A 50-Year-Old Man Comes to the Office with a 2-Day

question 1591

Multiple Choice

A 50-year-old man comes to the office with a 2-day history of malaise, fever, fatigue, and pain in the front of his neck.  He recovered from an upper respiratory illness a week prior to the onset of his current symptoms, but he previously had felt well.  The patient was seen in the clinic occasionally in the remote past for sexually transmitted infections, but his medical history is otherwise unremarkable.  He lives alone and is sexually active with both men and women.  Temperature is 38.5 C (101.3 F) , blood pressure is 150/70 mm Hg, and pulse is 110/min.  The thyroid gland is diffusely enlarged and tender.  Laboratory results are as follows: Which of the following is the most likely diagnosis in this patient?

• A)Acute retroviral syndrome
• B)Disseminated gonococcal infection
• C)Graves disease
• D)Hashimoto thyroiditis
• E)Infectious mononucleosis
• F)Subacute thyroiditis
• G)Suppurative thyroiditis

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Definitions:

Equity Ownership

The holding of shares in a company, giving the shareholder ownership rights and potentially entitlements to dividends and voting powers.

Adjusted Subsidiary Value

The value of a subsidiary after adjustments have been made for fair value of assets and liabilities, often calculated during the consolidation process.

Investment Account

An account held at a financial institution that is used to buy, hold, and sell various investment securities like stocks, bonds, and mutual funds.

New Shares

Shares issued by a company for the first time to the public or existing shareholders as part of a capital raising or expansion strategy.