A Previously Healthy 48-Year-Old Man Comes to the Physician Because

question 58

Multiple Choice

A previously healthy 48-year-old man comes to the physician because of a 2-week history of a nonpruritic rash on his right forearm. The rash began as pustules and progressed to form nodules and 2 other similar papules appeared proximal to the original lesion. He works as a gardener. Physical examination shows a 1-cm, nontender, red nodule on the dorsum of the right hand with 2 smaller papules in linear distribution proximal to it.  Which of the following histopathologic findings is most likely present in this patient's skin lesions?

• A)Dense inflammatory infiltrate surrounding sulfur granules
• B)Granulomas with amastigote parasites inside dermal macrophages
• C)Mixed granulomatous and neutrophilic inflammatory reaction
• D)Perivascular lymphocytic inflammation and epidermal spongiosis
• E)Prominent plasma cell infiltrates and obliterative endarteritis

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Definitions:

Inconsistent

Lacking in agreement, harmony, or compatibility; contradictory.

Tautology

A statement that is true in every possible interpretation, often by defining a condition that repeats itself or is redundant.

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Logic Games

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