A 20-Year-Old Man Is Brought to the Emergency Department Due

question 697

Multiple Choice

A 20-year-old man is brought to the emergency department due to fever, headache, and neck pain for the last day.  He has no significant medical history.  Temperature is 38.7 C (101.7 F) , blood pressure is 120/72 mm Hg, pulse is 112/min, and respirations are 26/min.  There is neck stiffness and a petechial rash on the trunk.  Cerebrospinal fluid (CSF) analysis reveals the following: CSF gram stain shows gram-negative diplococci.  In the emergency department, the patient's hemodynamic status deteriorates rapidly.  Blood pressure drops to 80/50 mm Hg, and the venous access sites are oozing blood.  Which of the following findings is most likely to be seen on this patient's peripheral blood smear?

• A)Atypical lymphocytosis
• B)Howell-Jolly bodies
• C)Hypersegmented neutrophils
• D)Reactive thrombocytosis
• E)Schistocytes
• F)Severe pancytopenia

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Definitions:

Income Taxes

Taxes imposed by the government on the income generated by businesses and individuals.

Net Present Value

A financial metric that calculates the present value of all cash flows (both incoming and outgoing) associated with an investment, adjusted for time and interest.

Internal Rate of Return

A financial metric used to evaluate the profitability of an investment, indicating the annual return that makes the net present value of all cash flows from a particular project equal to zero.

Cash Flows

The sum of cash flowing in and out of a company, particularly influencing its available cash assets.