A 44-Year-Old White Male Presents with a Long History of Joint

question 579

Multiple Choice

A 44-year-old white male presents with a long history of joint pains in several joints.  He has seen a physician before but no diagnosis was made.  He has been taking ibuprofen with partial relief.  He has now developed fever, diarrhea and weight loss.  He denies any genitourinary or eye symptoms.  He does not use tobacco, alcohol or drugs.  He is a farmer.  On examination, he has generalized lymphadenopathy and non-deforming arthritis.  Small intestinal biopsy reveals periodic acid-Schiff (PAS) -positive macrophages.  Which of the following is the most likely diagnosis?

• A)Reactive arthritis
• B)Sarcoidosis
• C)Inflammatory bowel disease
• D)Whipple's disease
• E)Celiac disease
• F)Intestinal lymphoma
• G)HIV Infection

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Definitions:

Direct Costs

Costs that can be directly attributed to a specific product or cost object without needing allocation.

Joint Costs

Expenses incurred in the process of producing two or more products at the same time, which cannot be easily attributed to individual products.

Split-off Point

The stage in a production process where multiple products become separately identifiable, often leading to different processing streams.

Value Basis

Value Basis refers to the method or groundwork for assessing the worth or value of assets, often used for tax or financial reporting purposes.