HY USMLE Q #749 – Path / Immuno

A 38-year-old man comes to the physician for a 4-month history of dry cough and intermittent fever. He’s had a 15-pound weight loss during this time. One month ago, he was treated for anterior uveitis. Physical examination shows reduced tendon reflexes and increased muscle tone. Laboratory studies show AST 120 U/L and ALP of 220 U/L. A pulmonary biopsy is shown below. Which of the following is most likely to be seen in this patient?

 

 

 

 

 

 

Decreased carboxylation
Decreased glucuronysltransferase activity 
Decreased IL-12 activity
Decreased renal reabsorption of phosphate
Increased hydroxylase activity