Sunday, July 19, 2009

Question 15

What organism is most commonly associated with the diagnosis mentioned in Question 14?

A) Coxsackie Virus
B) Human T Cell Virus
C) Cytomegalovirus
D) Ebstein Baar
E) H. Pylori
F) S. Hematobium
G) C. Sinesis
H) Human immunodeficiency Virus
I) Hantavirus
J) Picorna Virus


Usmle Challenger July 21, 2009 at 8:54 AM  

Answer: C) Cytomegalovirus

50 % of Cases of HD are associated with CMV

Other options:

A) Coxsackie Virus : Hand foot mouth disease, herpangina, cardiomyopathy, pericarditis.
B) Human T Cell Virus: Adult T cell leukemia (+TAX gene that – TP53)
D) Ebstein Baar : Burkitts (myc oncogene)
E) H. Pylori (Low grade malignant lymphoma)
F) S. Hematobium (Bladder Ca)
G) C. Sinesis (cholangioCa)
H) Human immunodeficiency Virus (NHL: CNS lymphoma, Kaposi Sarcoma)
I) Hantavirus (hemorrhagic fever)
J) Picorna Virus (includes Polio, echo, rhino, coxsackie, HAV)

Sankofa October 23, 2009 at 5:01 AM  

I believe 50% of cases of HD are associated with EBV and not CMV. I have checked various sources and all states Hodkins association with EBV in 50% of cases esp in Mixed Cellularity HD.

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