An 18-Year-Old Man Is Admitted to the Hospital with Cough

question 436

Multiple Choice

An 18-year-old man is admitted to the hospital with cough, fever, and hypoxemia.  Despite multiple intravenous antibiotics and frequent chest physiotherapy, the patient decompensates and is transferred to the intensive care unit for mechanical ventilation.  Sputum cultures grow >100,000 colony-forming units of a non-lactose-fermenting gram-negative rod.  After several days, the patient dies of overwhelming pneumonia complicated by respiratory failure.  Since age 1, he had been hospitalized for recurrent episodes of multi-lobar pneumonia, sinusitis, and poor growth.  On autopsy, both vas deferens are absent.  Which of the following findings is also likely to be present on autopsy?

• A)Distension and obstruction of pancreatic ducts
• B)Lobar sequestration
• C)Lymphocytic infiltrate of pancreatic islet cells
• D)Nodular lymphoid hyperplasia in the intestine
• E)Situs inversus

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Definitions:

Motivation

The internal and external influences that motivate individuals to perform actions aimed at reaching an objective.

Personality

The combination of characteristics or qualities that form an individual's distinctive character.

Collectivism

A cultural value that prioritizes group goals over individual ones, emphasizing community, solidarity, and interdependence.

Distributive Justice

The perceived fairness of the distribution of resources within a society or organization.