A 32-Year-Old Man Comes to the Office Due to 2

question 65

Multiple Choice

A 32-year-old man comes to the office due to 2 weeks of fever, malaise, and arthralgia.  Temperature is 38.2 C (100.8 F) and pulse is 102/min.  Physical examination reveals several enlarged cervical, axillary, and inguinal lymph nodes and a diffuse maculopapular skin rash.  Serum aminotransferase levels are elevated.  During further testing, the patient's serum is added to a mixture of cardiolipin, cholesterol, and lecithin, which leads to extensive clumping and flocculation.  Evaluation for antibodies directed against which of the following is the best next step in management of this patient?

• A)Borrelia burgdorferi
• B)Fc portion of IgG
• C)Histoplasma capsulatum
• D)Mitochondrial components
• E)Treponema pallidum

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Definitions:

Direction

The point, objective, or targeted goal; the establishment of purpose as an essential leadership function.

Warmth

A quality of being friendly, kind, or considerate, often creating a comfortable and welcoming atmosphere.

Introspection

The examination or observation of one's own mental and emotional processes.

Interpersonal Conflicts

Disagreements or disputes between individuals resulting from differing views, goals, or values.