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Zach is a 28-year-old graduate student working in a laboratory that studies the

ID: 34431 • Letter: Z

Question

Zach is a 28-year-old graduate student working in a laboratory that studies the genetics of the human immunodeficiency virus (HIV). He has recently noticed that he is losing weight, his lymph nodes are swollen, and he has been experiencing night sweats. He also seems to be scratching more often than normal. Zach is concerned that he may have contracted HIV through his research project. Zach is married, monogamous, and has never received a blood transfusion or used intravenous drugs. Physical examination reveals pallor, lymphadenopathy, splenomegaly, and an abnormal mass in his abdomen. Zach

Explanation / Answer

1. Losing weight and night sweat

2. swollen lymph nodes

3. Due to biopsy report which shows fibrosis, few lymphocytes, and the presence of ReedSternberg cells.