A 25-Year-Old Woman Comes to the Office Due to a Week

question 53

Multiple Choice

A 25-year-old woman comes to the office due to a week of cough and dyspnea.  She also reports intermittent, crampy abdominal pain and diarrhea.  The patient has no history of respiratory illness or other chronic medical conditions but was recently diagnosed with immune thrombocytopenia that resolved with high-dose glucocorticoid therapy.  She does not use tobacco, alcohol, or illicit drugs.  She immigrated to the eastern United States from Myanmar 8 years ago, but has not travelled recently.  Temperature is 37.2 C (99 F) , blood pressure is 120/78 mm Hg, pulse is 88/min, and respirations are 18/min.  Physical examination shows scattered wheezes and a nontender abdomen.  Laboratory studies reveal eosinophilia, and sputum microscopy is shown in the image below: This patient most likely acquired the pathogen via which of the following modes of transmission?

• A)Infected mosquito bite
• B)Infected tick bite
• C)Larval skin penetration
• D)Parasite oocyst ingestion
• E)Pathogen spore inhalation

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Definitions:

Normal Balance

The side (debit or credit) of an account that is expected to have a higher balance, indicating the account’s increase.

Financial Statement(s)

Comprehensive reports created to present a company's financial performance, financial position, and cash flows over a specific period.

Permanent/Temporary

Categories used to differentiate items or statuses that are either enduring without significant change or existing for a limited time, respectively.

Cost Center

A unit or department that incurs costs but does not generate revenues.