A 24-Year-Old Woman Comes to the Office Due to a Month

question 515

Multiple Choice

A 24-year-old woman comes to the office due to a month of progressive exertional dyspnea.  The patient does not have chest pain or palpitations.  She has no chronic medical conditions and takes no medications regularly.  Temperature is 37 C (98.6 F) , blood pressure is 114/68 mm Hg, pulse is 90/min, and respirations are 12/min.  BMI is 23 kg/m².  Examination shows mucosal pallor and bilateral cervical lymphadenopathy.  Cardiopulmonary auscultation reveals clear lung fields and no murmurs.  Laboratory results are as follows: Chest x-ray reveals significant bilateral mediastinal lymphadenopathy.  What is the most likely cause of this patient's anemia?

• A)Immune-mediated hemolysis
• B)Increased inflammatory cytokines
• C)Increased iron recycling by macrophages
• D)Intratumor hemorrhage
• E)Thrombotic microangiopathy

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Definitions:

Social Scripts

Schemata for typical sequences of behavior in social situations, guiding how individuals act in specific contexts.

Mere Exposure Effect

The tendency among humans to prefer things that are familiar to them is a notable psychological behavior.

Reciprocity Norm

A social norm that dictates that we should treat others as they treat us, fostering mutual aid and cooperation.

Ethnic Groups

Communities or populations sharing common cultural traits, ancestry, language, history, and often a shared sense of identity.