nbme form 4, block 4, q 32 - benu

[ArchivalUser]

 
A 37-year-old man comes to the physician because of fever and bilateral flank pain 1 month after returning to the USA from a 2-year stay in Kenya. He takes no medications. His temperature is 39°C (102.2°F). The spleen tip is palpable with deep inspiration 2 cm below the left costal margin. His hemoglobin concentration is 9 g/dL, reticulocyte count is 5%, and serum lactate dehydrogenase activity is 300 U/L.


A
) 
Aspiration of the lesion

B
) 
Examination of duodenal aspirate for ova and parasites

C
) 
Examination of stool for ova and parasites

D
) 
Serum antibody titer for Entamoeba histolytica

E
) 
Serum antibody titer for Plasmodium species


F
) 
Serum antibody titer for Strongyloides stercoralis

G
) 
Serum antibody titer for visceral larva migrans

H
) 
Skin test for Trichinella spiralis

I
) 
Thick and thin blood smears for malaria

[ArchivalUser]

III

[ArchivalUser]

mitsua, does malaria explain the bilateral flank pain? If so, pls explain.