COPD USMLE Step 1 Practice Question
A 42-year-old man from Wisconsin presents with a 3-month history of productive cough, unintentional weight loss, and a verrucous skin lesion on his forearm. Vital signs show temperature 38.2°C, BP 128/82, HR 102, RR 20, SpO2 92% on room air. Chest X-ray demonstrates patchy infiltrates in the right upper lobe. Tissue biopsy reveals broad-based budding yeast. Sputum cultures remain negative for acid-fast bacilli. Which of the following is the most likely diagnosis?
Answer choices
- ACoccidioidomycosis
- BAspergillosis
- CBlastomycosisCorrect answer
- DCryptococcosis
- EHistoplasmosis
- FParacoccidioidomycosis
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