Additional Information
Book Details
Abstract
The Gunner Goggles Series is the first exam prep resource written by a high-scoring peer group of medical students, ensuring the most practical and efficient study guidance. It organizes topics around the USMLE and NBME content outlines for the required shelf exams and features state-of-the-art Augmented Reality (AR) mobile application to extend learning beyond the book. This innovative series features AR opportunities throughout the text for an integrated print-mobile experience that maximizes learning and test preparation. The Gunner Goggle function allows you to scan pages for integrated AR links, unlocking animations, visuals, and 3D models that clarify complex anatomy, conditions, and concepts in a remarkably effective and unique manner.
Gunner Goggles Series: Family Medicine is one of seven authoritative exam preparation guides that use cutting-edge AR technology to fully prepare you for the NBME clinical shelf exams, the USMLE Step 2 Clinical Knowledge (CK) exam, and successful clinical rotations.
- Topics are organized around the USMLE and NBME content outlines for specific shelf exams, and information is presented in a highly templated, concise manner.
- The Augmented Reality application allows you to efficiently study and learn using an integrated print-mobile approach. In addition to unlocking animations and other visuals, AR app access also includes additional content, links to provide feedback to the authors, community pages, and more.
- All test topics are covered in just enough detail to help you hone in on key points you must know for exam success.
- Unique! Every disease is described by its stem clues (buzzwords that appear in question stems) and prophylactic measures (PPx), mechanism (MoD), diagnostic tests (Dx) and treatment/management principles (Tx/Mgmt) – the four "Physician Tasks" that the NBME requires students to know about each disease.
- You’ll also get real-world tips for your clinical rotations from your peers – information that won’t show up on the shelf exam but is ideal for maximum impact when on rounds (knowing the prognosis for a specific disease, for example).
- Plus … effective study techniques, sample study schedules, tips and tricks to better retain information learned from review questions, and methods to self-generate mnemonics.
- Edited, written, and crowdsourced by high-performing medical students and residents and reviewed by experts in the field to ensure accuracy, relevancy, and accessibility.
Titles in the Gunner Goggles series:
Family Medicine • Print ISBN: 978-0-323-51034-9 • e-Book ISBN: 978-0-323-52756-9
Medicine • Print ISBN: 978-0-323-51035-6 • e-Book ISBN: 978-0-323-52758-3
Neurology • Print ISBN: 978-0-323-51036-3 • e-Book ISBN: 978-0-323-52760-6
Ob-Gyn • Print ISBN: 978-0-323-51037-0 • e-Book ISBN: 978-0-323-52768-2
Pediatrics • Print ISBN: 978-0-323-51038-7 • e-Book ISBN: 978-0-323-52763-7
Psychiatry • Print ISBN: 978-0-323-51039-4 e-Book ISBN: 978-0-323-52765-1
Surgery • Print ISBN: 978-0-323-51040-0 • e-Book ISBN: 978-0-323-52767-5
