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Kaplan Qbank USMLE



Author5 Posts
  #1

<8>A sexually active 18-year-old woman presents with a fever of 102 F for the past 24 hours and lower abdominal pain and anorexia for the past 5 days.On physical examination, there is generalized tenderness of the abdomen and the cervix is erythematous with motion tenderness. There is no rash nor any lesions on the external genitalia. A smear of the odorless cervical discharge contains sloughed epithelial cells and scant neutrophils. Which of the following would likely be found in the exudate?


A. A naked, icosahedral double-stranded circular DNA virus
B. Iodine-staining intraepithelial inclusion bodies
C. Intraneutrophilic gram-negative diplococci
D. Intranuclear "owl's eye" inclusion bodies
E. Lactose-fermenting gram-negative bacilli
F. Pear-shaped flagellated protozoa
G. Pleomorphic, gram-negative rods
H. Spirochetes on dark-field microscopy


  #2

B, Clamydia infection

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  #3

correct

  #4

I believe a is parvovirus / and c is GC/d is Reed Sternberg cell+/ e could be Citrobacter/ f is Trichomonas/

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  #5

A. A naked, icosahedral double-stranded circular DNA virus - Parvovirus
B. Iodine-staining intraepithelial inclusion bodies - Chlamydia
C. Intraneutrophilic gram-negative diplococci - Gonorrhea
D. Intranuclear "owl's eye" inclusion bodies - CMV
E. Lactose-fermenting gram-negative bacilli - E. Coli (also Klebsiella, Enterobacter, Citrobacter)
F. Pear-shaped flagellated protozoa - Trichomonas
G. Pleomorphic, gram-negative rods - Hemophilus
H. Spirochetes on dark-field microscopy - Treponema or Leptospira







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