WBR0005
| Author | PageAuthor:: |
|---|---|
| Exam Type | ExamType::USMLE Step 1 |
| Main Category | MainCategory::Gastrointestinal |
| Sub Category | SubCategory::Pathology |
| 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: |
| Approved | Approved::No |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |