomen and pelvis, frostbite, heat stroke.

Post-operative complications -- central nervous system complications, respiratory complications, post-operative infections, complications of medical care or procedures.

Wounds --

 

General checks -- child behavioral/developmental disorder, routine child/infant health check, other counseling, follow-up examinations, general medical examinations, other after-care follow-up, laboratory examination, community-related prevention.

Targeted checks, gynecology -- general counseling for contraception, sterilization, surveillance of prescribed contraceptives, contraceptive management, genetic counseling, antenatal screening, gynecologic examination, routine cervical Pap smear.

Targeted checks, cardiovascular risk -- dietary surveillance, exercise, screening for cardiovascular conditions.

Vaccinations/other chemotherapy -- influenza vaccination, DTP and polio vaccinations, vaccinations, desensitization to allergens, other prophylactic chemotherapy, skin immunity and sensitization tests.

Non-dependent abuse of drugs (incidental) -- alcohol abuse, tobacco use disorder, cannabis, hallucinogen abuse, sedative, hypnotic or anxiolytic abuse, opioid, cocaine, amphetamine abuse, antidepressant type abuse, other or mixed drug abuse.

 

Symptoms referable to nutrition -- abnormal weight gain or loss, loss of appetite.

Symptoms referable to the circulatory system -- palpitations, murmurs.

Symptoms referable to the respiratory system -- dyspnes, stridor, cough.

Symptoms referable to the digestive system -- dyspepsia, constipation, diarrhea, hemorrhage of rectum and anus, gastrointestinal hemorrhage, nausea and vomiting, abdominal pain, ascites, abnormal stool contents.

Symptoms referable to the genitourinary system -- renal colic, dysuria, incontinence.

Symptoms referable to be musculoskeletal system -- pain in joint, stiffness of joint, pain in limb.

Symptoms referable to the central nervous system -- Reye syndrome, migraine, convulsions, headache.

Ill-defined presentations -- lymphadenitis, psychalgia, syncope and collapse, dizziness/giddiness, sleep disturbances, pyrexia of unknown origin, malaise and fatigue, localized swelling, mass, lump, rash, edema, pallor, lack of normal physiological development, septic shock, enlarged lymph nodes, chest pain, abdominal mass, signs and symptoms in the breast, allergy, ataxia.

Ill-defined causes of morbidity -- malignant neoplasm, unspecified site.