A 44-Year-Old Man Comes to the Emergency Department Due to Worsening

question 500

Multiple Choice

A 44-year-old man comes to the emergency department due to worsening abdominal pain and vomiting.  The patient has had 3 months of fatigue, mild abdominal pain, low-grade fever, and joint pains.  On examination, the abdomen is diffusely tender to palpation with rigidity and rebound.  Urgent laparotomy reveals bilateral renal infarcts and multiple segments of necrosis and perforation in the small bowel.  Microscopic examination of the vessel walls shows diffuse inflammation of the adventitia and marked thickening of the inner layers due to proliferation of loose connective tissue; the arterial lumen is significantly narrowed.  Which of the following is the most likely diagnosis?

• A)Bacterial endocarditis
• B)Granulomatosis with polyangiitis
• C)Inherited thrombophilia
• D)Polyarteritis nodosa
• E)Thromboangiitis obliterans

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Definitions:

Capital Budget

The amount of money allocated for significant long-term investments or projects of a business.

Dividend Payment

A disbursement of a portion of a company's earnings decided by the board of directors to its shareholders.

Residual Dividend Policy

A strategy where dividends are paid to shareholders from the leftover or residual earnings after all operational and expansion costs are covered.

Target Capital Structure

The ideal mix of debt, preferred stock, and common equity that a company aims to hold to minimize its cost of capital.