A 62-Year-Old Man Comes to the Physician Because of Recent

question 719

Multiple Choice

A 62-year-old man comes to the physician because of recent weight loss, cough, and occasional hemoptysis.  His past medical history is significant for poorly controlled diabetes mellitus and chronic obstructive pulmonary disease treated with bronchodilators and oral corticosteroids.  Chest x-ray shows pulmonary infiltrates and an area of cavitation in the right upper lobe.  Sputum microscopy shows acid-fast bacilli.  Which of the following is the most accurate statement concerning this patient's pulmonary infection?

• A)First exposure to the bacilli occurred recently
• B)Healing of the lung lesion would result in Ghon complex formation
• C)It originated from reactivation of an old infection
• D)It was facilitated by low levels of protective antibodies
• E)Negative tuberculin skin test would signify strong cell-mediated immunity

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Definitions:

Rightness

The quality of being morally correct, just, or honorable, often used to describe actions or decisions that conform to moral or ethical principles.

Backward-looking Reasons

Justifications for actions or decisions that are based on events, information, or values from the past.

Act Consequentialism

A moral theory that assesses the morality of actions based on their outcomes or consequences.

Act Consequentialism

An ethical theory that judges the moral worth of an action based solely on the outcomes or consequences of that action.