A 45-Year-Old Man Comes to the Office Due to a Week

question 727

Multiple Choice

A 45-year-old man comes to the office due to a week of purulent nasal discharge, headache, sore throat, and nonproductive cough.  He has no significant past medical history except for an episode of infectious mononucleosis at age 22.  The patient smokes a pack of cigarettes daily.  His temperature is 38 C (100.4 F) .  He has maxillary sinus tenderness, pharyngeal erythema, and tender anterior cervical lymphadenopathy.  Laboratory results are as follows: The leukocyte alkaline phosphatase score is low.  Which of the following is the most likely diagnosis?

• A)Acute lymphoblastic leukemia
• B)Acute myelogenous leukemia
• C)Burkitt lymphoma
• D)Chronic lymphocytic leukemia
• E)Chronic myelogenous leukemia
• F)Diffuse large B-cell lymphoma
• G)Follicular lymphoma
• H)Fungal superinfection
• I)Leukemoid reaction
• J)Parasitic superinfection

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Definitions:

Mental Disorders

A wide range of conditions that affect mood, thinking, and behavior, often requiring clinical diagnosis and treatment.

Psychoanalysis

A psychological theory and therapeutic method developed by Sigmund Freud that explores unconscious motivations and conflicts as they manifest in behaviors and mental disorders.

Id

In psychoanalytic theory, the part of the mind in which innate instinctive impulses and primary processes are manifest.

Mental Illness

A broad term for conditions that affect an individual's thinking, feeling, mood, or behavior, ranging from depression to schizophrenia.