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q bank M&I 1 03172006

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The World Health Organization identifies an alarming increase in hospital admissions worldwide attributable to a new and unexpected serotype of influenza A virus. The biological attribute of influenza A virus, which allows the sudden appearance of dramat
Rotavirus
A 37-year-old newly married man presents with multiple blister-like lesions on the glans of his penis, appearing over the past 2 days. On questioning, he recalls similar episodes over the past 2 years. Examination is remarkable for tender, 3-4 mm vesicul
Neurons of the sacral ganglia
A veterinary student at a state university is referred to the student health clinic with complaints of fatigue, malaise, and lymphadenopathy. She has a fever of 38.2 C (100.8F), pronounced cervical lymphadenopathy, and a moderate lymphocytosis. She is th
Tachyzoite
A 54-year-old woman suffering from influenza deteriorates and develops shaking chills and a high fever. Physical examination is remarkable for dullness to percussion at the left base and decreased breath sounds on the left. Chest x-ray confirms the diagn
Penicillin
A patient with rheumatoid arthritis presents to her physician and mentions that after many years without teeth problems, she has recently developed seven caries. This is a clue to her clinician that she should be evaluated for which of the following dise
Sjogren's syndrome
A 46-year-old woman complains to her physician at the time of her annual examination of fatigue and painful lymph nodes in her neck, which she says have been present for at least 6 months. A lymph node biopsy reveals hypercellularity in the cortical area
Two gamma2 chains and two kappa chains
A 67-year-old black man with a history of glucose-6-phosphate dehydrogenase (G-6-PD) deficiency presents with fever, irritative voiding symptoms, and perineal pain. Rectal examination is remarkable for a boggy, exquisitely tender prostate. A urine Gram's
Sulfamethoxazole/trimethoprim
A previously healthy 27-year-old man presents with one week of increasingly severe sore throat, fever, fatigue, and headache. His temperature is 39 C (102.2F) orally. He has palpable anterior cervical adenopathy and petechiae over his trunk and oral muco
CD8+ lymphocyte
A 24-year-old man presents with complaints of itching on his arms and face. Physical examination reveals well-circumscribed wheals with raised, erythematous borders and blanched centers. Which form of hypersensitivity is this patient probably exhibiting?
Immediate type hypersensitivity
A 6-year-old child is brought to the pediatrician's office complaining of a severe sore throat. ON examination, the child is febrile, and the throat is extremely erythematous with obvious abscesses on the tonsillar pillars. A rapid antigen test is positi
log phase
In a random quality-control test of 73 batches of Hemophilus influenzae vaccines administered nationwide, the FDA discovered two lots in which the capsular polysaccharide of Hemophilus was not covalently coupled to the Diptheria toxoid. Which of the foll
They should produce a normal IgM response to Hemophilus
A 48-year-old waitress presents to a physician with malaise, loss of appetite, nausea, moderate fever, and jaundice. Laboratory tests indicate a marked increase in serum transaminases. Serology for hepatitis viruses is performed and indicates positive re
The presence of an acute HBV infection
A febrile 23-year-old college coed presents with fatigue and difficulty swallowing. Physical exam reveals exudative tonsilitis, palatal petechiae, cervical lymphadenopathy, and tender hepatosplemonegaly. A complete blood count reveals mild anemia, lympho
splenic rupture
A 25-year-old pregnant woman in her third trimester is diagnosed with an upper respiratory infection. Which of the following would be the most appropriate pharmacotherapy?
Azithromycin
A six-year-old child is brought to the pediatrician by his mother. While playing with friends after school, he received a puncture wound on his hand. Although his mother washed and disinfected it to the best of her ability, she is now concerned about the
LFA-1 and ICAM-1
A 33-year-old single mother of two young children visits her physician because of an oral ulcer. A review of systems is significant for fatigue, myalgia, and joint pain. Laboratory results demonstrate leukopenia, and a high-titered antinuclear antibody.
Systemic Lupus Erythematosus
A 60-year-old teacher is in an automobile accident and has cuts and contusions treated in a local emergency department. She is treated and released, but 2 days later seeks the advice of her own physician because one of her facial injuries has become hot,
They have similar variable-beta chains in their T cell receptors

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