A 52-Year-Old Active Smoker Comes to the Office Due to a 2-Week

question 74

Multiple Choice

A 52-year-old active smoker comes to the office due to a 2-week history of malaise, shortness of breath, and decreased appetite.  The patient has a history of bicuspid aortic valve and hypertension.  His temperature is 39 C (102.2 F) , blood pressure is 140/80 mm Hg, and pulse is 110/min.  On examination, the patient has a systolic ejection murmur at the right upper sternal border that is unchanged from previous visits; there is a new decrescendo diastolic murmur best heard in the third intercostal space at the left sternal border.  Laboratory studies show hemoglobin is 9.3 g/dL and leukocytes are 16,500/mm³.  Blood cultures are positive for Streptococcus gallolyticus (formerly S bovis) .  Additional workup for this patient should focus on which of the following conditions?

• A)Colonic neoplasia
• B)Intravenous drug use
• C)Lung cancer
• D)Oral infection
• E)Urinary tract infection

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Definitions:

Income Statement

A financial document that reports a company's financial performance over a specific period, detailing revenues, expenses, and net income or loss.

Common Stock

Common stock represents units of ownership in a corporation, granting holders voting rights and a share in the company's profits, often through dividends.

Ending Balance

The amount in an account at the end of an accounting period after all debits and credits have been accounted for.

Asset (A)

Resources owned by a company that have economic value and can provide future benefits.