Tintinallis Emergency Medicine Examination & Board Review (McGraw-Hill Specialty Board Review)

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The best emergency medicine Q&A board review text! Features more than 600 case-based board-type questions with detailed answers keyed to the new edition of the marketing-leading text, Tintinalli �s Emergency Medicine: A Comprehensive Study Guide. Sponsored by the American College of Emergency Physicians, this review also includes a separate test for CME credit.

Tintinallis Emergency Medicine Examination & Board Review (McGraw-Hill Specialty Board Review) Review

I have been using this book in conjunction with EM Just the Facts, using Tintanelli 6th as my standard (along with several specialty topic books) to prepare for upcoming EM Boards. Overall I find this book quite useful as a review and supplement after reading through EM Just the Facts/Tintanelli. I am a little bit frustrated because there are some discrepancies between the two review books - as mentioned above, I used Tintanelli 6th, etc. to arbitrate. There are some relatively obvious mistakes - which can happen with any book, OK, a little annoying and time consuming to check, but it happens, and some subtle distinctions of approach, OK, that is fine. BUT, what to say about this?: page 55, Figure 8-2 is supposed to represent, according to the Promes book, Hodgkin's disease. Given the other choices for the question this makes some sense as a choice. HOWEVER, the SAME photograph is on page 1498 of Tintanelli, where it is described as an "infected branchial cleft cyst". Not that I memorized the photographs, but there should be some kind of clinical truth to photographs used to illustrate questions, shouldn't there? I didn't really want to spend the time writing a review right now, but this was really kind of odd!! There are other books of questions which I will be using also, I will review them separately.

Addendum: OK, I'm taking back a star (Amazon won't let me actually do this, it seems). There are simply too many mistakes!! Examples: Working my way through Chapter 21, the answer to 21-32 has "alkalosis" and "acidosis" (the heart of the question) reversed. Not good. Then 21-34, big mistake, the classic pulse oximetry error question. "Methemoglobinemia causes a falsely decreased pulse oximetry reading..." - Tintanelli (in bold type, no less) "the pulse oximeter will suggest a falsely high oxygen saturation..." [page 1171, 6th ed.]. As I understand it, whether (or, in which way) the pulse oximeter reading is wrong depends on the actual methemoglobin level. If it is > 30% or so and the 02 sat reading is (the supposedly typical) ~85% then it is too high. I don't think the question, as I understand it, captures this distinction. Please correct me if I am wrong!

The answer to 17-13 is wrong. The same with 18-9 and others. The answer to question 19-9 doesn't really make sense unless periodontal disease is considered to predispose to aspiration pneumonia - not my understanding, rather to an increased risk of an anaerobic infection from an aspiration if it were to occur.

This book needs to be properly edited. I do think the questions are generally written in a clear manner, and they cover a good range of material, but the number of errors takes away from the overall quality and value of the book to me.

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