WBR0005
| Author | PageAuthor::Anonymous (Edited by Will Gibson) |
|---|---|
| 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 the skin in his neck and that they seem to become 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 which reveals the following microscopic appearance.
|
| 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.
Around one to five percent of patients with Hodgkin's disease experience alcohol-related pain; it is a rare but highly specific presentation for Hodgkin's lymphoma. References: First Aid ___ page __
Bobrove AM (June 1983). "Alcohol-related pain and Hodgkin's disease". The Western Journal of Medicine 138 (6): 874–5. |
| Approved | Approved::No |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |
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