Solved

A 54-Year-Old Man Comes to the Office for a Routine

question 493

Multiple Choice

A 54-year-old man comes to the office for a routine follow-up visit. He feels well and has had no ongoing symptoms but has noticed a slow increase in his weight over the past year. He says, "When the nurse weighed me around this time last year I was 74.8 kg (165 lb) and now I am 82.5 kg (182 lb) . I don't know what's causing that; my diet hasn't changed." The patient was diagnosed with HIV a year ago and initiated on antiretroviral therapy, which improved his CD4 count and viral load. He has no other chronic medical problems and has tested negative for hepatitis B and C viruses. His father had coronary artery disease and died of a myocardial infarction at age 55. The patient has a 28-pack-year smoking history and continues to smoke a pack of cigarettes daily. He used intravenous drugs in the past but is currently not using alcohol or illicit drugs. Temperature is 36.5 C (97.7 F) , blood pressure is 112/72 mm Hg, pulse is 76/min, and respirations are 16/min. BMI is 26.9 kg/m². There is adipose tissue deposition on the back of the neck. Abdominal examination reveals increased girth without a substantial increase in subcutaneous fat and palpable hepatomegaly with a soft, nontender liver edge. No striae, bruising, or skin atrophy are present.
Which of the following is most likely to be associated with this patient's condition?

Definitions:

Salesforce Calls

Salesforce calls are interactions made by a company's sales team with potential or existing customers, typically for the purposes of sales, account management, or customer support.

Market Channel

The path through which goods and services travel from the producer to the consumer, including intermediaries such as distributors and retailers.

Salesforce Organizational Structure

A system defining how the salesforce is organized within a company, including hierarchy, division of regions, product lines, or customer segments.

Geographical

Pertaining to the physical characteristics of a location or area, including its landforms, climate, and natural resources.