IA Lewis 2

Which is the most likely underlying cause of pleuritic pain and red currant jelly sputum in a 46-year-old febrile alcoholic? A) Klebsiella pneumoniae B) Haemophilus pneumoniae C) Chlamydia pneumoniae D) Mycoplasma pneumoniae

A) Klebsiella pneumoniae

Which could present with recurrent episodes of bright red blood in the stool and right iliac fossa pain in a child? A) Meckel's diverticulum B) Diverticulitis C) Ulceative collitis D) Crohn's disease

A) Meckel's diverticulum

If you suspect cholecystitis, which sign might be present in the physical examination? A) Murphy B) Cullen C) Rovsing D) Grey Turner

A) Murphy

Which parasite is most likely to cause a microcytic hypochromic anemia? A) Necator americanus B) Ascaris lumbricoides C) Diphyllobothrium latum D) Trypanosoma cruzi

A) Necator americanus

Which is a cause of peripheral cyanosis? A) Raynaud's phenomenon B) Emphysema C) Chronic bronchitis D) Fallot's tetralogy

A) Raynaud's phenomenon

Which term best describes bronchophony? A) breath sounds which sound louder than normal B) breath sounds that sound like the bleating of sheep C) breath sounds which are amplified when whispered D) breath sounds that appear to be musical or whistling

A) breath sounds which sound louder than normal

Which findings are more likely to be found in lobar pneumonia? A) bronchial breathing, egophony and bronchophony B) sweating, tachycardia and low blood pressure C) burning retrosternal pain brought on by lying down D) purse-lipped breathing and a barrel-shaped chest

A) bronchial breathing, egophony and bronchophony

Which is the most appropriate step to take in a patient with pursed-lip breathing, respiratory rate of 32/minute, cyanosis, barrel-shaped chest, a deviated trachea to the left and hyper-resonant percussion note on the entire right side of the chest? A) call 911 B) comanage with a pulmonologist C) refer to the hospital D) increase grain in the diet

A) call 911

Which disease is most likely to be associated with a B-type natriuretic peptide level of 560 pg/dL? A) congestive heart failure B) bronchial asthma C) diabetic ketoacidosis D) sarcoidosis

A) congestive heart failure

Which test is useful to rule out pulmonary embolism in a female patient with acute onset of shortness of breath? [Make sure you use getthediagnosis.org to provide the sensitivities and specificities of these tests] A) d-dimer B) ventilation/perfusion scan C) CT scan of the chest D) chest x-ray

A) d-dimer

Which radiological sign is associated with intussusception? A) doughnut B) cobblestone C) string D) lead pipe

A) doughnut

Which is the most likely cause of pursed-lips breathing and a barrel chest? A) emphysema B) chronic bronchitis C) bronchiectasis D) bronchopneumonia

A) emphysema

Which clinical best fits the diagnosis of tuberculosis? A) hemoptysis, night sweats, afternoon fevers and weight loss despite a good appetite B) paroxysmal nocturnal dyspnea, bilateral basal crackles and a positive hepatojugular reflex C) dyspnea, chest pain which is worse with coughing and taking deep breaths and hemoptysis D) stony dull percussion notes and absent breath sounds in the base of the right lung

A) hemoptysis, night sweats, afternoon fevers and weight loss despite a good appetite

Which is implicated in the pathogenesis of the abdominal pain in diabetic ketacidosis? A) hyperkalemia B) hypercapnea C) histamine D) hydrogen ions

A) hyperkalemia

Which is the most likely cause of whispered pectoriloquy? A) lobar pneumonia B) emphysema C) pulmonary embolism D) pleural effusion

A) lobar pneumonia

Where is the underlying pathophysiological problem associated with pulmonary embolism? A) perfusion B) medullary control C) diffusion D) ventilation

A) perfusion

Which is the most likely cause of stony dullness on percussion of the lower chest? A) pleural effusion B) pulmonary embolism C) pneumothorax D) pneumoconiosis

A) pleural effusion

Which condition is most likely to present with increased tactile fremitus? A) pneumonia B) pleural effusion C) pneumothorax D) pleurisy

A) pneumonia

A) fractured ribs

A 45-year-old was involved in a motor vehicle accident and now complains of left-sided chest pain that is worse on taking a deep breath or coughing. There is no shortness of breath or hemoptysis. Sternal compression aggravates the chest pain that is localized under the left scapula. A chest radiograph was taken and here is the film. A) fractured ribs B) bronchitis C) lobar pneumonia D) pulmonary embolism