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| IFC | ES1 | ||
| GunnerGogglesDownload the Gunner Goggles App Now! | i | ||
| GUNNER GOGGLES: Family Medicine | iii | ||
| Copyright | iv | ||
| Gunner Goggles Honors ShelfReview Series | v | ||
| Acknowledgments | viii | ||
| Contents | ix | ||
| 1 - Introduction | 1 | ||
| I. The Gunner’s Guide to a Better Test Score | 1 | ||
| II. Augmented Reality: A New Paradigm for Shelf Exam Test Prep | 2 | ||
| Presentation | 3 | ||
| Evaluation | 3 | ||
| Community Engagement | 4 | ||
| Augmented Reality Frequently Asked Questions | 4 | ||
| III. Study Smart: Mnemonics and Gunner Study Tips | 5 | ||
| Understand the Organizing Principle | 5 | ||
| Create Effective Mnemonics | 5 | ||
| Devise a Study Schedule and Stick to It | 7 | ||
| Distinguish Rotation-Knowledge From Shelf-Knowledge | 7 | ||
| IV. Intro to the National Board of Medical Examiners Clinical Science Family Medicine Subject Exam | 7 | ||
| 2 - General Principles | 12 | ||
| Introduction | 12 | ||
| Screening, Counseling, Prevention, and Wellness Exams | 12 | ||
| Breast Cancer | 12 | ||
| Cervical Cancer | 13 | ||
| Menopause | 13 | ||
| Perimenopause | 14 | ||
| Osteoporosis | 14 | ||
| Obesity | 14 | ||
| Immunizations | 15 | ||
| Cardiovascular Disease | 18 | ||
| Smoking | 18 | ||
| Alcohol | 19 | ||
| Nutritional Counseling | 19 | ||
| Prostate Cancer | 20 | ||
| Colon Cancer | 20 | ||
| Exercise Prescription | 20 | ||
| Well Child Exam | 20 | ||
| Biostatics and Epidemiology for the Family Medicine Shelf | 21 | ||
| Medical Ethics for the Family Medicine Shelf | 24 | ||
| Vitamin Deficiencies | 27 | ||
| Vitamin A (Retinol) Deficiency | 27 | ||
| Vitamin B1 (Thiamine) Deficiency | 28 | ||
| Vitamin B3 (Niacin; Nicotinic Acid) Deficiency | 28 | ||
| Vitamin B6 (Pyridoxine) Deficiency | 28 | ||
| Vitamin B12 (Cobalamin) Deficiency | 29 | ||
| Vitamin D Deficiency | 29 | ||
| Vitamin E Deficiency | 30 | ||
| Vitamin C Deficiency | 30 | ||
| Vitamin K Deficiency | 30 | ||
| Zinc Deficiency | 30 | ||
| 3 - Immunologic Disorders | 34 | ||
| Introduction | 34 | ||
| Immunologically Mediated Disorders | 34 | ||
| Multisystem Infectious Disorders | 35 | ||
| Lyme Disease (Borrelia burgdorferi) | 35 | ||
| Q Fever (Coxiella burnetii) | 37 | ||
| Rickettsiosis (Rocky Mountain Spotted Fever) | 37 | ||
| Infectious Mononucleosis (aka “Mono”) | 37 | ||
| Cytomegalovirus Infection | 39 | ||
| Fungal Infections | 40 | ||
| Candidiasis (Candida albicans) | 40 | ||
| Parasitic | 41 | ||
| Schistosomiasis (Schistosoma) | 43 | ||
| Leishmaniasis (Leishmania spp.), Visceral (Kalaazar) | 43 | ||
| Trypanosomiasis/Chagas Disease, Acute and Chronic (Trypanosoma) | 43 | ||
| Autoimmune Disorders | 43 | ||
| Systemic Lupus Erythematosus (aka Lupus) | 43 | ||
| Lupus Treatment in Pregnancy | 46 | ||
| Sjogren Syndrome | 46 | ||
| Systemic Sclerosis (aka Scleroderma) | 47 | ||
| Mixed Connective Tissue Disease | 48 | ||
| Reactive Arthritis (aka Reiter Disease/Reiter Arthritis) | 49 | ||
| Sexually Transmitted Infections | 49 | ||
| Bacterial Vaginosis | 49 | ||
