A 49-Year-Old Man Comes to the Office Due to 4

question 251

Multiple Choice

A 49-year-old man comes to the office due to 4 months of cough and weight loss.  His medical history is otherwise unremarkable and he takes no medications.  The patient is a farmer who lives in Mississippi.  He does not use tobacco, alcohol, or illicit drugs.  His temperature is 37.9 C (100.2 F) .  Examination shows right lobe crackles.  Chest x-ray reveals a pulmonary infiltrate in the right upper lobe.  Bronchoscopy with transbronchial biopsy shows granulomatous inflammation.  HIV testing is negative.  Which of the following is most likely causing this patient's symptoms?

• A)Blastomyces dermatitidis
• B)Candida albicans
• C)Mucor species
• D)Penicillium marneffei
• E)Pneumocystis jiroveci

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Definitions:

Moral Model

A perspective on disorders like addiction that views them as the result of moral failure or a lack of willpower, rather than as a disease or condition requiring treatment.

Incurable

Describing a disease or condition that cannot be cured or adequately treated and is likely to end in death or a permanent dysfunction.

Controlled Substance Act

The statute prescribing federal U.S. drug policy under which the manufacture, importation, possession, use, and distribution of certain substances are regulated.

Medical Use

The application of drugs or treatments by healthcare professionals to address specific medical conditions.