WBR0005

Author	PageAuthor::
Exam Type	ExamType::USMLE Step 2 CK
Main Category	MainCategory::Internal medicine
Sub Category	SubCategory::Oncology, SubCategory::Oncology
Prompt	[[Prompt::A 52-year-old man comes to your office with recent issues of fatigue, low-grade fever, anorexia, and pruritus. He states that he can feel small bumps under his skin in his neck and that they seem to get painful when he drinks alcohol. Lab studies show a normal WBC, Hct, Hb, electrolytes, renal function, and glucose. You refer him to a surgeon to obtain a lymph node biopsy and the next day the pathologist calls you and describes "owl-eyed" appearance of abundant lymphocytes. What is the most likely diagnosis?]]
Answer A	AnswerA::Tuberculosis
Answer A Explanation	AnswerAExp::
Answer B	AnswerB::Hepatitis
Answer B Explanation	AnswerBExp::
Answer C	AnswerC::Metastatic cancer
Answer C Explanation	AnswerCExp::
Answer D	AnswerD::Non Hodgkin's lymphoma
Answer D Explanation	AnswerDExp::
Answer E	AnswerE::Hodgkin's lymphoma
Answer E Explanation	AnswerEExp::
Right Answer	RightAnswer::E
Explanation	[[Explanation::This patient has many classic signs of lymphoma. Labs are indicative of early disease, and biopsy results indicate conclusively that Hodgkin's lymphoma is present. Educational Objective: References: ]]
Approved	Approved::No
Keyword
Linked Question	Linked::
Order in Linked Questions	LinkedOrder::