An 18-Year-Old Man Comes to the Emergency Department Due to 3

question 5

Multiple Choice

An 18-year-old man comes to the emergency department due to 3 days of fever, myalgias, and profound fatigue.  He was feeling fine prior to the onset of symptoms.  The patient has a history of intermittent asthma for which he uses an inhaler as needed.  He is a senior in high school and plays on the football team.  Temperature is 38 C (100.4 F) , blood pressure is 110/80 mm Hg, pulse is 88/min, and respirations are 16/min.  BMI is 22.1 kg/m².  On physical examination, the patient is found to have swollen lymph nodes in his neck and behind his ears.  The tip of the spleen is palpable 1 cm below the left costal margin.  Laboratory results are notable for the following: Which of the following is most likely to be elicited on further history?

• A)Anal sexual intercourse
• B)Contact with saliva
• C)Exposure to urine
• D)Prior blood transfusion
• E)Recent tick bite
• F)School trip to South Asia

---

Definitions:

Cultural Capital

The accumulated cultural knowledge and artifacts that confer social status and power, including education, manners, tastes, and language proficiency.

Downshift

The act of reducing one's work hours or responsibilities, often in pursuit of a simpler or more balanced life.

Invisibility Of Poverty

The concept that poverty is often overlooked or ignored by those not experiencing it, leading to a lack of understanding and support for the impoverished.

Homeless Shelter

A facility providing temporary accommodation and services for people who are without a home.