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14960 Pathology

A 23-year-old woman has noticed that she develops a skin rash if she spends prolonged periods outdoors. She has a malar skin rash on physical examination. Laboratory studies include a positive ANA test result with a titer of 1 :1024 and a “rim” pattern. An anti-double-stranded DNA test result also is positive. The hemoglobin concentration is 12.1 g/dL, hematocrit is 35.5%, MCV is 89 mm3, platelet count is 109,000/mm3, and WBC count is 4500/mm3. Which of the following findings is most likely to be shown by a WBC differential count?

ABasophilia
BEosinophilia
CMonocytosis
DNeutrophilia
Pathology
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14966 Pathology

A 23-year-old, sexually active man has been treated for Neisseria gonorrhoeae infection 6 times during the past 5 years. He now comes to the physician because of the increasing number and size of warty lesions slowly enlarging on his external genitalia during the past year. On physical examination, there are multiple 1- to 3-mm sessile, nonulcerated, papillary excrescences over the inner surface of the penile prepuce. These lesions are excised, but 2 years later, similar lesions appear. Which of the following conditions most likely predisposed him to the development of these recurrent lesions?

ACandida albicans infection
BCircumcision
CHuman papillomavirus infection
DNeisseria gonorrhoeae infection
Pathology
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