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A 53-Year-Old Woman Comes to the Physician in February Because

Question 96

Multiple Choice

A 53-year-old woman comes to the physician in February because of a 1-day history of fever, chills, headache, and dry cough. She also reports malaise and generalized muscle aches. She works as a teacher at a local high school, where there was recently an outbreak of influenza. She has a history of intermittent asthma, for which she takes albuterol as needed. She declined the influenza vaccine offered in the fall because her sister told her that a friend developed a flulike illness after receiving the vaccine. She is worried about possibly becoming ill and cannot afford to miss work. Her temperature is 38.5°C (101.3°F) , pulse is 58/min, and respirations are 12/min.   Physical examination shows watery nasal discharge, pharyngeal erythema, and clear lungs on auscultation.  Droplet precautions are immediately instituted to prevent spread of the infection.  Hand hygiene with an alcohol-based disinfectant following patient contact is also initiated.  This patient's infecting pathogen is likely susceptible to the disinfectant due to the presence of which of the following characteristics?


A) Lipid bilayer envelope
B) Nucleocapsid proteins
C) Segmented RNA genome
D) Surface glycoproteins
E) Surface ion channels

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