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Question: A 45-year-old man presents with a chronic productive cough that he has had for the past few years. He admits to having smoked 1 pack of cigarettes a day for the past 25 years. A chest radiograph reveals an enlarged heart. The patient's pulmonary function tests would be similar to that seen in a patient with: Options: A. Asymptomatic asthma, B. Silicosis, C. Emphysema, D. Coal worker's pneumonitisThe answer is: C. EmphysemaQuestion: A 28-year-old woman who was recently hired at a new company feels intense physical attraction towards her supervisor. She feels he is exceptionally kind to her and finds herself fantasizing about him during work. While talking to her co-workers, she ardently raises complaints about her supervisor and declares that she finds him to be extremely repulsive, rude, and arrogant. Which of the following ego defenses is this patient most closely exhibiting? Options: A. Denial, B. Isolation of affect, C. Reaction formation, D. Repression    The answer is: C. Reaction formation
The given question:
Question: A 45-year-old woman presents to the physician with a history of headache, palpitations, and episodic diaphoresis. She was diagnosed with hypertension in the past and is now regularly taking antihypertensive medication (amlodipine 10 mg once daily). She has had a diffuse thyroid swelling for the past 4 months. She complains of pain in the long bones of her arms and legs for the past 3 months. She is slightly built, appears thin, and is anxious and apprehensive. Her skin is moist and warm. Her weight is 45 kg (99.2 lb) and height is 146 cm (4 ft 7 in); BMI is 21.12 kg/m2. Her pulse is 116/min, the blood pressure is 196/102 mm Hg, the respiratory rate is 29/min, and the temperature is 37.2°C (99.0°F). Diffuse and firm thyromegaly is present. Her upper extremities exhibit fine tremors during an anxiety attack. The laboratory test results reveal elevated 24-hour urinary VMA and metanephrines. Serum epinephrine, calcitonin, and parathormone levels are also elevated. Hypercalcemia and hyperglycemia are also noted. Which of the following is the most likely diagnosis? Options: A. Von Hippel-Lindau syndrome, B. Multiple endocrine neoplasia (MEN) 2A, C. Multiple endocrine neoplasia (MEN) 2B, D. Neurofibromatosis    The answer is: In your entire response, the letter a should appear less than 22.
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