Biopsy of minor salivary gland of the lip shows a lymphocytic infiltrate that has replaced salivary gland parenchyma without evidence of scar. The patient is 58 years old and has dry eyes and rheumatoid arthritis. She very likely has which of the following?

A 28-year-old woman sees her family physician complaining of easy bruising and menorrhagia. She has a platelet count of 60 x 109/L

All other hematology and routine coagulation tests are normal. She has a platelet-associated immunoglobulin G (IgG) autoantibody in her serum. Which of the following is most likely? a. Chronic immune thrombocytopenic purpura b. Thrombotic thrombocytopenic purpura c. Acute immune thrombocytopenic purpura d. Hemolytic uremic syndrome

Which of the following factors is part of the psychosocial context of medical care?

a. Personal beliefs and expectations of the patient b. Sight of health professionals, hospitals, and medical instruments c. Interaction with other patients d. all of the above