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925 Pathology

A 46-year-old woman presents with insidious onset of shoness of breath, chest pain, and fatigue. Chest X-ray films reveal bilateral pulmonary infiltrates and enlarged hilar lymph nodes. A biopsy of one of these lesions shows non-necrotizing granulomas. Special stains for fungi and mycobacteria are negative. The patient works as a secretary and has no history of occupational exposure to airborne minerals or organic dusts. Which of the following is the MOST likely diagnosis?

AAsbestosis
BBerylliosis
CByssinosis
DSarcoidosis
Pathology
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926 Pathology

A 40-year-old woman had several episodes of rheumatic fever as a child. She is currently afebrile and feels well, and has come to a hospital for monitoring echocardiography. Which of the following findings would MOST likely be seen in this patient’s mitral valve?

ABallooning of valve leaflets
BFibrous bridging between thickened, calcified leaflets
CIrregular beads of calcification in annulus
DLarge bulky vegetation with adjacent leaflet perforation
Pathology
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