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A 21-Year-Old Man Comes to the Emergency Department Due to Shortness

question 270

Multiple Choice

A 21-year-old man comes to the emergency department due to shortness of breath, fatigue, myalgias, and debilitating retroorbital headaches for the past several days. The patient is on summer break and came to work at his grandparents' dairy farm 3 weeks ago. He cleans out animal waste from the barn, but he does not handle hay. His past medical history is insignificant. He does not use tobacco or illicit drugs. The patient's temperature is 38.8 C (101.8 F) . Bronchial breath sounds are heard in the right lower lung. There are no cardiac murmurs. Abdominal examination is unremarkable. Chest x-ray demonstrates right lower and middle lobe consolidation. Laboratory results are as follows: An HIV test is negative.Which of the following is the most likely cause of this patient's symptoms?

Definitions:

General Deterrence

A strategy to discourage criminal behavior in the general population through the threat of punishment.

Individual Deterrence

A principle in criminal justice intended to discourage an individual from committing future offenses through the imposition of penalties.

Significant Effect

A notably large or important impact or influence on a situation, process, or condition.

Utilitarian Philosophy

An ethical theory suggesting that the best action is the one that maximizes utility, usually defined as that which produces the greatest well-being of the greatest number of people.