MTB Errata Corrections
MTB Errata Corrections
MTB Errata Corrections
Page Change
24 Practice question: Correct answer is B (not A). The explanation is correct as stated.
63 Next to last paragraph: Once the ACTH level is elevated and suppresses with high
dose dexamethasone…
93 Lipid management algorithm, text after first and second purple boxes:
LDL <7 mg/dL or decreased by >50%?
94 PSK9 Inhibitors, replace first paragraph with the following:
Evolocumab and alirocumab inhibit proprotein convertase subtilisin/kexin type
9 (PCSK9). PCSK9 inhibitors (injectable medications) do the following:
Increase LDL clearance from the blood by blocking the breakdown of
LDL receptors in the liver
Decrease elevated LDL significantly in familial hypercholesterolemia
Increase hepatic clearance of LDL massively, but do not lower mortality
With severe hyperlipidemia, if LDL is still not controlled with a statin at
maximum dose, try a PCSK9 inhibitor.
164 “What is the most likely diagnosis?” (VAP), first sentence: Because of multiple
concurrent illnesses….
177 Table, hypersensitivity pneumonitis symptoms, bullet 2: Symptoms arise 1–2 days
after exposure begins
178 Cryptogenic organizing pneumonia, paragraph 2: There is no specific finding on
imaging (x-ray or CT).
181 Ventilation-perfusion scan paragraph, replace first 2 sentences:
A patient with no intrinsic lung disease, but with normal ventilation scan and
areas of decreased perfusion on perfusion scan (as shown in the figure), is said
to have a high probability scan.
15% of high probability scans have no clot on angiography (i.e., 15%
false positive).
15% of low probability scans have a clot on angiography (i.e., 15% false
negative).
186 Central sleep apnea, bullet 2: … >5 apnea/hypopnea episodes per hour = CSA.
266 Swap 2 bullets in Scleroderma table: Anti SCL-70 + (goes under Diffuse) and
Anti-centromere + (goes under Limited).
325 Prevention of herpes zoster, line 1: Zoster vaccine is indicated in all persons above
the age of 50...
351 Last paragraph, last line: …myoglobin. Ascorbic acid (vitamin C) causes a false
negative test.
358 ATN definition, last sentence: Proteinuria is not significant since protein spills into
the urine when glomeruli are damaged, not the tubules.
380 Rename Figure 11.4: Hypernatremia Algorithm.
412 Breast cancer paragraph 1:
Mammography should be done starting at age 50 every 2 years. The reduction
in mortality is greatest above age 50. Screening can end at age 74.
413 Cervical cancer screening: (1) First sidebar (Pap smear is done...) is deleted.
(2) Replace first paragraph with the following:
There are 7,000–10,000 cases of cervical cancer a year in the United States. For
these, Pap smear definitely lowers mortality.
Papillomavirus vaccine is routine for all women age 11–45 (rarely done
under age 30).
First Pap smear should be done for all women at age 21. Then, do Pap
every 3 years age 21–65.
If one combines Pap smear and HPV testing, testing can be done every 5
years age 30–65.
HPV testing is rarely done in women under age 30.
542 Viral infectious diarrhea table, replace third head (Small, round): Norovirus
583 Replace first sentence of “Tip”: Indomethacin is extremely unlikely to appear on
the test as a potential tocolytic.
701 Paragraph 3: Dabigatran is an alternative oral anticoagulant for atrial fibrillation.
715 Replace last Sensitivity bullet:
Sensitivity = TP / (TP + FN)
Replace last Specificity bullet:
Specificity = TN / (TN + FP)