malinda
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34>A 24-year-old male Asian immigrant presents with an ulcerative
genital lesion. The lesion first appeared 1 month ago as a papule
with an erythematous base, which eventually became ulcerated and
painful. On physical examination, the man is afebrile. A tender
ulcerative lesion is present on his prepuce, and inguinal
adenopathy is evident. Which of the following would be the most likely microscopic finding in a scraping from the rash?
A. Epithelial cells with intranuclear inclusion bodies
B. Iodine-staining intracellular inclusion bodies
C. Koilocytotic squamous epithelial cells
D. Neutrophils containing gram-negative diplococci
E. Pleomorphic gram-negative rods in a "school of fish" pattern
F. Spirochetes visible by darkfield microscopy
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| msyamp
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Topics: 60
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e it is chanchroid h ducreyi. school of fsh.
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| reet
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i would go with E too
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