Which is a possible complication of ribs fractured in a car crash? A) pneumothorax B) mesothelioma C) pulmonary embolism D) pleural effusion

A) pneumothorax

Which clinical picture is most likely to be seen in a patient with pulmonary embolism? A) shortness of breath, chest pain and hemoptysis B) paroxysmal nocturnal dyspnea in a Tampa motel owner C) dyspnea following chest injury in a motor vehicle accident D) fever, pleuritic chest pain and rusty sputum

A) shortness of breath, chest pain and hemoptysis

Which finding is likely to be present in a patient with an abnormal d-xylose test? A) steatorrhea B) melena C) hematochezia D) red currant jelly stool

A) steatorrhea

Which is most likely to be seen associated with speckled epigastric calcification in an erect abdominal radiograph? A) 60-year-old male with recurrent epigastric pain and steatorrhea B) 35-year-old executive with recurrent heartburn radiating into the chest C) 45-year-old female with right upper quadrant pain worse with fatty meals D) 27-year-old drug addict with nausea, vomiting and jaundice

A) 60-year-old male with recurrent epigastric pain and steatorrhea

A 52-year old female janitor complains of shortness of breath. The shortness of breath is worse towards the end of the day. She has pitting ankle edema in both legs. There are no cardiac murmurs and her blood pressure is 180/118. Her Complete Blood Count shows a White Blood Cell count of 7.280 [3,800-11,000 cells per mm3]. Her Comprehensive Metabolic Panel shows hypercapnia, hyponatremia and mild hypercalcemia. Which result is the most likely to be found in this patient? A) BNP of 563 pg/dL B) ACE of 240 u/L C) FEV1 <70% D) Charcot Leyden crystals

A) BNP of 563 pg/dL

Which test will confirm the most likely underlying cause of recurrent illness in the 25-year-old febrile patient previously treated for tuberculosis? A) CD4 count <200 and a positive Western Blot test B) lymph node biopsy with non-caseous granulomas C) sputum microscopy with numerous acid-fast bacilli D) lymph node biopsy showing Reed Sternberg cells

A) CD4 count <200 and a positive Western Blot test

A 52-year old female janitor complains of shortness of breath. The shortness of breath is worse towards the end of the day. Her mother died from heart failure two years ago. She also complains of fatigue and painful red bumps on her legs. She does not smoke nor drink. She also has been coughing and the sputum is streaked with blood. She is not on any medication. Physical examination reveals red tender bumps on both legs. An examination of her respiratory system reveals crackles in her left apex. A Complete Blood Count shows a WBC count of 12,367 [3,800-11,000] and lymphocytosis. The Comprehensive Metabolic Panel shows that her serum calcium is 10.1 [8.8-10.3 mg/dL]. A chest x-ray reveals unilateral hilar lymphadenopathy and apical cavitations on the same side. Given the above information, which is the most likely diagnosis? A) tuberculosis B) congestive heart failure C) pleural effusion D) sarcoidosis

A) tuberculosis

Which condition may present with clubbing of the fingers? A) tuberculosis B) diabetic ketoacidosis C) ventricular septal defect D) pneumonia

A) tuberculosis

Where is the underlying pathophysiological problem associated with pneumothorax? A) ventilation B) medullary control C) perfusion D) diffusion

A) ventilation

Which plan is most appropriate for dealing with a 10-year-boy with periumbilical pain and mild fever followed by guarding in the right iliac fossa? A) advise the mother against immunizing her child B) refer to the emergency room at once C) co-manage with a psychologist shortly D) resolve any psychosexual issues the child might have

B) refer to the emergency room at once

Which imaging is best for diagnosing the presence of cholelithiasis? A) plain abdominal x-ray B) ultrasonography C) hepatobiliary scintigraphy D) gallium scan

B) ultrasonography

If you suspect hyperthyroidism, which would be present in the history? A) jaundiced sclera and clay-colored stool B) weight loss despite an increased appetite C) vomiting and diarrhea and weight gain D) frequent painful urination and nocturia

B) weight loss despite an increased appetite

Which is the best description of the organism most commonly found in patients with cholecystitis? A) Gram negative enteric urea-splitting motile bacillus B) Gram negative enteric lactose-fermenting bacillus C) Gram negative comma-shaped bacteria D) Gram positive enteric spore-forming bacillus

