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Kaplan Qbank USMLE



Author3 Posts
  #1

A young college student spent his summer working for a forest service agency in Oregon. 1 month after returning home to Virginia, he experienced a sudden onset of fever, nausea, muscle aches and headache.Blood and stool cultures were negative. His sx subsided and he assumed he had recovered. Two weeks later the sx reappeared, but this time accompanied by marked splenomegaly. he also noticed a single tennis ball sized bright red rash on his lower left leg which increased in size and sensitivity. This time a blood smear showed presence of spirochetes.

I) The symptoms described in this case history are consistent with a preliminary diagnosis of
a) Rocky Mountain spotted fever
b) Lyme disease
c) Syphilis
d) plague
e) leptospirosis

II) The most probable etiologic agent for the above illness would be due to organisms of the genus
a) spirocheta
b) rickettsia
c) treponema
d) borrelia
e) leptospira

III) The etiologic agent responsible for the infection was most likely acquired by
a) tick bite
b) drinking contaminated water
c) sexual contact
d) consumption of contaminated foods
e) inhalation

  #2

answers- b ,d , a,

___________________
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  #3

correct smiling face







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