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A 58-Year-Old Woman Comes to the Emergency Department with 5

question 217

Multiple Choice

A 58-year-old woman comes to the emergency department with 5 days of progressive headaches and dizziness. She is a business executive who is very active in her spare time. She takes no medications.
Her vital signs are within normal limits. Examination shows bilateral normal reflexes and sensation and no neck stiffness. Pupils are equal and reactive to light. Gag reflex is intact. There is no peripheral lymphadenopathy.
Laboratory results are as follows:

CT scan of the head with contrast shows a solitary frontal 2x3 cm lesion at the gray-white matter junction with vasogenic edema confirmed on magnetic resonance imaging. CT scan of the chest, abdomen, and pelvis reveals a spiculated 2.5 cm right upper-lung mass with ipsilateral bronchial lymphadenopathy but no other evidence of metastatic disease.
Which of the following is the most appropriate next step in management of this patient's brain lesion?

Definitions:

Steel Industry

A sector of the economy focused on the production, processing, and sale of steel and steel products.

Unionize

The act of forming or joining a union to collectively bargain for improved working conditions, wages, and benefits.

Open Shop Movement

Advocacy for workplaces where union membership is not a condition of employment, allowing employees the choice to join or not join a union.

Private Sector Union Density

Refers to the proportion of workers in the private sector who are members of a union, indicating the level of unionization within private industry.