A 35-Year-Old Woman Comes to the Emergency Department with 3

question 316

Multiple Choice

A 35-year-old woman comes to the emergency department with 3 days of burning substernal chest pain and "excruciating" pain with swallowing.  She could not eat or drink anything today due to severe pain.  She has not had nausea, vomiting, difficulty initiating swallowing, or a sensation of food getting stuck in her throat.  The patient has a history of HIV, asthma, and uterine fibroids.  Her current medications include atazanavir-ritonavir, tenofovir, emtricitabine, trimethoprim-sulfamethoxazole, azithromycin, and albuterol.  She has a history of medication noncompliance but says that she is currently taking all her medications as prescribed.  Her most recent CD4 count was 30/mm³.  Her temperature is 37.9 C (100.2 F) , blood pressure is 108/59 mm Hg, and pulse is 103/min.  The patient is thin and somewhat pale.  She has significant dental caries, but oral examination is otherwise normal.  Cardiopulmonary examination is unremarkable.  The abdomen is soft and nontender.  Empiric therapy is initiated, and upper gastrointestinal endoscopy is scheduled.  Which of the following is the most likely cause of this patient's symptoms?

• A)Candida albicans
• B)Eosinophilic esophagitis
• C)Gastroesophageal reflux disease
• D)Pill esophagitis
• E)Viral esophagitis

Comprehend how affiliation and attraction contribute to group bonding.

Explain the role of social comparison in group dynamics.

Identify personality traits that predict group joining behavior.

Understand the basic human needs satisfied by group membership.

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Definitions:

Receptor Sites

Specific areas on the surface of a cell where chemicals, such as neurotransmitters or hormones, can bind to trigger a cellular response.

Biomedical Therapy

A branch of medical treatment that involves the use of medication and other physiological interventions to treat mental disorders.

Drug Therapy

The treatment of disease or symptoms by using pharmaceutical drugs.

Schizophrenia

A complex, chronic mental health disorder characterized by distorted thinking, perceptions, emotions, language, sense of self, and behavior.