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MMLU-Pro / 6791 / A 19-year-old Asian female college student comes to the university health center…

Problem

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question

A 19-year-old Asian female college student comes to the university health center because of a 1-week history of nasal stuffiness, occasional clear rhinorrhea, and a mild sore throat. Two days ago, she began to feel hot, but she has not taken her temperature. Medical history is unremarkable and her only medication is an oral contraceptive. She has no history of allergies. She does not smoke cigarettes. BMI is 22 kg/m2 . Vital signs are temperature 38.1°C (100.6°F), pulse 88/min, respirations 16/min, and blood pressure 116/74 mm Hg. Physical examination discloses tenderness over the left maxillary sinus without purulent drainage. There is clear fluid behind the left tympanic membrane, enlarged tonsils bilaterally, and pain with tapping of the left upper incisors. Left frontal sinus does not transilluminate. Cardiopulmonary examination discloses no abnormalities. Which of the following is the most likely underlying mechanism of this patient's sinusitis? 

category

health

options

  1. Allergic reaction
  2. Mucosal edema
  3. Bacterial infection
  4. Eustachian tube dysfunction
  5. Immune system disorder
  6. Fungal infection
  7. Chronic sinusitis
  8. Viral infection
  9. Nasal polyps
  10. Oral contraceptive use

src

ori_mmlu-professional_medicine

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