Explanation:-
This man likely has
actinomycosis from infection with Actinomycesisraelii,a gram-positive anaerobic
bacterium with a branching filamentous appearance.The
image shows what is known as a “sulfur granule” formed by a colony of Actinomyces fila-ments solidifi ed with tissue exudates.The bacteria are generally normal inhabitants of the oral cavity and are found in dental caries. Poor
oral hygiene coupled with trauma increases
the risk of aspiration of the organism leading to
infection. Infections with Actinomyces tend to
be chronic and extend through multiple tissue planes. Actinomyces species appear to be susceptible to a wide range of β-lactam agents,
which are regarded as agents of fi rst choice in
treatment.
This man likely has
actinomycosis from infection with Actinomycesisraelii,a gram-positive anaerobic
bacterium with a branching filamentous appearance.The
image shows what is known as a “sulfur granule” formed by a colony of Actinomyces fila-ments solidifi ed with tissue exudates.The bacteria are generally normal inhabitants of the oral cavity and are found in dental caries. Poor
oral hygiene coupled with trauma increases
the risk of aspiration of the organism leading to
infection. Infections with Actinomyces tend to
be chronic and extend through multiple tissue planes. Actinomyces species appear to be susceptible to a wide range of β-lactam agents,
which are regarded as agents of fi rst choice in
treatment.
A 42-year-old woman comes to the physician with severe itching for the past 4 days. Her physical examination is signifi cant for hepatomegaly and three xanthomas on her right lower extremity. Laboratory studies reveal a normal total bilirubin level and elevated serum cholesterol and alkaline phosphatase levels. A liver biopsy shows granulomatous destruction of medium-sized intrahepatic bile ducts.Which of the followingautoantibodies is most likely to be significantly elevated in thispatient?
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A 4-year-old girl is brought to the emergency department with abdominal pain after eating 10-15 sugar-coated iron tablets. Soon after arriving
she begins to vomit,and the emesis has blood in it.
Physical examination shows hypotension and tachycardia.
Which of the following is the
best treatment for this patient’s elevated blood iron
levels?
she begins to vomit,and the emesis has blood in it.
Physical examination shows hypotension and tachycardia.
Which of the following is the
best treatment for this patient’s elevated blood iron
levels?
This image depicts the
administration of drug X, which produces an increase in
systolic,diastolic, and mean arterial pressure. Drug Y is
then added, resulting in little or no change to the blood pressure. Drug X is then readministered, causing a net decrease in blood pressure.
Which of the following drug combinations are drug X and drug Y, respectively?
administration of drug X, which produces an increase in
systolic,diastolic, and mean arterial pressure. Drug Y is
then added, resulting in little or no change to the blood pressure. Drug X is then readministered, causing a net decrease in blood pressure.
Which of the following drug combinations are drug X and drug Y, respectively?
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A 45-yearold man presents to
his physician with occasional burning midepigastric painthat is ameliorated when he eats food.The patient has been experiencing thissymptom intermittently for the past 5 months.A drug that inhibits which of the following
receptors would be helpful in treating this patient’s
symptoms?
his physician with occasional burning midepigastric painthat is ameliorated when he eats food.The patient has been experiencing thissymptom intermittently for the past 5 months.A drug that inhibits which of the following
receptors would be helpful in treating this patient’s
symptoms?
A 34-year-old woman is 35
weeks pregnant and comes to the emergency department because she is unable to walk secondary to swelling in her legs. Physical examination shows a temperature of 36.5° C (97.7° F), a pulse of 95/min, and a blood pressure of150/90 mm Hg.The patient
complains of a severe
headache but has no other
symptoms.Which of the
following tests would help most in the initial diagnosis of this patient?
weeks pregnant and comes to the emergency department because she is unable to walk secondary to swelling in her legs. Physical examination shows a temperature of 36.5° C (97.7° F), a pulse of 95/min, and a blood pressure of150/90 mm Hg.The patient
complains of a severe
headache but has no other
symptoms.Which of the
following tests would help most in the initial diagnosis of this patient?
Options
Anonymous Quiz
13%
Electroencephalogram
63%
24-hour urine collection
19%
Liver panel
5%
Papanicolaou smear
While examining a patient,the
physician notices decreased breath sounds at the right lower lobe,dullness on percussion, and decreased tactile fremitus without tracheal deviation.
These findings most likely represent which of the following?
physician notices decreased breath sounds at the right lower lobe,dullness on percussion, and decreased tactile fremitus without tracheal deviation.
These findings most likely represent which of the following?
Anonymous Quiz
14%
Bronchial obstruction
7%
Intestinal infiltration
44%
Lobar pneumonia
34%
Pleural effusion
A 42-year-old woman has had increasing pain and swelling of the joints of her hands and feet for several months.It is
becoming very difficult for her to perform commonhousehold tasks.Amicroscopic image of the synovium of a proximal interphalangeal joint inher
hand is shown.Which of the following laboratory serologic
fi ndings would most likely be positive in this patient?
becoming very difficult for her to perform commonhousehold tasks.Amicroscopic image of the synovium of a proximal interphalangeal joint inher
hand is shown.Which of the following laboratory serologic
fi ndings would most likely be positive in this patient?