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A 53-Year-Old Man Comes to the Physician Due to Frequent

question 172

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A 53-year-old man comes to the physician due to frequent headaches and dizziness.  He has a history of hypertension and peptic ulcer disease.  His medications include daily chlorthalidone and antacids as needed.  The patient's temperature is 37 C (98.6 F) , blood pressure is 146/92 mm Hg, pulse is 89/min, and respirations are 16/min.  His BMI is 26 kg/m2.  Physical examination shows facial plethora and moderate splenomegaly.  Laboratory results are as follows: A 53-year-old man comes to the physician due to frequent headaches and dizziness.  He has a history of hypertension and peptic ulcer disease.  His medications include daily chlorthalidone and antacids as needed.  The patient's temperature is 37 C (98.6 F) , blood pressure is 146/92 mm Hg, pulse is 89/min, and respirations are 16/min.  His BMI is 26 kg/m<sup>2</sup>.  Physical examination shows facial plethora and moderate splenomegaly.  Laboratory results are as follows:   This patient most likely has a mutation in which of the following types of proteins? A) Cytoplasmic tyrosine kinase B) Growth-stimulating transcription factor C) Intrinsic receptor tyrosine kinase D) Tumor suppressor protein E) Vascular growth factor This patient most likely has a mutation in which of the following types of proteins?


Definitions:

Norming State

A stage in team development where members resolve conflicts, increase cohesiveness, and collaborate more effectively.

Team Development

The process of enhancing the effectiveness, creativity, and efficiency of teams through various stages of growth, including forming, storming, norming, performing, and adjourning.

Preliminary Sense

An initial understanding or intuition about a situation, often formed before having all the information or details.

Performance Advantages

Benefits or superior outcomes achieved by individuals, teams, or organizations that effectively utilize their resources, talents, and strategies.

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