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A 53-Year-Old Man Comes to the Office Due to 4

question 1013

Multiple Choice

A 53-year-old man comes to the office due to 4 months of progressively worsening dyspnea. He has also had decreased appetite, weight loss, and nagging epigastric discomfort. The patient has a history of peptic ulcer disease treated with over-the-counter antacids. He has a 20-pack-year smoking history and has worked as a plumber for the past 30 years. Vital signs are within normal limits. Physical examination shows fingernail clubbing and bibasilar end-inspiratory crackles on lung auscultation. Chest x-ray shows atelectasis and bilateral pleural plaques over the diaphragm. Chest CT shows reticular opacities of the lower lung fields, multiple pleural plaques, and a round 6-cm cavitary mass in the right lower lung field. CT-guided biopsy of the mass is planned. Which of the following is the most likely finding on biopsy?

Definitions:

Political Risk

The risk of loss due to political instability or changes in government policy that can affect investments and business operations.

Governmental Actions

Decisions or interventions by government agencies that can affect the economy, businesses, and various segments of society.

International Assets

Financial or physical assets located in different countries from where an investor or company is based, adding diversification to an investment portfolio.

Absolute Purchasing Power Parity

A theory that suggests that in the absence of transaction costs and barriers to trade, identical goods should have the same price in different countries.