california
Forum Senior
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Posts: 77
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A 22 year old man is an avid spelunker (cave explorer) and has recently been exploring several caves. A routine cxr taken for a new job reveals hilar adenopathy and two patches of pneumonitis. Careful questioning reveals he has just gotten over a cold with mild fever, cough and malaise
1. The most likely diagnosis is
a. tuberculosis
b. sarcoidosis
c. candidiasis
d. histoplasmosis
e. coccidioidomycosis
2. dissemination of the disease
a. requires no specific therapy
b. can result in addison's disease
c. causes splenic infarction
d. requires long term therapy with a floroquinolones
e. is seen only in immunocompromised individuals
3. eight years later, he presents with a red face and grossly distended neck veins. This complication is a result of
a. lymphomatous transformation
b. a late secondary spread of infection
c. a secondary autoimmune phenomenon
d. infectious emboli
d. progressive fibrosis
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Forum Guru
Topics: 77
Posts: 401
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d,e,e(progressive fibrosis)
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