A 65-Year-Old Man Comes to the Office Due to 2

question 491

Multiple Choice

A 65-year-old man comes to the office due to 2 months of fatigue and persistent, nonproductive cough.  He has a history of coronary artery disease and myocardial infarction.  Three years ago, he underwent wide local excision of a melanoma on his posterior neck.  The patient has a 50-pack-year smoking history.  Vital signs are within normal limits.  Chest radiograph reveals multiple lung lesions and hilar lymphadenopathy.  Histopathology from one of the biopsied lung lesions is shown below after staining with hematoxylin and eosin. These histopathologic findings are most consistent with which of the following diagnoses?

• A)Chronic systolic heart failure
• B)Emphysema
• C)Hodgkin lymphoma
• D)Metastatic melanoma
• E)Sarcoidosis
• F)Squamous cell lung cancer

---

Definitions:

Morality of Principles

Involves ethical decision-making based on abstract, universal principles such as justice, equality, and respect for individual rights, rather than on personal or societal consequences.

Rawls

A philosopher known for his theory of justice which proposes principles of justice to structure society, emphasizing fairness and equality.

Morals

Principles or habits with respect to right or wrong conduct, typically reflecting personal or cultural values.

Sense of Justice

An innate or acquired perception that guides individuals in recognizing fairness, equity, and moral rightness, influencing their reactions to actions and situations.