| Trichomonas | 50 | ||
| Urinary Tract Infection (Cystitis) | 51 | ||
| Chlamydia | 52 | ||
| Gonorrhea | 52 | ||
| Pelvic Inflammatory Disease | 53 | ||
| Chancroid | 53 | ||
| Genital Herpes | 54 | ||
| Human Papillomavirus | 54 | ||
| Lymphogranuloma Venereum | 55 | ||
| Syphilis | 55 | ||
| Notes | 57 | ||
| 4 - Diseases of the Blood and Blood-Forming Organs | 60 | ||
| Introduction | 60 | ||
| Infections of the Blood and Lymph | 60 | ||
| Malaria | 60 | ||
| Human Immunodeficiency Virus Infection and Acquired Immunodeficiency Syndrome | 61 | ||
| Cat Scratch Disease (Bartonella henselae) | 63 | ||
| Anemias | 63 | ||
| Iron Deficiency Anemia | 64 | ||
| Anemia of Chronic Disease (Inflammation) | 65 | ||
| Thalassemias | 65 | ||
| Vitamin B12 (Cobalamin) Deficiency | 67 | ||
| Sickle Cell Disease | 67 | ||
| Coagulation Disorders | 68 | ||
| Hemophilia A | 69 | ||
| Hemophilia B | 69 | ||
| von Willebrand Disease | 70 | ||
| Antiphospholipid Syndrome (Lupus Anticoagulant, Anticardiolipin) | 70 | ||
| Notes | 73 | ||
| 5 - Mental Disorders | 76 | ||
| Introduction | 76 | ||
| Mental Disorders | 76 | ||
| Mood Disorders | 76 | ||
| Major Depressive Episode | 77 | ||
| Manic Episode | 77 | ||
| Hypomanic Episode | 77 | ||
| Anxiety Disorders | 83 | ||
| Phobic Disorders (Specific and Social Phobias) | 86 | ||
| Substance Use Disorders | 87 | ||
| Symptoms of Substance Intoxication and Withdrawal | 88 | ||
| 6 - Diseases of the Nervous System and Special Senses | 96 | ||
| Introduction | 96 | ||
| Cerebrovascular Disease | 97 | ||
| Transient Ischemic Attack | 97 | ||
| Stroke | 97 | ||
| Subclavian Steal Syndrome | 99 | ||
| Vascular Dementia | 100 | ||
| Migraine | 100 | ||
| Tension Headache | 101 | ||
| Cluster Headache | 102 | ||
| Pseudotumor Cerebri (aka Idiopathic Intracranial Hypertension) | 102 | ||
| Mild Traumatic Brain Injury (Concussion) | 103 | ||
| Dementia | 103 | ||
| Alzheimer Disease | 103 | ||
| Frontotemporal Dementia (Pick Disease) | 104 | ||
| Lewy Body Dementia | 105 | ||
| Parkinson Disease | 105 | ||
| Miscellaneous Neurologic Disorders | 106 | ||
| Essential Tremor | 106 | ||
| Bell’s Palsy (CN VII) | 106 | ||
| Trigeminal Neuralgia | 107 | ||
| Multiple Sclerosis | 107 | ||
| 7 - Cardiovascular Disorders | 111 | ||
| Coronary Artery Disease | 111 | ||
| Stable Angina | 111 | ||
| Unstable Angina | 112 | ||
| Non-ST-Elevation Myocardial Infarction | 113 | ||
| ST-Elevation Myocardial Infarction | 113 | ||
| Printzmetal Angina (Variant Angina) | 115 | ||
| Cardiac Arrhythmias | 115 | ||
| Atrial Fibrillation (Fig. 7.3) | 115 | ||
| Infectious and Inflammatory Disorders | 117 | ||
| Acute Pericarditis | 117 | ||
| Constrictive Pericarditis | 117 | ||
| Infectious Endocarditis | 117 | ||
| Non-Infectious (Marantic endocarditis) | 119 | ||
| Diseases of Vascular System | 119 | ||
| Orthostatic Hypotension | 119 | ||
| Hypertension | 120 | ||
| Peripheral Artery Disease | 121 | ||
| Compartment Syndrome | 122 | ||
| Deep Vein Thrombosis | 122 | ||
| Venous Insufficiency | 123 | ||
| Aortic Aneurysm (Thoracic and Abdominal) | 123 | ||
