A 42-Year-Old Man Comes to the Office Due to Progressive

question 1384

Multiple Choice

A 42-year-old man comes to the office due to progressive upper abdominal discomfort and nausea over several weeks.  He was a farmer in rural Guatemala before immigrating to the United States 5 years ago.  Temperature is 36.9 C (98.4 F) , blood pressure is 138/82 mm Hg, and pulse is 68/min.  Cardiopulmonary examination is normal.  Hepatomegaly is present.  There is no lower extremity edema.  Liver ultrasonography shows a 10-cm, smooth, round cyst with daughter cysts inside.  Which of the following is most likely to be associated with this patient's current condition?

• A)Close contact with dogs
• B)Consumption of pork containing cysticerci
• C)Dysentery within the previous few months
• D)Ingestion of undercooked freshwater fish
• E)Prolonged and heavy alcohol intake

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Definitions:

Counseling Psychologist

A professional in psychology who specializes in offering therapeutic treatments to clients dealing with personal and interpersonal issues across different life stages.

Adjustment Problems

Issues or difficulties in coping with changes in one's life or environment, often leading to stress or psychological discomfort.

New Students

Individuals who are newly enrolled or admitted into an educational institution or learning environment.

Health Psychologist

A professional specializing in how psychological, biological, and social factors affect health and illness.