Henry, 60, complains of back pain and frequent Infections. An SPEP test is ordered and shows a monoclonal spike. What condition does Henry most likely have

Hypogammaglobulinemia

Graft-versus-host disease

Sepsis

Multiple myeloma

Answer and Explanation

The Correct Answer is D

A.   This condition is characterized by low levels of immunoglobulins, which may predispose to infections, but it typically does not present with a monoclonal spike on SPEP.
B.   This condition occurs after a transplant procedure and is not typically associated with back pain or a monoclonal spike on SPEP.

C.   While sepsis can cause back pain and recurrent infections, it is not typically associated with a monoclonal spike on SPEP.
D.   Multiple myeloma often presents with bone pain (including back pain) and recurrent infections. The monoclonal spike on SPEP is characteristic of this condition.

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Correct Answer is B

Explanation

A. Testicular torsion typically presents with sudden and severe scrotal pain, often with swelling, and requires immediate medical attention.
B. Infection can cause changes in the color and texture of the scrotal skin, indicating inflammation or other pathological processes.
C. Sexual immaturity and pubertal delay wouldn't typically manifest as changes in the color and texture of the scrotal skin.
D. Pubertal delay might have other signs and symptoms but is unlikely to cause visible changes in the scrotal skin.

A. Herpes Zoster B. Hepatitis C C. Influenza D. Pneumococcal

Correct Answer is C

Explanation

A. This vaccine is recommended for adults over 50 years old to prevent shingles, but it is not typically administered annually.
B. There is no routine annual immunization for Hepatitis C.
C. Annual influenza vaccination is strongly recommended for patients with COPD to reduce the risk of influenza-related complications.
D. While pneumococcal vaccination is important for patients with COPD, it is not administered annually in most cases.

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Henry, 60, complains of back pain and frequent Infections. An SPEP test is ordered and shows a monoclonal spike. What condition does Henry most likely have

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Explanation

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