A 26-year-old, previously healthy woman comes to the office due to worsening fatigue, constipation, and nonproductive cough for the past several months. The patient also reports occasional reddish, painful bumps on her legs and nonpainful, nonpruritic facial eruptions for the past week. She has had no fever, chest pain, orthopnea, or pedal edema. The patient does not use tobacco, alcohol, or illicit drugs and is in a monogamous relationship. Vital signs and pulse oximetry are within normal limits. Physical examination shows normal oropharyngeal mucosa and jugular venous pressure. The lungs are clear on auscultation and heart sounds are normal. The abdomen is soft and nontender. There are enlarged cervical and axillary lymph nodes. Examination of the skin reveals 3 violaceous, indurated nodules on the anterior shins, as well as facial eruptions shown in the exhibit. Chest imaging and laboratory studies are ordered. Which of the following sets of laboratory findings are expected in this patient?

Question

A 26-year-old, previously healthy woman comes to the office due to worsening fatigue, constipation, and nonproductive cough for the past several months. The patient also reports occasional reddish, painful bumps on her legs and nonpainful, nonpruritic facial eruptions for the past week. She has had no fever, chest pain, orthopnea, or pedal edema. The patient does not use tobacco, alcohol, or illicit drugs and is in a monogamous relationship. Vital signs and pulse oximetry are within normal limits. Physical examination shows normal oropharyngeal mucosa and jugular venous pressure. The lungs are clear on auscultation and heart sounds are normal. The abdomen is soft and nontender. There are enlarged cervical and axillary lymph nodes. Examination of the skin reveals 3 violaceous, indurated nodules on the anterior shins, as well as facial eruptions shown in the exhibit.

Chest imaging and laboratory studies are ordered. Which of the following sets of laboratory findings are expected in this patient?

Quizplus · Accepted Answer

The Answer of A 26-year-old, previously healthy woman comes to the office due to worsening fatigue, constipation, and nonproductive cough for the past several months.  The patient also reports occasional reddish, painful bumps on her legs and nonpainful, nonpruritic facial eruptions for the past week.  She has had no fever, chest pain, orthopnea, or pedal edema.  The patient does not use tobacco, alcohol, or illicit drugs and is in a monogamous relationship.  Vital signs and pulse oximetry are within normal limits.  Physical examination shows normal oropharyngeal mucosa and jugular venous pressure.  The lungs are clear on auscultation and heart sounds are normal.  The abdomen is soft and nontender.  There are enlarged cervical and axillary lymph nodes.  Examination of the skin reveals 3 violaceous, indurated nodules on the anterior shins, as well as facial eruptions shown in the exhibit.  Chest imaging and laboratory studies are ordered.  Which of the following sets of laboratory findings are expected in this patient?

A 26-Year-Old, Previously Healthy Woman Comes to the Office Due