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58772 Radiology

A 67-year-old male smoker was seen in the ER for evaluation of cough and treated for acute bronchitis. A CXR done at that time prompted a referral to the chest clinic. The patient gives a past history of myocardial infarction, but at the moment is asymptomatic. BP is 128/80 and cardiopulmonary exam is unremarkable. PPD is 7 mm. CXR is shown in. The likely diagnosis is

AHypeensive cardiomyopathy
BTuberculous pericarditis
CEpicardial fat pad
DLeft ventricular aneurysm
Radiology
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58779 Microbiology

A 27-year-old man presents to his primary care physician with complaints of a fever, headache, muscle aches, and swollen glands. The physician observes disseminated lymphadenopathy, pharyngitis, and a rash on the man’s upper chest. The patient states that he had been to a party 2 weeks ago where he experimented with injecting drugs to get high. Needles were shared among the party-goers. A rapid latex test for human immunodeficiency virus (HIV) antibodies performed in the physician’s office is negative. The doctor has a strong suspicion that this man has acute retroviral syndrome. Which of the following tests is most likely to support a diagnosis of HIV infection at this time?

ACD4 lymphocyte count
BHIV antibody test by enzyme-linked immunosorbent assay (EIA)
CHIV p24 antigen
DReverse transcriptase polymerase chain reaction (PCR) for HIV RNA
Microbiology
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