An 8-Year-Old Boy from the Intermountain Region of the United

question 2

Multiple Choice

An 8-year-old boy from the intermountain region of the United States is brought to the pediatrician with fever,rash,and pain in his knees and ankles.Pericarditis is evident on auscultation,and echocardiography confirms mitral valve regurgitation.Three weeks before this episode,the patient had experienced a sore throat but had not received medical attention.High titers of antistreptococcal antibodies are present in the serum.This child's disease is a result of which one of the following phenomena?

• A)Clonal anergy
• B)Peripheral tolerance
• C)Epitope spreading
• D)Central tolerance
• E)Molecular mimicry

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Definitions:

Environment Performance Index (EPI)

A method of quantifying and numerically marking a country's environmental performance in different policy categories.

GDP

Gross Domestic Product represents the aggregate value, in monetary or market terms, of every final good and service created inside the confines of a country during a designated period.

Individual Transferable Quota (ITQ)

A policy tool used in fisheries management, allowing fishing rights to be allocated to individuals or entities, which can then be traded.

Market Price

The market price is the current price at which a good or service can be bought or sold in a marketplace.