#june2020mccqe1
A 55-year-old, homeless, alcoholic man who has recently been binging complains of 2 weeks of fever, malaise, productive cough, and pain on deep inspiration. He has smoked two packs of cigarettes per day for the past 30 years. A chest x-ray film reveals an infiltrate of the superior portion of the right lower lobe, with a cavity containing an air fluid level. A biopsy is likely to show which of the following?
(A) Acid-fast bacilli and caseating granulomas
(B) Anaplastic squamous cells with numerous mitotic figures
(C) Fibrosis and needle-like ferruginous bodies
(D) Gram-positive, lancet-shaped diplococci in short chains
(E) Mixture of anaerobic organisms
A 55-year-old, homeless, alcoholic man who has recently been binging complains of 2 weeks of fever, malaise, productive cough, and pain on deep inspiration. He has smoked two packs of cigarettes per day for the past 30 years. A chest x-ray film reveals an infiltrate of the superior portion of the right lower lobe, with a cavity containing an air fluid level. A biopsy is likely to show which of the following?
(A) Acid-fast bacilli and caseating granulomas
(B) Anaplastic squamous cells with numerous mitotic figures
(C) Fibrosis and needle-like ferruginous bodies
(D) Gram-positive, lancet-shaped diplococci in short chains
(E) Mixture of anaerobic organisms
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