, Graber and Wilbur’s
FAMILY MEDICINE
EXAMINATION
& BOARD REVIEW
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, Graber and Wilbur’s
FAMILY MEDICINE
EXAMINATION
& BOARD REVIEW
FIFTH EDITION
Editors
Mark A. Graber, MD, MSHCE, FACEP
Clinical Professor
Departments of Family Medicine and Emergency Medicine
Roy J. and Lucille A. Carver College of Medicine
University of Iowa
Iowa City, Iowa
Brigit E. Ray, MD, MME
Clinical Assistant Professor
Department of Family Medicine
Roy J. and Lucille A. Carver College of Medicine
University of Iowa
Iowa City, Iowa
Jason K. Wilbur, MD, FAAFP
Clinical Professor
Department of Family Medicine
Roy J. and Lucille A. Carver College of Medicine
University of Iowa
Iowa City, Iowa
New York/Chicago/San Francisco/Athens/London/Madrid/Mexico City/
New Delhi/Milan/Singapore/Sydney/Toronto
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, To the people who make Family Medicine happen. Jogjakarta:
Dr. Mora Claramita, Dr. Adi Heru Husodo, Dr. Wahyudi Istiono,
and Dr. Fitriana Murriya. Moscow: Professor Dr. Gregorii Efimovich
Roitberg, Dr. Olga Sharkun, Dr. Irina Slastnikova, Dr. Janna Dorosh,
and Professor Timothy O’Connor. Haiphong: Dr. Hùng Nguyễn Văn,
Dr. Linh Nguyễn, and Dr. Nguyễn Thuý Hiếu.
—MAG
To my parents, Bill and Bonnie Ray, for always loving, supporting, and
encouraging me to follow my dreams to become a family physician.
To all of my Family Medicine and education mentors including: Drs.
George Bergus, Rick Dobyns, Jason Wilbur, Bob Tallitsch, Jeff Pettit,
and Marcy Rosenbaum. Your guidance and support along this journey
have shaped me into the family physician educator I have become!
—BER
To my many mentors in Family Medicine, including Drs. John Ely,
Mark Graber, Paul James, Gerald Jogerst, and Barcey Levy; and to Dr.
Kate Thoma and all the Family Medicine program directors and faculty
members who work tirelessly (and mostly thanklessly) to develop the
next generation of excellent family doctors. Keep teaching; keep leading!
—JKW
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, Contents
Contributors..............................................................................................ix 16 Men’s Health............................................................................... 501
Preface..................................................................................................... xiii 17 Dermatology.............................................................................. 525
A Few Words on Studying and Taking the Board Examination...... xv
18 Neurology.................................................................................... 551
1 Emergency Medicine................................................................... 1 19 Ophthalmology......................................................................... 585
2 Cardiology......................................................................................43 20 Otolaryngology......................................................................... 607
3 Pulmonology.............................................................................. 105 21 Care of the Older Patient........................................................ 631
4 Allergy and Immunology....................................................... 141 22 Care of the Surgical Patient................................................... 662
5 Nephrology................................................................................. 150 23 Psychiatry.................................................................................... 693
6 Hematology and Oncology................................................... 183 24 Nutrition and Herbal Medicine............................................ 729
7 Gastroenterology...................................................................... 211 25 Substance Use Disorders....................................................... 742
8 Infectious Diseases................................................................... 253 26 Ethics............................................................................................. 763
9 HIV/AIDS...................................................................................... 281 27 End-of-Life Care......................................................................... 774
10 Endocrinology........................................................................... 296 28 Evidence-Based Medicine..................................................... 788
11 Rheumatology........................................................................... 330 29 Patient-Centered Care............................................................. 800
12 Orthopedics and Sports Medicine..................................... 364 30 Final Examination..................................................................... 813
13 Pediatrics..................................................................................... 395
14 Adolescent Medicine............................................................... 437
Index........................................................................................................841
15 Obstetrics and Women’s Health.......................................... 451
vii
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, Contributors
Emad Abou-Arab, MD, CME Guru V. Bhoojhawon, MBBS, MD, FAAP
Clinical Assistant Professor Clinical Associate Professor
Department of Family Medicine Department of Pediatrics
Roy J. and Lucille A. Carver College of Medicine Roy J. and Lucille A. Carver College of Medicine
University of Iowa University of Iowa
Iowa City, Iowa Iowa City, Iowa
10. Endocrinology 13. Pediatrics
Daniel M. Anderson, DO
Nicholas R. Butler, MD, MBA
Senior Associate Consultant
Clinical Associate Professor
Department of Neurology
Department of Family Medicine
Mayo Clinic Health System Franciscan Healthcare
Roy J. and Lucille A. Carver College of Medicine
La Crosse, Wisconsin
University of Iowa
18. Neurology
Iowa City, Iowa
A. Ben Appenheimer, MD 21. Care of the Older Patient
Clinical Assistant Professor
Department of Internal Medicine Rachel R. Butler, MD
Division of Infectious Diseases Clinical Assistant Professor
Roy J. and Lucille A. Carver College of Medicine Department of Internal Medicine
University of Iowa Division of Pulmonary, Critical Care, and Occupational
Iowa City, Iowa Medicine
8. Infectious Diseases Roy J. and Lucille A. Carver College of Medicine
9. HIV/AIDS University of Iowa
Iowa City, IA
Stacey Appenheimer, MD 3. Pulmonology
Clinical Assistant Professor
Department of Family Medicine
Meghan Connett, MD
Roy J. and Lucille A. Carver College of Medicine
Clinical Assistant Professor
University of Iowa
Department of Family Medicine
Iowa City, Iowa
Roy J. and Lucille A. Carver College of Medicine
14. Adolescent Medicine
University of Iowa
Iowa City, Iowa
Olivia E. Bailey, MD
15. Obstetrics and Women’s Health
Clinical Associate Professor
Department of Emergency Medicine
Roy J. and Lucille A. Carver College of Medicine Dustin Z. DeYoung, MD
University of Iowa Psychiatrist
Iowa City, Iowa Behavioral Health Associates
1. Emergency Medicine University of California, Los Angeles
Los Angeles, California
Maresi Berry-Stoelzle, MD
Department of Family Medicine Austin R. Fox, MD
Roy J. and Lucille A. Carver College of Medicine Department of Ophthalmology and Visual Sciences
University of Iowa University of Iowa
Iowa City, Iowa Iowa City, Iowa
6. Hematology and Oncology 19. Ophthalmology
ix
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