B) Gram negative enteric lactose-fermenting bacillus

Which is the best description of the most likely underlying cause of fever, pleuritic pain and red currant jelly in a 35-year-old alcoholic? A) Gram-positive, catalase-positive, coagulase-positive facultative anaerobe B) Gram-negative, catalase-positive, urease-positive, lactose fermenting bacilli C) Gram-negative, catalase-positive, urease-negative, lactose fermenting bacilli D) Non-Gram staining, obligate intracellular parasites

B) Gram-negative, catalase-positive, urease-positive, lactose fermenting bacilli

Which heart murmur is more likely to be best heard in the second left intercostal space between the first and second heart sounds? A) Mitral incompetence B) Pulmonary stenosis C) Tricuspid stenosis D) Aortic regurgitation

B) Pulmonary stenosis

Which is the best test to confirm the diagnosis of appendicitis? A) Complete blood count B) Spiral CT scan C) Erythrocyte sedimentation rate D) Ultrasound

B) Spiral CT scan

Which is most likely to be associated with titubation? A) coarctation of the aorta B) aortic incompetence C) subclavian steel syndrome D) aortic stenosis

B) aortic incompetence

Which physical finding would be suggestive of emphysema? A) clubbing B) barrel-shaped chest C) unilateral swollen leg D) peripheral cyanosis

B) barrel-shaped chest

When in the cardiac cycle is the murmur associated with mitral valve prolapse more likely to be heard? A) just after the second heart sound B) between the first and second heart sounds C) before the first heart sound D) between the second and the first heart sounds

B) between the first and second heart sounds

If you suspect pancreatitis, which would be present in the physical exam? A) hyperactive bowel sounds B) bluish discoloration in the flanks C) clay-colored stool D) shifting dullness

B) bluish discoloration in the flanks

Which is the most appropriate management step in a patient with severe abdominal pain, tachycardia and a low blood pressure? A) suggest that he consult with his primary care physician B) call 911 immediately C) refer him to the nearby cardiologist D) adjust his atlas to see if his blood pressure will go up

B) call 911 immediately

Alpha 1 anti-trypsin deficiency causes emphysema by which mechanism? A) narrowed bronchial tubes B) decreased elasticity in the lung tissue C) overactive parasympathetic nerves D) overactive sympathetic system

B) decreased elasticity in the lung tissue

Which findings are most likely to be seen in a patient whose chest radiograph shows obliteration of the left costophrenic angle and a curvilinear line in the middle of the left lung field? A) generalized wheezing and bronchial breath sounds B) decreased tactile fremitus and stony dull percussion note C) increased respiratory rate, cyanosis and pursed-lip breathing D) increased tactile fremitus and decreased breath sounds

B) decreased tactile fremitus and stony dull percussion note

Which cause of abdominal pain is associated with acetone breath? A) diverticulitis B) diabetic ketoacidosis C) appendicitis D) pyelonephritis

B) diabetic ketoacidosis

Decreased chest expansion is more likely to be seen in which condition? A) pneumonia B) emphysema C) congestive heart failure D) chronic bronchitis

B) emphysema

Which is the location of the click murmur that is characteristic of mitral valve prolapse? A) second left intercostal space parasternally B) fifth left intercostal space in the midclavicular line C) fourth right intercostal space parasternally D) second right intercostal space parasternally

B) fifth left intercostal space in the midclavicular line

Which diagnosis would account for abdominal pain, obstipation, generalized abdominal distension and hyperactive bowel sounds? A) generalized peritonitis B) intestinal obstruction C) chronic pyelonephritis D) bleeding peptic ulcer

B) intestinal obstruction

Which pathology more likely to be seen in a patient diagnosed with a lobar pneumonia? A) failing myocardial tissue B) lobar congestion with red hepatization C) constricted bronchi and swollen mucosa D) excessive fluid in the pleural cavity

B) lobar congestion with red hepatization

Where is the underlying pathophysiology for the dyspnea seen in diabetic ketoacidosis? A) ventilation B) medullary control C) perfusion D) diffusion

B) medullary control

Which is a cause of chest pain and requires an immediate referral to the hospital? A) panic disorder B) pulmonary embolism C) pleural effusion D) pericarditis

