question: Q:A 32-year-old HIV positive male presents to the office complaining of difficulty swallowing and bad breath for the past couple of months. Upon further questioning, he says, "it feels like there’s something in my throat". He says that the difficulty is sometimes severe enough that he has to skip meals. He added that it mainly occurs with solid foods. He is concerned about his bad breath since he has regular meetings with his clients. Although he is on antiretroviral medications, he admits that he is noncompliant. On examination, the patient is cachectic with pale conjunctiva. On lab evaluation, the patient’s CD4+ count is 70/mm3. What is the most likely cause of his symptoms?? 
  {'A': 'Human papilloma virus', 'B': 'Candida albicans', 'C': 'Irritation due to medication therapy', 'D': 'HHV-8', 'E': 'Cytomegalovirus'},