| Aortic Dissection | 124 | ||
| Cholesterol Abnormalities | 125 | ||
| Hyperlipidemia | 125 | ||
| Familial Hypercholesterolemia | 126 | ||
| Familial Hyperchylomicronemia (Lipoprotein Lipase Deficiency) | 127 | ||
| Familial Hypertriglyceridemia | 128 | ||
| Notes | 129 | ||
| 8 - Diseases of the Respiratory System | 132 | ||
| Introduction | 132 | ||
| Disorders of the Lung Parenchyma | 132 | ||
| Alpha-1 Antitrypsin Deficiency | 132 | ||
| Cystic Fibrosis | 133 | ||
| Acute Nasopharyngitis | 135 | ||
| Influenza (“The Flu”) | 135 | ||
| Sinusitis | 137 | ||
| Epiglottitis | 137 | ||
| Croup (Laryngotracheobronchitis) | 138 | ||
| Acute Laryngitis | 139 | ||
| Streptococcal Pharyngitis | 139 | ||
| Peritonsillar Abscess | 139 | ||
| Allergic Rhinitis | 140 | ||
| Infectious, Immunologic, and Inflammatory Disorders of the Lower Airway | 140 | ||
| Pneumonia | 140 | ||
| Fungal Infections | 143 | ||
| Histoplasmosis | 143 | ||
| Coccidioidomycosis | 143 | ||
| Blastomycosis | 144 | ||
| Asthma | 144 | ||
| Chronic Obstructive Pulmonary Disease | 146 | ||
| Neoplasms | 147 | ||
| Solitary Pulmonary Nodule | 147 | ||
| Lip-Squamous Cell Carcinoma | 149 | ||
| Lung-Squamous Cell Carcinoma | 149 | ||
| Adenocarcinoma of the Lung | 150 | ||
| Small Cell Carcinoma of the Lung | 151 | ||
| Respiratory Failure/Respiratory Arrest and Pulmonary Vascular Disorders | 151 | ||
| Cardiogenic Pulmonary Edema | 151 | ||
| Pulmonary Embolism | 152 | ||
| Disorders of the Pleura, Mediastinum, and Chest Wall | 154 | ||
| Costochondritis | 154 | ||
| Spontaneous Pneumothorax | 154 | ||
| Traumatic Disorders of Upper Airways | 155 | ||
| Epistaxis | 155 | ||
| Mechanical Disorders of the Upper and Lower Respiratory Tract | 155 | ||
| Obstructive Sleep Apnea | 155 | ||
| Central Sleep Apnea | 156 | ||
| Obesity-Hypoventilation Syndrome | 156 | ||
| 9 - Nutritional and Digestive Disorders | 160 | ||
| Introduction | 160 | ||
| Infectious Disorders | 160 | ||
| Staphylococcus aureus | 160 | ||
| Escherichia coli | 161 | ||
| Listeria monocytogenes | 162 | ||
| Yersinia enterocolitica | 163 | ||
| Campylobacter spp | 163 | ||
| Salmonella spp | 164 | ||
| Shigella spp | 164 | ||
| Viral | 165 | ||
| Non-polio Enterovirus Enteritis/Colitis (Echovirus, Coxsackievirus) | 165 | ||
| Parasitic | 165 | ||
| Giardia | 165 | ||
| Immunologic and Inflammatory Disorders | 166 | ||
| Celiac Disease | 166 | ||
| Inflammatory Bowel Disease | 166 | ||
| Crohn Disease | 166 | ||
| Ulcerative Colitis | 167 | ||
| Neoplasms | 167 | ||
| Colon Polyps | 167 | ||
| Signs, Symptoms, and Ill-Defined Disorders | 169 | ||
| Upper Gastrointestinal Bleeding | 169 | ||
| Lower Gastrointestinal Bleeding (Hematochezia, BRBPR) | 169 | ||
| Constipation | 170 | ||
| Diarrhea | 171 | ||
| Disorders of the Upper Gastrointestinal Tract | 172 | ||
| Achalasia | 172 | ||
| Zenker Diverticulum | 173 | ||
| Gastroesophageal Reflux Disease | 173 | ||
| Peptic Ulcer Disease (Gastric Ulcer, Duodenal Ulcer) | 174 | ||
| Gastroparesis | 174 | ||
| Disorders of the Small Intestine, Colon, Rectum, and Anus | 175 | ||
