A 46-Year-Old Man Comes to the Physician for Follow-Up

question 469

Multiple Choice

A 46-year-old man comes to the physician for follow-up.  He recently went to the emergency department after fracturing 2 ribs in a bicycle accident.  During the evaluation, a CT scan of the chest revealed an 8-mm pulmonary nodule.  He has experienced no cough, dyspnea, fevers, chills, or weight loss.  The patient lives in Indiana and works in the agriculture industry.  He is a current smoker with a 25-pack-year history.  He underwent a bronchoscopic biopsy of the nodule, which revealed budding yeast.  Bacterial and fungal culture from the biopsy yielded no growth.
Which is the most appropriate treatment for this patient's nodule?

• A)Amphotericin B
• B)Caspofungin
• C)Reassurance and clinical follow-up
• D)Surgical removal
• E)Voriconazole

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Indorser

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Transfer

The act of moving or conveying something from one person, place, or situation to another.