B) pulmonary embolism

Which finding is most likely to be present in a patient with acute pancreatitis? A) hyponatremia B) raised serum amylase C) positive Murphy's sign D) hypoglycemia

B) raised serum amylase

Which is the best interpretation of the closed eyes sign? A) when present it signifies a greater chance of serious intra-abdominal pathology being present B) when present it means a small chance of true intra-abdominal pathology being present C) when absent it means a greater chance of the presence of minor intra-abdominal pathology D) when absent it means there is no chance of serious intra-abdominal pathology being present

B) when present it means a small chance of true intra-abdominal pathology being present

The 25-year-old febrile patient with chest pain, cough and night sweats for 6 weeks with apical consolidation and cavitations on a chest x-ray was treated successfully and recovered completely. One year later he became sick again, this time with recurrent diarrhea. He admitted to having lost 10 lbs. and he was not dieting or trying to lose weight. Which is the most likely underlying diagnosis in this patient? A) lymphoma B) tuberculosis C) AIDS D) lung cancer

C) AIDS

Which parasite is most likely to cause a macrocytic normochromic anemia? A) Necator americanus B) Ascaris lumbricoides C) Diphyllobothrium latum D) Trypanosoma cruzi

C) Diphyllobothrium latum

Which statement best describes dyspnea? A) It is only affected by physiological factors B) It is only affected by psychological factors C) It describes discomfort while breathing D) It is another medical word for tachypneas

C) It describes discomfort while breathing

Which is the most likely diagnosis in a 9-year-old African American child with recurrent abdominal pain and basophilic stippling of read blood cells in a blood smear? A) Sickle Cell Disease B) Thalassemia major C) Plumbism D) Hereditary spherocytosis

C) Plumbism

Which sign might be present that would support the diagnosis of appendicitis? A) Murphy B) Cullen C) Rovsing D) Closed eyes

C) Rovsing

Which is the chemical mediator for the chest pain in myocardial infarction? A) bradykinin B) lactic acid C) adenosine D) ATP

C) adenosine

If you suspect pancreatitis, which would be present in the history? A) constipation b) clay-colored stool C) alcohol abuse D) vaginal discharge

C) alcohol abuse

Which statement about the prevalence of abdominal pain in the USA is correct? A) females with the eyes closed sign always have serious intra-abdominal pathology B) over 65% of patients have non-specific causes of their abdominal pain C) approximately 25% of patients with abdominal pain require hospitalization D) most patients with abdominal pain have minor surgical causes

C) approximately 25% of patients with abdominal pain require hospitalization

Which occurs in patients with congestive heart failure? A) decreased pulmonary arterial pressure B) decreased left atrial pressure C) carbon dioxide retention D) failure of the aorta to contract fully

C) carbon dioxide retention

Which is the most likely pathology you will find in a patient with recurrent right iliac fossa pain, diarrhea and the following Complete Blood Count result: Hb 10 g/dL, MCV 120 and MCHC 35%? A) fecalith causing intermittent obstruction of the lumen of the appendix B) Helicobacter pylori on a biopsy of the mucosa of the gastric mucosa C) cobble-stone appearance of the mucosa of the terminal ileum D) inflamed Rokitansky-Aschoff sinuses in the lumen of the gallbladder

C) cobble-stone appearance of the mucosa of the terminal ileum

Which symptom is part of the clinical triad associated with pulmonary embolism? A) wheezing B) squeezing chest pain C) coughing up blood D) hematemesis

C) coughing up blood

Which statement regarding cholelithiasis is correct? A) 65% can be seen on a plain erect abdominal radiograph B) 95% will develop cholecystitis C) many will be asymptomatic D) CT scan is the imaging of choice

C) many will be asymptomatic

Which is the most likely cause of severe peri-umbilical pain in an afebrile 60-year-old male smoker with tachycardia, a low blood pressure, absent bowel sounds and who has passed flatus recently? A) intussusception B) psychogenic abdominal pain C) mesenteric vascular occlusion D) sigmoid volvulus

C) mesenteric vascular occlusion

Which type of chest pain is more likely to be encountered in the chiropractic setting? A) cardiovascular B) pulmonary C) musculoskeletal D) gastrointestinal

C) musculoskeletal

A 29-year old schoolteacher complains that she is having abdominal pains. The pain started in the umbilical region last night and has become worse since then. Her mother has a history of recurrent abdominal pain and she is currently seeing a chiropractor and a dietician. If you suspect appendicitis which of the following would be present in the history? A) diarrhea B) constipation C) nausea and vomiting D) fat intolerance