| Irritable Bowel Syndrome | 175 | ||
| Lactose Intolerance | 175 | ||
| Perirectal/Perianal Abscess | 176 | ||
| Anal Fissure | 176 | ||
| Hemorrhoids | 177 | ||
| Disorders of the Liver and Biliary System | 177 | ||
| Bile Duct Obstruction/Cholestasis | 177 | ||
| Cholelithiasis (Gallstones) | 178 | ||
| 10 - Gynecologic Disorders | 183 | ||
| Introduction | 183 | ||
| Breast Disorders | 183 | ||
| Mastitis | 183 | ||
| Breast Abscess | 184 | ||
| Benign and Undefined Disorders | 184 | ||
| Solitary Breast Cyst | 184 | ||
| Fibrocystic Change | 185 | ||
| Fibroadenoma | 185 | ||
| Intraductal Papilloma | 185 | ||
| Malignant Neoplasms | 186 | ||
| Breast Cancer | 186 | ||
| Paget Disease of the Breast | 187 | ||
| Malignant and Premalignant Neoplasms of the Cervix | 188 | ||
| Cervical Dysplasia and Management of Abnormal Pap Smears | 188 | ||
| Cervical Cancer | 191 | ||
| Benign Cysts of the Vagina and Vulva | 192 | ||
| Bartholin Gland Cyst | 192 | ||
| Gartner Duct Cyst | 193 | ||
| Menstrual and Endocrine Disorders | 193 | ||
| Polycystic Ovarian Syndrome (aka Stein-Leventhal Syndrome) | 193 | ||
| Endometriosis | 194 | ||
| Adenomyosis | 195 | ||
| Leiomyomata Uteri (“Fibroids,” Uterine Leiomyomas) | 196 | ||
| Mittelschmerz | 197 | ||
| Ovarian/Adnexal Torsion | 197 | ||
| Ectopic Pregnancy | 198 | ||
| Notes | 201 | ||
| 11 - Renal, Urinary, and Male Reproductive System | 205 | ||
| Introduction | 205 | ||
| Proteinuria | 207 | ||
| Nephropathies | 207 | ||
| Diabetic Nephropathy | 207 | ||
| Hypertensive Nephropathy | 208 | ||
| Renal Stones | 208 | ||
| Calcium Stones | 209 | ||
| Uric Acid Stone | 210 | ||
| Vascular Pathology Affecting the Upper Urinary Tract | 211 | ||
| Renal Artery Stenosis | 211 | ||
| Infectious Disorders of the Upper Urinary Tract | 211 | ||
| Pyelonephritis | 211 | ||
| Cystitis (Lower Urinary Tract Infection) | 212 | ||
| Infectious | 213 | ||
| Urinary Tract Infection (Cystitis/Pyelonephritis) | 213 | ||
| Urethritis | 214 | ||
| Interstitial Cystitis (Painful Bladder Syndrome) | 215 | ||
| Epididymitis | 215 | ||
| Prostatitis | 216 | ||
| Neoplasms | 216 | ||
| Prostate Cancer | 216 | ||
| Sexual Dysfunction | 218 | ||
| Impotence/Erectile Dysfunction | 218 | ||
| Notes | 221 | ||
| 12 - Disorders of Pregnancy, Childbirth, and the Puerperium | 224 | ||
| Introduction | 224 | ||
| Prenatal Care | 224 | ||
| Nutrition During Pregnancy | 224 | ||
| Immunizations and Screenings | 225 | ||
| Gestational Diabetes | 225 | ||
| Rh Isoimmunization for Incompatibility | 226 | ||
| Aneuploidy Disorders | 227 | ||
| Down Syndrome | 228 | ||
| Edward Syndrome (Trisomy 18) | 229 | ||
| Patau Syndrome (Trisomy 13) | 229 | ||
| Medications During Pregnancy | 229 | ||
| Notes | 234 | ||
| 13 - Disorders of the Skin and Subcutaneous Tissues | 235 | ||
| Introduction | 235 | ||
| Benign Neoplasms, Cysts, and Other Skin Lesions | 235 | ||
| Actinic Keratosis (Also Called Solar Keratosis) | 235 | ||
| Lipoma | 235 | ||
| Pigmented Nevus (aka Melanocytic Nevus or Mole) | 236 | ||
| Seborrheic Keratosis | 236 | ||
