24. A 50-year-old man developed truncal obesity, back pain, and skin that bruises easily over the past 5 months. On physical examination, he is afebrile, and his blood pressure is 160/95 mm Hg. A chest radiograph shows an ill-defined, 4-cm mass involving the left hilum of the lung. Cytologic examination of bronchial washings from bronchoscopy shows round epithelial cells that have the appearance of lymphocytes but are larger. The patient is told that, although his disease is apparently localized to one side of the chest cavity, surgical treatment is unlikely to be curative. He also is advised to stop smoking. Which of the following neoplasms is most likely to be present in this patient?
举一反三
- A 35-year-old man is awakened at night because of severe lower abdominal pain that radiates to the groin. The pain is very intense and comes in waves. The next morning, he notices blood in his urine. On examination, there are no remarkable findings. Which of the following is the most likely diagnosis?
- A 45-year-old woman has noted a lump on her left shoulder that has enlarged over the past 4 months. On physical examination there is a palpable non-tender supraclavicular lymph node. A biopsy of the node is performed and on microscopic examination there is a metastatic neoplasm. Which of the following is the most likely primary for this neoplasm?
- In modern clinical practice, the physical examination is the examination of the patient for medical signs of disease, which are subjective and observable.
- A 75-year-old man is noted to have chest pain with exertion and has been passingout recently. On examination he is noted to have a harsh systolic murmur.Which of the following is the best therapy for his condition? A: Coronary artery bypass B: Angioplasty C: Valve replacement D: Carotid endarterectomy
- A 35-year-old man is awakened at night because of severe lower abdominal pain that radiates to the groin. The pain is very intense and comes in waves. The next morning， he notices blood in his urine. On examination， there are no remarkable findings. Which of the following is the most likely diagnosis？（ ） A: Acute cystitis B: Renal cell carcinoma C: Ureteral lithiasis D: Hydronephrosis E: Autosomal dominant polycystic kidney disease