A 44-Year-Old Man with HIV Infection Is Evaluated for Persistent

question 422

Multiple Choice

A 44-year-old man with HIV infection is evaluated for persistent fevers, progressive generalized fatigue, poor appetite, and marked weight loss over the last 2 months.  He has no chest pain or shortness of breath.  He has been noncompliant with antiretroviral therapy, and his last CD4 count 6 months ago was 90/µL.
His temperature is 38.3 C (101 F) , blood pressure is 91/53 mm Hg, pulse is 105/min, and respirations are 21/min.  Examination shows a pale conjunctiva and dry mucous membranes.
Laboratory results are as follows:

A CT scan of the chest and abdomen reveals lucencies in the skeleton and bulky mediastinal and abdominal lymphadenopathy.
Bone marrow biopsy in this patient would most likely show which of the following?

• A)Chronic lymphocytic leukemia
• B)Fungal Infection
• C)Kaposi sarcoma
• D)Multiple myeloma
• E)Non-Hodgkin lymphoma

---

Definitions:

Absolute Advantage

The ability of an individual, company, or country to produce a good or service at a lower cost per unit than competitors.

Almonds

Edible seeds of the almond tree; widely consumed as food and used in cooking, they also have nutritional and health benefits.

Consumer Surplus

The difference in the total potential spending by consumers on a good or service versus the actual expenditure.

Trade

The exchange of goods or services between entities or individuals, often conducted internationally or domestically to mutual benefit.