Which of the Following Patients Is Particularly Susceptible to Infection

question 15

Multiple Choice

Which of the following patients is particularly susceptible to infection with Streptococcus pneumoniae,an encapsulated bacterium?

• A)A 23-year-old man with malaise,rash,and diffuse lymphadenopathy consistent with early infection with human immunodeficiency virus
• B)A 54-year-old woman receiving local corticosteroid injections for knee pain
• C)A 35-year-old man with Hodgkin's disease and a deficient delayed-type hypersensitivity (DTH)response to Candida antigen
• D)A 6-year-old boy with sickle cell anemia who had a splenectomy
• E)A 77-year-old woman on chronic renal dialysis and a strict low-protein diet

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Definitions:

Puritans

A religious reform movement in the late 16th and 17th centuries, seeking to "purify" the Church of England of Roman Catholic practices, many of whose adherents later settled in North America.

Church Of England

The primary state church in England, a Christian church characterized by a distinctive Anglican faith and identity, with the monarch serving as its supreme governor.

Massasoit

A leader of the Wampanoag Confederacy who played a key role in the early interaction between Native American tribes and the Pilgrims in the 17th century.

Wampanoag Chief

A leader of the Wampanoag, a Native American tribe from the northeastern United States, known historically for their involvement in early interactions with European settlers, including the first Thanksgiving.