A 28-Year-Old Man Comes to the Emergency Department Due to Worsening

question 324

Multiple Choice

A 28-year-old man comes to the emergency department due to worsening dyspnea, cough, and blood-streaked sputum for the last 3 days.  He has had no fatigue, fever, chills, upper respiratory symptoms, skin rash, eye symptoms, or joint pains.  The patient has no history of lung disease but takes ibuprofen occasionally for knee pain.  He does not use tobacco, alcohol, or illicit drug.  His father had a myocardial infarction at age 65 and his mother has rheumatoid arthritis.
Blood pressure is 150/90 mm Hg, pulse is 100/min, and respirations are 24/min.  Bilateral crackles are present in both lung bases and mid-lung fields.  Extremity examination reveals 1+ pitting edema to the mid-shins bilaterally.  The remainder of the examination is unremarkable.
Laboratory results are as follows:
Chest x-ray shows diffuse pulmonary opacities.
Which of the following is the most likely diagnosis in this patient?

• A)Anti-glomerular basement membrane antibody disease (Goodpasture syndrome)
• B)Cryoglobulinemic vasculitis
• C)Eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome)
• D)Granulomatosis with polyangiitis
• E)Systemic lupus erythematosus

---

Definitions:

Mutator Method

A method used to control changes to a variable, often referred to as a setter in object-oriented programming.

Recursive Method

A method in programming that calls itself in order to solve a problem by breaking it down into more manageable subproblems.

Invocation

The process of calling or executing a method or function in programming, often involving passing parameters to it.

Type_Returned

Refers to the data type of the value that a method or function returns after its execution.