C) nausea and vomiting

If you suspect pneumonia in an elderly patient with a bad cough and shortness of breath, which would be present in the history? A) hemoptysis B) paroxysmal nocturnal dyspnea C) pleuritic pain and fever D) one-sided ankle edema

C) pleuritic pain and fever

What is the nature of the most likely causative organism of the recurrent diarrhea in this 25-year-old patient with chest pain, cough and night sweats for 6 weeks with apical consolidation and cavitations on a chest x-ray? A) bacteria B) virus C) protozoa D) fungus

C) protozoa

Nociception travels along which nerves in a patient with Tietze's syndrome? A) vagus b) left recurrent laryngeal C) sympathetic D) intercostal

D) intercostal

Which finding is more likely to be seen in severe iron deficiency anemia? A) titubation B) beefy red tongue C) radiofemoral delay D) koilonychia

D) koilonychia

If you suspect pneumonia, which would be present in the physical examination? A) apical crackles B) positive hepatojugular reflex C) positive hepatojugular reflex D) localized bronchophony

D) localized bronchophony

Which is the most likely cause of increased tactile fremitus? A) pleural effusion B) emphysema C) pulmonary embolism D) pneumonia

D) pneumonia

Left shoulder tip pain in the recumbent position in a female who has not seen her periods for the past two months is indicated of which condition? A) uterine leiomyoma B) diverticulitis C) pelvic inflammatory disease D) ruptured ectopic pregnancy

D) ruptured ectopic pregnancy

If you suspect pneumonia, which would be present in a chest x-ray? A) bilateral hilar lymphadenopathy B) Kerley B lines C) hyperinflated lung fields D) segmental consolidation

D) segmental consolidation

A pupil which does not react to light but reacts to accommodation is more likely to be seen in which cause of lightning abdominal pains? A) diabetic ketoacidosis B) lead poisoning C) intussusception D) tertiary syphilis

D) tertiary syphilis

A 29-year-old female schoolteacher has bouts of abdominal pain, mild recurrent diarrhea and bright red blood in the stool. The pain is now located in the left iliac fossa. There is mild tenderness in the left iliac fossa but no rebound tenderness. There is no abnormal vaginal discharge. A Complete Blood Count shows her hemoglobin is 9 g/dL. Her MCV is 75 lL and the MCHC is 29%. There is a mild leukocytosis. Which is the most likely diagnosis? A) appendicitis B) pelvic inflammatory disease C) diverticulitis D) ulcerative colitis

D) ulcerative colitis

Which sign is likely to be seen in acute pancreatitis? A) Rovsing B) Rogoff C) McBurney D) Cullen

D) Cullen

Which statement best describes the most common causative organism of a lobar pneumonia in a previously healthy individual? A) Alcohol acid fast bacillus identified by Ziehl-Neelsen stain B) Gram negative, enteric, lactose-fermenting bacillus C) Opportunistic fungus seen best with the Wright-Giemsa stain D) Gram positive, catalase negative coccus in strips

D) Gram positive, catalase negative coccus in strips

Which condition may present with abdominal pain, hematochezia and oral pigmentation? A) Acute porphyria B) Persistent ductus arteriosus C) Chagas disease D) Peutz-Jeghers syndrome

D) Peutz-Jeghers syndrome

If you suspect cholecystitis which test would confirm the diagnosis? A) Complete blood count B) Abdominal x-ray C) Erythrocyte sedimentation rate D) Ultrasound

D) Ultrasound

Which findings are most likely to be seen in a patient with pulmonary embolism? A) swollen tender second costochondral junction B) 11 out of 18 trigger points with fatigue and insomnia C) burning retrosternal pain made worse with lying down D) a painful swollen leg with a positive Homans' sign

D) a painful swollen leg with a positive Homans' sign

Which finding is associated with generalized peritonitis? A) bluish periumbilical discoloration B) ascites C) hyperactive bowel sounds D) absent bowel sounds

D) absent bowel sounds

Which is most likely to present with nasal flaring? A) deep vein thrombosis B) nephrotic syndrome C) bronchitis D) asthma

