A 26-year-old woman presents to the medicine clinic with swelling around the right side of her chin and neck (Image A). She reports pain when moving her jaw and chewing. Her symptoms developed two days after receiving an uncomplicated tonsillectomy. She has been followed by a general medical physician since birth and has received all of her standard health maintenance procedures. Vital signs are stable with the exception of a temperature of 38.4 degrees Celcius. The area in question on the right side is exquisitely tender. The remainder of her exam is benign. What is the most likely diagnosis?
ASuperior vena cava syndrome
BMumps
CAcute bacterial parotitis
DSjogren's syndrome
EPleomorphic adenoma
A 23-year-old woman presents with a painful lesion in her mouth. She denies tooth pain, bleeding from the gums, nausea, vomiting, diarrhea, or previous episodes similar to this in the past. She states that her last normal menstrual period was 12 days ago, and she has not been sexually active since starting medical school 2 years ago. On physical examination, the patient has good dentition with no signs of infection with the exception of a solitary ulcerated lesion on the oral mucosa. The nonvesicular lesion has a clean gray-white base and is surrounded by erythema. Which of the following is correct concerning the most likely etiology of the oral lesion in this patient?
AThis lesion is non-contagious but will most likely recur.
BThis lesion is associated with an autoimmune disease characterized by a sensitivity to gluten.
CThis lesion may progress to squamous cell carcinoma.
DThis lesion is due to a fungal infection and may mean you're immunocompromised.
EThis lesion is highly contagious and is due to reactivation of a dormant virus.
An 11-year-old boy who recently emigrated from Nigeria is brought to the physician for evaluation of jaw swelling. He has no history of serious illness and takes no medications. Examination shows a 5-cm solid mass located above the right mandible and significant cervical lymphadenopathy. A biopsy specimen of the mass shows sheets of lymphocytes with interspersed tingible body macrophages. Serology for Epstein-Barr virus is positive. Which of the following chromosomal translocations is most likely present in cells obtained from the tissue mass?
At(8;14)
Bt(12;21)
Ct(11;22)
Dt(15;17)
Et(11;14)
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