| Malignant Neoplasms | 237 | ||
| Basal Cell Carcinoma (BCC) | 237 | ||
| Squamous Cell Carcinoma (SCC) | 238 | ||
| Melanoma | 239 | ||
| Disorders of Sweat and Sebaceous Gland | 241 | ||
| Hidradenitis Suppurativa | 241 | ||
| Acne Vulgaris | 241 | ||
| Rosacea | 241 | ||
| Autoimmune and Allergic Skin Conditions | 242 | ||
| Psoriasis | 242 | ||
| Atopic Dermatitis (aka Eczema) | 243 | ||
| Contact Dermatitis | 244 | ||
| 14 - Diseases of the Musculoskeletal System and Connective Tissue | 247 | ||
| Introduction | 247 | ||
| Traumatic and Mechanical Disorders | 247 | ||
| Low Back Pain | 247 | ||
| Lumbar Strain | 248 | ||
| Spondylolysis | 248 | ||
| Spondylolisthesis | 249 | ||
| Spinal Stenosis | 249 | ||
| Carpal Tunnel Syndrome | 250 | ||
| Ankle Sprain | 250 | ||
| Rotator Cuff Tear | 252 | ||
| Adhesive Capsulitis (aka Frozen Shoulder) | 253 | ||
| Anterior Dislocation of the Shoulder | 253 | ||
| Lateral Epicondylitis (Tennis Elbow) | 254 | ||
| Ligamentous Injuries to the Knee | 254 | ||
| Anterior Cruciate Ligament Tear | 254 | ||
| Posterior Cruciate Ligament Tear | 255 | ||
| Inflammatory Disorders | 255 | ||
| Septic Arthritis | 255 | ||
| Gout | 256 | ||
| Pseudogout (Calcium Pyrophosphate Dihydrate Deposition Disease) | 256 | ||
| Degenerative and Metabolic Disorders | 257 | ||
| Patellofemoral Syndrome (Formerly Patellar Chondromalacia) | 257 | ||
| Intervertebral Disc Herniation | 258 | ||
| Osteoarthritis | 259 | ||
| Avascular Necrosis of Femoral Head | 260 | ||
| Osteopenia/Osteoporosis | 260 | ||
| Dupuytren Contracture | 261 | ||
| Pediatric Orthopedic Disorders | 262 | ||
| Legg-Calvé-Perthes Disease | 262 | ||
| Developmental Dysplasia of the Hip | 262 | ||
| Osgood-Schlatter Disease | 263 | ||
| Slipped Capital Femoral Epiphysis | 264 | ||
| Scoliosis | 264 | ||
| Subluxation of the Radial Head (Nursemaid Elbow) | 265 | ||
| Notes | 267 | ||
| 15 - Endocrine and Metabolic Disorders | 270 | ||
| Introduction | 270 | ||
| Diabetes and Other Disorders of the Endocrine Pancreas | 270 | ||
| Type I Diabetes | 270 | ||
| Type II Diabetes | 271 | ||
| Thyroid and Parathyroid Disorders | 272 | ||
| Hypothyroidism | 272 | ||
| Autoimmune Thyroiditis (Hashimoto Thyroiditis) | 272 | ||
| Hyperparathyroidism | 273 | ||
| Adrenal Disorders | 273 | ||
| Hypercortisolism (Cushing Syndrome) | 273 | ||
| Primary Chronic Adrenocortical Insufficiency (Addison Disease) | 274 | ||
| Pheochromocytoma | 274 | ||
| Notes | 277 | ||
| 16 - Gunner Jim’s Guide to Exam Day Success | 280 | ||
| “Master One Review Book” | 280 | ||
| “Do As Many Quality Questions As You Can” | 280 | ||
| “Excel Like a Gunner” | 281 | ||
| Index | 283 | ||
| A | 283 | ||
| B | 284 | ||
| C | 284 | ||
| D | 285 | ||
| E | 286 | ||
| F | 286 | ||
| G | 287 | ||
| H | 287 | ||
| I | 288 | ||
| K | 288 | ||
| L | 288 | ||
| M | 289 | ||
| N | 290 | ||
| O | 290 | ||
| P | 290 | ||
| Q | 291 | ||
| R | 291 | ||
| S | 292 | ||
| T | 293 | ||
| U | 293 | ||
| V | 294 | ||
| W | 294 | ||
| Y | 294 | ||
| Z | 294 | ||
| How to Contribute to Gunner Goggles Family Medicine | ES2 |