D) asthma

Which is most likely to be the cause of severe abdominal pain in an afebrile 60-year-old male smoker with tachycardia, low blood pressure and normal bowel sounds?? A) diabetic ketoacidosis B) ulcerative colitis C) rheumatic valvular heart disease D) atherosclerosis of the aorta

D) atherosclerosis of the aorta

Which tests would be most appropriate in finding out the etiology of severe lower abdominal pain in a 19-year-old female whose last period was six weeks ago? A) ESR and spiral CT scan of the abdomen B) beta lipoproteins and a complete blood count C) urinalysis and a comprehensive metabolic panel D) beta HCG and ultrasound examination for a gestational sac

D) beta HCG and ultrasound examination for a gestational sac

Which criteria should be used to determine whether a 35-year-old alcoholic with fever, pleuritic pain and red currant jelly sputum should be hospitalized or not? A) the location of the chest infection B) the type of causative organism C) amount of lung tissue that is affected D) blood pressure less than 90/60

D) blood pressure less than 90/60

Which sign might be present in a 9-year-old African American child with recurrent abdominal pain and basophilic stippling of red blood cells in a blood smear? A) tender hepatomegaly B) enlarged cervical nodes C) splenomegaly D) blue gum line

D) blue gum line

If you suspect panic attack, which could be present in the history? A) vomiting B) chills and fever C) weight gain D) chest pain

D) chest pain

A 52-year old female janitor complains of shortness of breath. The shortness of breath is worse towards the end of the day. Her mother died from breast cancer two years ago. If you suspect emphysema, which of the following would be present in the history? A) cough for at least a month B) hemoptysis C) weight gain D) history of smoking

D) history of smoking

D) Pneumocystis jiroveci

What is the most likely cause of this chest x-ray appearance of a patient with a low grade fever, cough with scanty sputum? A) Mycobacterium tuberculosis B) Klebsiella pneumoniae C) Streptococcus pyogenes D) Pneumocystis jiroveci

A) fungus

What is the nature of the organism that is the most likely cause of this chest x-ray appearance of a patient with a low grade fever, cough with scanty sputum? A) fungus B) spirochete C) bacterium D) protozoan

A) chills followed by fever, pleuritic chest pain and rust colored sputum

Which description best matches this radiograph? A) chills followed by fever, pleuritic chest pain and rust colored sputum B) stony dull percussion note, and absent breath sounds in the base of the left lung C) paroxysmal nocturnal dyspnea and bilateral basal crackles on inspiration D) sudden onset of shortness of breath with cyanosis and a tracheal shift to the left

C) paroxysmal nocturnal dyspnea and bilateral basal crackles on inspiration

Which description best matches this radiograph? A) chills followed by fever, pleuritic chest pain and rust colored sputum B) sudden onset of shortness of breath with cyanosis and a tracheal shift to the left C) paroxysmal nocturnal dyspnea and bilateral basal crackles on inspiration D) stony dull percussion note, and absent breath sounds in the base of the left lung

C) stony dull percussion note, and absent breath sounds in the base of the left lung

Which description best matches this radiograph? A) paroxysmal nocturnal dyspnea and bilateral basal crackles on inspiration B) sudden onset of shortness of breath with cyanosis and a tracheal shift to the left C) stony dull percussion note, and absent breath sounds in the base of the left lung D) chills followed by fever, pleuritic chest pain and rust colored sputum

A) sudden onset of shortness of breath with cyanosis and a tracheal shift to the left

Which description best matches this radiograph? A) sudden onset of shortness of breath with cyanosis and a tracheal shift to the left B) stony dull percussion note, and absent breath sounds in the base of the left lung C) paroxysmal nocturnal dyspnea and bilateral basal crackles on inspiration D) chills followed by fever, pleuritic chest pain and rust colored sputum

C) Cryptosporidium parvum

Which is the most likely causative organism of the recurrent diarrhea in this 25-year-old patient with chest pain, cough and night sweats for 6 weeks with apical consolidation and cavitations on a chest x-ray? This was the image taken of the stained organisms in his stool: A) Pneumocystis jiroveci B) Streptococcus pneumoniae C) Cryptosporidium parvum D) Cryptococcus neoformans

C) TB

Which is the most likely diagnosis in a 25-year-old febrile patient with chest pain, cough and night sweats for 6 weeks with apical consolidation and cavitations on a chest x-ray and the following Complete Blood Count results? A) Emphysema B) Pneumonia C) Tuberculosis D) Pancoast tumor