A 48-Year-Old Man Is Evaluated for Shortness of Breath and Dry

question 149

Multiple Choice

A 48-year-old man is evaluated for shortness of breath and dry cough for 1 week.  The patient has never had similar symptoms in the past and takes no medications.  He has a 5-pack-year smoking history and does not use alcohol or illicit drugs.  The patient is a pig farmer in Ohio and has not traveled recently.  Temperature is 37.8 C (100 F) , blood pressure is 128/85 mm Hg, pulse is 95/min, and respirations are 16/min.  Lung auscultation reveals scattered wheezing and crackles.  Peripheral blood smear is shown below. The nucleated cells seen on this patient's peripheral smear most likely perform which of the following functions?

• A)Bacterial opsonization
• B)Destruction of helminths
• C)Inhibition of fungal growth
• D)Killing of virus-infected cells
• E)Stimulation of fibroblasts

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Definitions:

Verbal Messages

Communication or information conveyed through spoken words as opposed to non-verbal methods.

Communication Context

The environment or situation in which communication occurs, impacting its meaning and interpretation.

High-context

High-context refers to cultures or communication styles where much of the meaning in an interaction is derived from the context surrounding the communication, rather than the explicit words used.

Low-context

A communication style where messages are explicit, detailed, and direct, with little reliance on the context or non-verbal cues to convey meaning.