A 31-Year-Old Man Comes to the Office Due to a Week

question 34

Multiple Choice

A 31-year-old man comes to the office due to a week of low-grade fever, dry cough, and right-sided chest pain.  The pain is intermittent, sharp, and worse with deep inhalation or cough.  The patient also notes mild "achiness" in his knees and ankles that started around the same time.  He does not use tobacco, alcohol, or illicit drugs.  The patient is an Army officer, and he returned to Connecticut 2 weeks ago after completing desert training exercises in Arizona.  He does not know if other participants developed similar symptoms.  Temperature is 37.8 C (100 F) , blood pressure is 120/80 mm Hg, pulse is 78/min, and respirations are 16/min.  Lung auscultation shows right-sided crackles.  No joint swelling or tenderness is present, but there are erythematous, tender nodules on the bilateral shins.  Chest x-ray reveals a right lower lobe infiltrate with a prominent right hilum.  Which of the following is most likely causing this patient's condition?

• A)Blastomyces dermatitidis
• B)Chlamydia psittaci
• C)Coccidioides immitis
• D)Histoplasma capsulatum
• E)Legionella pneumophila
• F)Nocardia asteroides
• G)Sporothrix schenckii

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Definitions:

Venture Capitalists

Investors who provide capital to start-up companies and small businesses with perceived long-term growth potential.

Pension Funds

Pooled monetary contributions from different individuals or entities to invest in securities, designed to generate future retirement income for participants.

Long-Term Investors

Individuals or entities that hold investments for an extended period, typically with the aim of achieving long-term objectives.

Exit Strategy

An exit strategy is a planned approach to withdraw from a business, investment, or situation to secure profit or minimize loss.