A 43-Year-Old Man Comes to the Office Due to Several

question 1373

Multiple Choice

A 43-year-old man comes to the office due to several weeks of nagging, left-sided chest pain that worsens with deep inspiration.  He has also had a progressive, nonproductive cough and mild dyspnea.  The patient denies fever or chills.  He was diagnosed with Hodgkin lymphoma in his early 20s and was treated with chemotherapy and radiation.  Blood pressure is 144/90 mm Hg and pulse is 92/min.  The patient appears thin.  Examination is otherwise normal.  Chest x-ray is shown in the image below: Which of the following is the most likely cause of this patient's current manifestations?

• A)Aspergillus infection
• B)Lung cancer
• C)Pulmonary tuberculosis
• D)Radiation-induced fibrosis
• E)Recurrence of Hodgkin lymphoma

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Definitions:

OxyContin

A brand name for a time-release formula of oxycodone, a powerful prescription opioid pain medication that can be highly addictive.

Painkillers

Medications used to reduce or alleviate pain. These can range from over-the-counter options like aspirin to prescription opioids.

Drug Users

Individuals who consume illegal drugs or misuse prescription medications.

Males

Refers to the male gender or sex, one of the biological categories distinguished by the XY chromosome pair, reproductive anatomy, and secondary sexual characteristics.