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Kaplan Qbank USMLE



Author6 Posts
  #1

Janet Dubvah ,29 yrs female pt. from Arizona comes to your ofice with C/O malaise ,fever, headache and anorexia. She is sexually active and has a positive PID 7.5 months ago, Dr.Steffi Graf treated her with a combo of cephalosporin and doxy. On examination you notice a shallow painless ulcer on the vulva, rest of the examination is without anomalies. Frei test for Chlamydia serotype L2 is positive. Which of the following will Janet most likely develop if the present condition goes untreated !

1. Aortitis
2. Granuloma Inguinale
3. Syphilis
4. Proctocoloitis
5. Septic Arthritis
6. Tabes Dorsalis
7. Dendritic Corneal Ulcer
8. Gonorrhoea

  #2

syphillis, tabes dorsalis and aortiis go together hence they r not the answer

dendritic corneal ulcer= Herpes..painful not ans

septic arthiritis and gonorrhea go together so id strike them out too


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If you yourself are at peace, then there is at least some peace in the world.

  #3

LGV cud coz arthiritis but Tertiary LGV is termed genitoanorectal syndrome so id choose that

___________________
If you yourself are at peace, then there is at least some peace in the world.

  #4

primary LGV--. painless ulcer.

secondary--bubo.

Tertiary LGV most often manifests in women.

Patients initially develop proctocolitis.

Patients may present with perirectal fistulas, abscesses, strictures, and rectal stenosis.




___________________
If you yourself are at peace, then there is at least some peace in the world.

  #5

i await ur criticism sunny 2

smiling face


___________________
If you yourself are at peace, then there is at least some peace in the world.

  #6

you are spoton on this one ....very good thinking study_ing
the answer is indeed Proctocolitis
I don't know why others have not attempted this question







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