A 26-Year-Old Man Comes to the Office After Discovering a Nontender

question 1112

Multiple Choice

A 26-year-old man comes to the office after discovering a nontender lump on his neck while taking a shower.  The patient has occasional heartburn and takes over-the-counter esomeprazole several times a week.  He otherwise feels well and considers himself healthy.  The patient has been sexually active with a single female partner over the last year.  He has no history of recent travel and no pets.  The patient has a 5-pack-year smoking history.  He also smokes marijuana most days and drinks alcohol on the weekends.  Temperature is 37.2 C (99 F) , blood pressure is 120/70 mm Hg, pulse is 72/min, and respirations are 12/min.  BMI is 20 kg/m².  Oropharyngeal examination shows a 2-cm white plaque on his right inner cheek that is easily scraped off with a tongue depressor, revealing underlying hyperemia.  A 2.5-cm mildly tender anterior cervical node is palpated on the right side along with several bilateral, <1-cm, rubbery submandibular nodes.  No skin lesions are present.  Cardiopulmonary auscultation reveals clear lung fields and normal heart sounds.  The abdomen is soft and nontender, and neurologic examination is normal.  Which of the following is the most appropriate next step in management of this patient?

• A)Arrange for lymph node biopsy
• B)Offer p24 antigen/HIV antibody testing
• C)Prescribe amoxicillin and follow up in 4 weeks
• D)Order heterophile antibody
• E)Stop esomeprazole and follow up in 4 weeks

Comprehend the principles and applications of affirmative action concerning gender.

Define and distinguish between terms like transsexual and transgender.

Critique essentialist arguments about gender from a sociological perspective.

Analyze the role of children in interpreting and negotiating gender roles.

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Definitions:

Empathic

Having the capacity to understand and share the feelings or emotional states of another person.

Projection

A defense mechanism in which individuals attribute their own unacceptable thoughts, feelings, or motives to another person.

False Consensus Effect

The tendency to overestimate the extent to which others share our beliefs, attitudes, and behaviors.

Unconscious Mental Dynamics

Refers to the processes and interactions of mental elements within the mind that occur without conscious awareness, influencing thoughts, feelings, and behaviors.