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Kaplan Qbank USMLE



Author4 Posts
  #1

A 37-year-old woman presents with 3 days of progressive joint pain in her ankles, knees, and wrists. She recalls
three similar episodes over the past several years. On examination, she has a temperature of 38.7 C, her blood
pressure is 110/70 mm Hg, and her heart rate is 90/min. She has a diffuse petechial rash over her trunk and
extensor surfaces. Her ankles and knees are swollen, red, and tender with decreased range of motion, and there
is tenderness over the tendon sheaths of her hands and forearms. Blood cultures are negative. Aspiration of joint
fluid reveals a white cell count of 22,000/mm3 with no visible organisms, but culture on chocolate agar is positive.
Which of the following is an attribute of the causative organism that allows it to produce recurrent infections?


A. It is an intracellular pathogen

B. It is resistant to ceftriaxone

C. It is resistant to complement-mediated lysis

D. Its capsule is not immunogenic

E. Its pili undergo antigenic and phase variation



N.gonorrhea

E??

  #2

E

___________________
The Key to Succeed is Patience.

  #3

cool

yeah I seen this before

E

  #4

E







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