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138277 Medicine

A 48-year-old man presents with 3 weeks of fever, fatigue, and shortness of breath. He has a history of “nasal allergies” and asthma, which have been poorly controlled in the past month. Two days prior to presentation, he developed weakness in his left foot and it now “drags” when he walks. On examination, his blood pressure is 165/90 mm Hg, pulse 100/min, respirations 20/min, and lungs have bilateral expiratory wheezes. There is left foot drop, and the rest of the neurologic examination is normal. Laboratory evaluation reveals ESR of 90 mm/h, WBC of 14,000/mL with 10% eosinophils, and 1+ proteinuria. A CXR shows bilateral pulmonary infiltrates.For the above patient with vasculitis syndrome, select the most likely diagnosis.

Apolyarteritis nodosa (PAN)
BChurg-Strauss disease
CHenoch-Schonlein purpura
Dvasculitis associated with infectious diseases
Medicine
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138281 Dental

A 5-year-old previously healthy child is taken from his day care to the pediatrician because his mother is concerned that the child has been fussy for the past few days and now has a rash on his face and torso . The mother also says the boy told her his head hu, and she thinks he may have a low-grade fever. On examination the child is afebrile and not ill-appearing. He has a rash extending over his entire body except for the palms and soles. The infectious agent causing this disease can lead to what complication in immunocompromised hosts?

AAplastic anemia
BEndemic Burkitt's lymphoma
COrchitis
DProgressive multifocal leukoencephalopathy
Dental
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