1 A 24-year -old man with a history of drug abuse has nausea , rhinorrhea , hypertension, and tachycardia The most likely cause is withdrawal from which of the following agents?
O A) Alcohol
ft B) Amphetamine
O C) Cocaine
G D) Heroin
ft E) Nicotine
,38 A 45-year-old man comes to the physician because of progressively worsening, constant pain in his left thigh over the past
3 months. He is a long-distance runner An x-ray of the femur shows thickening of the diaphysis and disruption of the cortex
with focal areas of increased calcification A glistening mass containing several cysts is surgically excised. A
photomicrograph of tissue from the mass is shown. Which of the following is the most likely diagnosis?
Q A) Atypical stress fracture
O B) Chondrosarcoma
O C) Enchondroma
© D) Ewing sarcoma
O E) Giant cell carcinoma
O F) Multilobulated bone cyst
O G) Osteosarcoma
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42 A 50- year -old man is found dead in bed at home . His family states that he had chest pain for 3 weeks prior to his death At i
autopsy, examination shows severe atherosclerosis of all three major coronary arteries, with myocardial softening and
mottling involving the anterolateral wall of the left ventricle A photomicrograph of a section from this area is shown. Which t
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, 34 A 70- year -old woman is found to have persistent fever despite intravenous broad-spectrum antibiotic therapy
3 days after undergoing operative excision of the anterior pelvic organs for recurrent cervical carcinoma Her
temperature is 38.5°C (101 3°F) Physical examination shows the presence of a central venous catheter that was
placed on the day of the operation There is also a well- healing abdominal wound without erythema and with two
drains in place Blood cultures and cultures of the tip of the central catheter on a sheep blood agar plate grow the
organism shown in the photograph A Gram stain of one of the colonies shows 4-pm , elliptical, purple , budding
organisms Which of the following is the most likely causal organism?
O A) Candida albicans
B) Cryptococcus neoformans
© C) Escherichia coli
D) Sporothnx schenckii
O E) Staphylococcus aureus
O A) Alcohol
ft B) Amphetamine
O C) Cocaine
G D) Heroin
ft E) Nicotine
,38 A 45-year-old man comes to the physician because of progressively worsening, constant pain in his left thigh over the past
3 months. He is a long-distance runner An x-ray of the femur shows thickening of the diaphysis and disruption of the cortex
with focal areas of increased calcification A glistening mass containing several cysts is surgically excised. A
photomicrograph of tissue from the mass is shown. Which of the following is the most likely diagnosis?
Q A) Atypical stress fracture
O B) Chondrosarcoma
O C) Enchondroma
© D) Ewing sarcoma
O E) Giant cell carcinoma
O F) Multilobulated bone cyst
O G) Osteosarcoma
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42 A 50- year -old man is found dead in bed at home . His family states that he had chest pain for 3 weeks prior to his death At i
autopsy, examination shows severe atherosclerosis of all three major coronary arteries, with myocardial softening and
mottling involving the anterolateral wall of the left ventricle A photomicrograph of a section from this area is shown. Which t
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, 34 A 70- year -old woman is found to have persistent fever despite intravenous broad-spectrum antibiotic therapy
3 days after undergoing operative excision of the anterior pelvic organs for recurrent cervical carcinoma Her
temperature is 38.5°C (101 3°F) Physical examination shows the presence of a central venous catheter that was
placed on the day of the operation There is also a well- healing abdominal wound without erythema and with two
drains in place Blood cultures and cultures of the tip of the central catheter on a sheep blood agar plate grow the
organism shown in the photograph A Gram stain of one of the colonies shows 4-pm , elliptical, purple , budding
organisms Which of the following is the most likely causal organism?
O A) Candida albicans
B) Cryptococcus neoformans
© C) Escherichia coli
D) Sporothnx schenckii
O E) Staphylococcus aureus
