A 64-Year-Old Man Comes to the Office Due to 2

question 275

Multiple Choice

A 64-year-old man comes to the office due to 2 days of dysuria, urinary frequency, and urgency.  He recently underwent a cystoscopy for evaluation of hematuria.  The patient has a history of hypertension, type 2 diabetes mellitus, and 30 pack-years of cigarette smoking.  His temperature is 38.2 C (100.8 F) .  On examination, there is suprapubic tenderness on deep palpation but no costovertebral angle tenderness.  Urinalysis findings are as follows: Midstream urine culture grows gram-positive cocci in chains with growth >100,000 colony-forming units/mL.  The organism responsible for this patient's condition is most likely to demonstrate which of the following?

• A)Ability to decompose hydrogen peroxide
• B)Gamma hemolysis on blood agar
• C)Growth only in absence of oxygen
• D)Possession of cytochrome oxidase
• E)Production of golden yellow pigments

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Definitions:

Classification

The systematic arrangement in groups or categories according to established criteria.

Storage Fat

Body fat that is accumulated and stored in the body, serving as an energy reserve and providing insulation and protection for organs.

Adipose Tissue

The biological term for body fat, a connective tissue that stores energy and protects organs.

Visceral Fat

A type of body fat that's stored within the abdominal cavity and is associated with increased risks of metabolic diseases, such as diabetes and heart disease.