A 44-Year-Old Man Comes to the Office Due to Several

question 141

Multiple Choice

A 44-year-old man comes to the office due to several weeks of difficulty walking and frequent falls.  He has had no headache or visual impairment but reports episodes of sharp, stabbing pain in his extremities.  The patient has HIV acquired from unprotected sexual contact and is nonadherent with treatments.  Temperature is 37 C (98.6 F) .  Neurologic examination shows 5/5 motor power in all extremities.  Deep-tendon reflexes are absent at the knee and ankle bilaterally.  Proprioception and vibration sensation are reduced throughout the lower extremities.  He has a wide-based gait and a positive Romberg sign.  Which of the following diagnostic findings is most likely associated with this patient's current symptoms?

• A)Cerebrospinal fluid (CSF) culture growing acid-fast bacilli
• B)CSF PCR positive for herpes virus
• C)Encapsulated yeasts on CSF India ink preparation
• D)Polyomavirus-infected glial cells on brain biopsy
• E)Reactive VDRL tests on CSF samples
• F)Ring-enhancing lesions on brain MRI

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Definitions:

Inventories

Assets that are held for sale in the ordinary course of business, in the process of production for such sale, or in the form of materials or supplies to be consumed in the production process or in the rendering of services.

Aggregate Plan

A production plan for a medium-term horizon that balances demand and supply, often translating demand forecasts into a production strategy.

Complex Aggregate Planning

Advanced strategies in aggregate planning that deal with the intricacies of matching supply and demand under multiple constraints.

Planning Horizon

describes the time period over which future events are considered for planning and decision-making purposes.