and headaches.

The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale
5. A 60-year-old man has a 5-day history of productive cough and shortness of
breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale
5. A 60-year-old man has a 5-day history of productive cough and shortness of
breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale
5. A 60-year-old man has a 5-day history of productive cough and shortness of
breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale
5. A 60-year-old man has a 5-day history of productive cough and shortness of
breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale
5. A 60-year-old man has a 5-day history of productive cough and shortness of
breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?
and headaches. The fevers began about 1 week ago; 2 weeks ago the patient
returned from a trip to Africa. Physical examination reveals splenomegaly, and brain
imaging shows signs of significant cerebral involvement. Which of the following
parasites most likely caused this patients symptoms?
(A) Babesia microti
(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale
5. A 60-year-old man has a 5-day history of productive cough and shortness of
breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?

(A) Babesia microti

(B) Plasmodium falciparum
(C) Plasmodium malariae
(D) Plasmodium ovale

5. A 60-year-old man has a 5-day history of productive cough and shortness of

breath with exertion. In addition to a normal left lung base, examination of the chest
in the area of the right lung base shows: Breath sounds bronchial, Percussion note
dull, Tactile fremitus increased, Adventitious sounds, and crackles. Which of the
following is the most likely diagnosis?