This week’s edition of the Step 1 Question of the Week is about hematology and oncology. See if you can answer the question and then watch the video to learn the correct answer as well as the rationales for each option.
A 24-year-old man comes to the physician for a routine physical examination before beginning a new job. The physician notes a small, firm nodule on the patient’s left testicle, and he is subsequently diagnosed with a testicular seminoma and referred to an oncologist. Soon after beginning high-dose chemotherapy, the patient returns to his primary care physician because of a 1-week history of dry cough and shortness of breath. His temperature is 98.7°F (37°C), and his pulse is 82/min. His respiratory rate is 17/min. A cardiac examination discloses no murmurs or gallops, and both lungs are clear to auscultation without wheezes; there is no dullness to percussion. Imaging results are shown.
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