A 17-Year-Old Boy Is Brought to the Clinic Due to Fever

question 601

Multiple Choice

A 17-year-old boy is brought to the clinic due to fever and facial pain.  Two days ago, fever, myalgias, and fatigue began.  This morning, pain and fullness developed in the right cheek.  The patient has no chronic medical conditions and takes no daily medications.  Immunizations are not up to date, but the family cannot remember which ones were missed.  The patient is in high school and is on the school track team.  He has a girlfriend but is not sexually active.  He does not drink, smoke, or use illicit drugs.  Temperature is 38.3 C (100.9 F) .  Examination reveals an alert, uncomfortable-appearing adolescent.  Tenderness and fullness are present in the right cheek, which obscures the angle of the mandible.  Bilateral tympanic membranes are clear.  The oropharynx has no erythema, exudate, or tonsillar enlargement.  No cervical lymph nodes are palpable.  This patient is at greatest risk for developing which of the following complications?

• A)Glomerulonephritis
• B)Hepatitis
• C)Lymphopenia
• D)Myositis
• E)Orchitis
• F)Splenic rupture

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Definitions:

Contribution Margin

The selling price per unit minus the variable cost per unit, used to determine how sales affect net income.

Sales Projections

Estimates of the future sales revenue of a company, which are often based on historical sales data, market trends, and other relevant factors.

NPV

Net Present Value, a calculation used to determine the value of an investment by discounting future cash flows to their present value.

Payback Analysis

A financial analysis method used to determine the time required to recoup the cost of an investment or project.